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Copyright © 2011 by Wolters Kluwer Health | Lippincott Williams & Wilkins. Skill Checklists for Taylor's Clinical Nursing Skills:SKILL 5-14Introducing Drugs Through a Medication or Drug-
Infusion Lock (Intermittent Peripheral Venous Access
Device) Using the Saline Flush (Continued)Comments- Perform hand hygiene and put on PPE, if indicated.
- Identify the patient. Usually, the patient should be identified
using two methods. Compare information with the MAR/
CMAR.
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. - Close the door to the room or pull the bedside curtain.
- 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. - Scan the patient’s bar code on the identification band, if
required. - Assess IV site for presence of inflammation or infiltration.
- Put on clean gloves.
- Clean the access port of the medication lock with
antimicrobial swab. - Stabilize the port with your nondominant hand and insert
the syringe, or needleless access device, of normal saline
into the access port. - Release the clamp on the extension tubing of the medication
lock. Aspirate gently and check for blood return. - Gently flush with normal saline by pushing slowly on the
syringe plunger. Observe the insertion site while inserting
the saline. Remove syringe. - Insert syringe, or needleless access device, with medication
into the port and gently inject medication, using a watch
to verify correct administration rate. Do not force the
injection if resistance is felt.
ExcellentSatisfactoryNeeds Practice