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 5-10

Administering Medications by Intravenous Bolus or

Push Through an Intravenous Infusion (Continued)

Comments

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.


19. If IV infusion is being administered via an infusion pump,
    pause the pump.


20. Put on clean gloves.


21. Select injection port on tubing that is closest to venipunc-
    ture site. Clean port with antimicrobial swab.


22. Uncap syringe. Steady port with your nondominant hand
    while inserting syringe into center of port.


23. Move your nondominant hand to the section of IV tubing
    just above the injection port. Fold the tubing between your
    fingers.


24. Pull back slightly on plunger just until blood appears in
    tubing.
    26.Inject the medication at the recommended rate.


25. Release the tubing. Remove the syringe. Do not recap the
    used needle, if used. Engage the safety shield or needle
    guard, if present. Release the tubing and allow the IV fluid
    to flow. Discard the needle and syringe in the appropriate
    receptacle.


26. Check IV fluid infusion rate. Restart infusion pump, if
    appropriate.

ExcellentSatisfactoryNeeds Practice