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 5-11

Administering a Piggyback Intermittent

Intravenous Infusion of Medication (Continued)

Comments

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.

15. Close the door to the room or pull the bedside curtain.


16. 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.


17. Scan the patient’s bar code on the identification band, if
    required.


18. Assess the IV site for the presence of inflammation or
    infiltration.


19. Close the clamp on the short secondary infusion tubing.
    Using aseptic technique, remove the cap on the tubing
    spike and the cap on the port of the medication container,
    taking care to avoid contaminating either end.


20. Attach infusion tubing to the medication container by
    inserting the tubing spike into the port with a firm push
    and twisting motion, taking care to avoid contaminating
    either end.


21. Hang piggyback container on IV pole, positioning it higher
    than primary IV according to manufacturer’s recommenda-
    tions. Use metal or plastic hook to lower primary IV fluid
    container. (See the Skill Variation in your skills book for
    information on administering an intermittent IV medication
    using a tandem piggyback setup.)


22. Place label on tubing with appropriate date.


23. Squeeze drip chamber on tubing and release. Fill to the line
    or about half full. Open clamp and prime tubing. Close
    clamp. Place needleless connector on the end of the tubing,
    using sterile technique, if required.


24. Use an antimicrobial swab to clean the access port or stop-
    cock above the roller clamp on the primary IV infusion
    tubing.


25. Connect piggyback setup to the access port or stopcock. If
    using, turn the stopcock to the open position.

ExcellentSatisfactoryNeeds Practice