ADDING MEDICATIONS TO AN EXISTING IVF

EQUIPMENT:
Antimicrobial swab/cotton balls with alcohol
Watch with second hand or stopwatch
Disposable gloves
Medication prepared in syringe with G23-25 needle
Kardex/patient’s chart

PROCEDURE RATIONALE 1 2 3 4 5

1. Check the medication order with the physician’s order.

Check the drug reference whether medication needs to be
diluted. Observe the 10 Rs of giving the medication.

2. Bring equipment to the patient’s bedside.

3. Explain the procedure to the patient.

4. Perform hand hygiene. Don clean gloves.

5. Assess IV site for presence of inflammation or infiltration.

6. Select the injection port on the tubing that is closest to

venipuncture site. Clean port with a swab.

7. Uncap the syringe. Steady port with your nondominant

hand while inserting the needle into center of port.

8. Move your nondominant hand to section of IV tubing

directly behind or distal to injection port. Fold the tubing
between your fingers to temporarily stop the flow.
9. Pull back slightly in plunger just until the blood appears in
 tubing. If no blood pressure, medication may still be
administered while assessing IV insertion site for signs of
infiltration.

10. Inject medication at recommended rate.

11. Remove needle. Do not cap it. Release tubing and allow IV
to flow at proper rate.

12. Dispose syringe in proper receptacle.

13. Remove gloves and perform hand hygiene.

14. Document administration of medication on the Kardex or

chart.

15. Evaluate patient’s response to medication within the

appropriate time frame.