Administering Intravenous Medication By Slow IV Push CEAC 0818 February 2015
Administering Intravenous Medication By Slow Intravenous Push Always record the time you administer your flushes and medication on the Home Record for IV Medication Administration A: Getting Started Prepare an uncluttered surface area to work on. Clean work surface with soap and water. Wash hands well with soap and warm water or alcohol based hand cleaner allowing time to dry thoroughly. Remove medication from refrigerator 30 minutes prior to time to give dose. Check medication syringe for name of medication, dose, and expiry date. 1
Gather Supplies medication syringe two (2) - 10 ml prefilled normal saline (NS) syringes 3 alcohol swabs Place all the supplies on the table in the order that you will be using them. B: Pre-Medication Flush Wash hands well with soap and warm water or alcohol based hand cleaner allowing time to dry thoroughly. Take a 10 ml prefilled NS syringe, remove the syringe cap and get rid of any air by pulling slowly pulling back on the plunger and then pushing plunger up to expel air. If needed you may tap gently on the syringe to force the air bubbles to the tip of the syringe. Swab access cap with alcohol swab for 15 seconds and let dry. Do not touch the end of the access cap with your hands after swabbing with alcohol. Attach prefilled NS syringe to the access cap by pushing in and twisting it on clockwise. 2
Only perform the following option that applies to you. For PICC, PORT or TICC Draw back (pull back on the syringe) to see blood in the tubing. *If no blood noted, see Trouble Shooting Section. Then inject 10 ml saline (1 ml at a time) pushing and pausing (like clicking a pen) until syringe is empty. For Peripheral IV Access Devices: Inject 3 ml saline (1 ml at a time) pushing and pausing (like clicking a pen) until 3 ml has been instilled. Remove syringe from the access cap by twisting off counterclockwise. Throw syringe in the garbage. C: Medication Administration Using Intravenous Push (IVP) Swab access cap with alcohol swab for 15 seconds and let dry. 3
Do not touch the end of the access cap with your hands after swabbing with alcohol. Prepare medication: Remove cap and get rid of any air using the same technique described for preparing the pre-flush syringe. Attach medication syringe directly to the access cap by pushing in and twisting it on clockwise. Slowly inject medication 1.0 ml every 30 seconds until syringe is empty. When medication is finished, disconnect syringe from access cap (twist off counterclockwise). Throw syringe in the garbage. D: Post-Medication Flush Take a 10 ml prefilled NS syringe, remove the syringe cap and get rid of any air using the same technique described in the Pre-flush section. 4
Swab access cap with alcohol swab for 15 seconds and let dry. Do not touch the end of the access cap with your hands after swabbing with alcohol. Attach prefilled NS syringe to the access cap by pushing in and twisting it on clockwise. For PICC, PORT, or TICC Inject 10 ml saline (1 ml at a time), pushing and pausing (like clicking a pen) until syringe is empty For Peripheral IV Access Devices: Inject 3 ml saline (1 ml at a time) pushing and pausing (like clicking a pen) until 3 ml has been instilled. Remove syringe from the access cap by twisting off counterclockwise. Throw syringe in the garbage. 5
Remember to record the time you administer your flushes and medication on the Home Record for IV Medication Administration Photos courtesy RQHR Medical Media Department. RQHR protocol requires heparinization of TICCs and PORTs following the Normal Saline flush after the IV medication. Heparinization of a TICC: Inject 3ml Heparin (100 u/ml) into lumen after each access, up to a maximum of 3 times a day, unless otherwise instructed. Heparinization of a PORT: Inject 5mL Heparin (100 u/ml) into lumen after each access, but not more than once a day, unless otherwise instructed. 6
CEAC 0818 February 2015