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 Checklists for Taylor's Clinical Nursing Skills:
A Nursing Process Approach, 3rd edition

Name Date

Unit Position

Instructor/Evaluator: Position

SKILL 5-10

Administering Medications by Intravenous Bolus or

Push Through an Intravenous Infusion

Goal:The prescribed medication is given to the patient safely via

the intravenous route. Comments

1. Gather equipment. Check medication order against the
   original order in the medical record, according to facility
   policy. Clarify any inconsistencies. Check the patient’s
   chart for allergies. Verify the compatibility of the medica-
   tion and IV fluid. Check a drug resource to clarify whether
   the medication needs to be diluted before administration.
   Check the infusion rate.


2. Know the actions, special nursing considerations, safe dose
   ranges, purpose of administration, and adverse effects of
   the medications to be administered. Consider the appropri-
   ateness of the medication for this patient.


3. Perform hand hygiene.


4. Move the medication cart to the outside of the patient’s
   room or prepare for administration in the medication area.


5. Unlock the medication cart or drawer. Enter pass code and
   scan employee identification, if required.
   6.Prepare medication for one patient at a time.


6. Read the CMAR/MAR and select the proper medication
   from the patient’s medication drawer or unit stock.


7. Compare the label with the CMAR/MAR. Check
   expiration dates and perform calculations, if necessary.
   Scan the bar code on the package, if required.


8. If necessary, withdraw medication from an ampule or vial
   as described in Skills 5-3 and 5-4.
   10.Recheck the label with the MAR before taking it to the
   patient.


9. Lock the medication cart before leaving it.


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


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

ExcellentSatisfactoryNeeds Practice