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Copyright © 2011 by Wolters Kluwer Health | Lippincott Williams & Wilkins. Skill Checklists for Taylor's Clinical Nursing Skills:
SKILL 5-12
Administering an Intermittent Intravenous Infusion of
Medication via a Mini-infusion Pump (Continued)
Comments
- 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 the IV site for the presence of inflammation or
infiltration. - Using aseptic technique, remove the cap on the tubing and
the cap on the syringe, taking care not to contaminate
either end. - Attach infusion tubing to the syringe, taking care not to
contaminate either end. - Place label on tubing with appropriate date.
- Fill tubing with medication by applying gentle pressure to
syringe plunger. Place needleless connector on the end of
the tubing, using sterile technique, if required. - Insert syringe into mini-infusion pump according to manu-
facturer’s directions. - Use antimicrobial swab to clean the access port or stopcock
below the roller clamp on the primary IV infusion tubing,
usually the port closest to the IV insertion site. - Connect the secondary infusion to the primary infusion at
the cleansed port. - Program pump to the appropriate rate and begin infusion.
Set alarm if recommended by manufacturer.
ExcellentSatisfactoryNeeds Practice