Skill Checklists for Taylor's Clinical Nursing Skills: A Nursing Process Approach

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Copyright © 2011 by Wolters Kluwer Health | Lippincott Williams & Wilkins. Skill Checklists for Taylor's Clinical Nursing Skills:

SKILL 5-13

Administering an Intermittent Intravenous

Infusion of Medication via a Volume-Control

Administration Set (Continued)

Comments

13. Transport medications and equipment to the patient’s
    bedside carefully, and keep the medications in sight at all
    times.
    14.Ensure that the patient receives the medications at the
    correct time.


14. Perform hand hygiene and put on PPE, if indicated.


15. Identify the patient. Usually, the patient should be
    identified using two methods. Compare information with
    the CMAR/MAR.
    a. Check the name and identification number on the
    patient’s identification band.
    b. Ask the patient to state his or her name and birth date,
    based on facility policy.
    c. If the patient cannot identify him- or herself, verify the
    patient’s identification with a staff member who knows
    the patient for the second source.


16. Close the door to the room or pull the bedside curtain.


17. Complete necessary assessments before administering med-
    ications. Check the patient’s allergy bracelet or ask the
    patient about allergies. Explain the purpose and action of
    the medication to the patient.


18. Scan the patient’s bar code on the identification band, if
    required.


19. Assess IV site for presence of inflammation or infiltration.


20. Fill the volume-control administration set with the prescribed
    amount of IV fluid by opening the clamp between IV
    solution and the volume-control administration set. Follow
    manufacturer’s instructions and fill with prescribed amount
    of IV solution. Close clamp.


21. Check to make sure the air vent on the volume-control
    administration set chamber is open.


22. Use antimicrobial swab to clean access port on volume-
    control administration set chamber.


23. Attach the syringe with a twisting motion into the access
    port while holding the syringe steady. Alternately, insert
    the needleless device or blunt needle into the port. Inject
    the medication into the chamber. Gently rotate the
    chamber.


24. Attach the medication label to the volume-control device.

ExcellentSatisfactoryNeeds Practice