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 5-14

Introducing Drugs Through a Medication or Drug-

Infusion Lock (Intermittent Peripheral Venous Access

Device) Using the Saline Flush (Continued)

Comments

26. Remove the medication syringe from the port. Stabilize the
    port with your nondominant hand and insert the syringe,
    or needleless access device, of normal saline into the port.
    Gently flush with normal saline by pushing slowly on the
    syringe plunger. If medication lock is capped with positive
    pressure valve/device, remove syringe, and then clamp the
    IV tubing.Alternately, to gain positive pressure if positive
    pressure valve/device is not present, clamp the IV tubing as
    you are still flushing the last of the saline into the medica-
    tion lock. Remove syringe.


27. Discard the syringe in the appropriate receptacle.


28. Remove PPE, if used. Perform hand hygiene.


29. Document the administration of the medication immediately
    after administration.


30. Evaluate the patient’s response to medication within
    appropriate time frame.


31. Check the medication lock site at least every 8 hours or
    according to facility policy.

ExcellentSatisfactoryNeeds Practice