IV.

MEDICATION INCORPORATION OF DRUG INTO IVF BOTTLE/BAG

Procedures Rationale
1. Verify the written medication card against Checking ensures that patient receives the
the doctor's order. correct ordered IV solution and medication.
2. Observe 10 Rs when preparing and  Right Drug.
administering medication The first right of drug administration is to
check and verify if it’s the right name and
form. Beware of look-alike and sound-alike
medication names. Misreading medication
names that look similar is a common
mistake.
 Right Patient.
Ask the name of the client and check his/her
ID band before giving the medication. Even
if you know that patient’s name, you still
need to ask just to verify.
 Right Dose.
Check the medication sheet and the doctor’s
order before medicating. Be aware of the
difference between an adult and a pediatric
dose.
 Right Route.
Check the order if it’s oral, IV, SQ, IM, etc.
 Right Time and Frequency.
Check the order for when it would be given
and when was the last time it was given..
Right Documentation.
Make sure to write the time and any remarks
on the chart correctly.

 Right History and Assessment.

Secure a copy of the client’s history to drug
interactions and allergies.

 Drug approach and Right to Refuse.

Give the client enough autonomy to refuse
the medication after thoroughly explaining
the effects.

 Right Drug-Drug Interaction and

Evaluation.
Review any medications previously given or
the diet of the patient that can yield a bad
interaction to the drug to be given. Check
also the expiry date of the medication being
given.

3. Explains procedure (medication and
action) to reassure patient and significant
others and check patency of IV site
4.Verify for skin test of drug for IV
incorporation (if skin testing is necessary).
5. Wash hands before and after the
procedures
6. Prepare the necessary materials needed
for the procedures such as: injection tray,
syringes needed, right drug to be
incorporated either in ampule or vial.
7. Disinfect injection port of the vial and the
ampule before breaking then aspirate the
right dose aseptically.
8. Remove the cover of the administration
set, maintain sterility and incorporate
prepared drug into the airway aseptically.
Recap airway after. NOTE: If the
administration set, has no airway, pull out
the set and incorporate prepared set to the
bottle drug and re-spike the IVF set to the
bottle then place the label.
9.Swirl the bottle to mix the drug with IVF
and regulate the flow rate accordingly.
10. Observe for 5-10 minutes for any drug
interaction while reassuring the patient;
monitor VS
11. Document the procedure done on the
patient’s chart.
 Right Education and Information.
Provide enough knowledge to the patient of
what drug he/she would be taking and what
are the expected therapeutic and side effects.
NEVER document that you have given a
medication until you have actually
administered it.
Explanations allays anxiety
Skin tests are usually well tolerated, in rare
instances they can cause a more serious
allergic reaction.
Hand hygiene deters the spread of
microorganims.
Having equipment available saves time and
facilitates accomplishment of task.
Wipe the top of the vial with 60–
70% alcohol (isopropyl alcohol or ethanol)
using a swab or cotton-wool ball; open the
package in front of the patient to reassure
them that the syringe and needle have not
been used previously
This removes air from tubing; in larger
amounts, air can act as an embolus.
Recapping maintains the sterility of the
setup. Labeling ensures accurate
continuation and administration of correct IV
solution.
Diluting them can reduce their efficacy and
introduce the risk of medication errors and
contamination of sterile I.V. medications
Observations provide additional safety
measures, especially for high-alert
medications. IV medications act rapidly.
Nursing documentation is essential for good
clinical communication.
Appropriate documentation provides an
accurate reflection of nursing assessments,
changes in clinical state, care provided and
pertinent patient information to support the

12. Discard sharp and other wastes
according to the Health Care Waste
Management
multidisciplinary team to deliver great care.
The main purpose of discarding sharp and
other wastes is to protect employees
from sharps that may carry contagious
diseases