Administering Intravenous Medication By Syringe Pump CEAC 0820 February 2015
Administering Intravenous Medication By Syringe Pump You must change the tubing every day around the same time each day. 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 the area with soap and water. Wash hands well with soap and warm water or alcohol based hand cleaner allowing time to dry thoroughly. 1
Remove medication from refrigerator 30 minutes prior to dose. Check medication syringe for name of medication, dose, and expiry date. Gather Supplies medication syringe two (2) - 10 ml prefilled normal saline (NS) syringes 3 alcohol swabs 1 white plug 1 Minibore Extension Set 1 Excelsior syringe pump Place all the supplies on the table in the order that you will be using them. Take the cap off the medication syringe and get rid of any air in the syringe 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. Attach medication syringe to tubing. Push on syringe to flush the air from the tubing until you see a drop of fluid appear at the end of the tubing. Place cap back on the end of the tubing until ready for use. 2
Place syringe in syringe pump. 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 syringe, remove the syringe cap and get rid of any air using the same technique described for preparing the medication 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. 3
Attach prefilled NS syringe to the access cap by pushing in and twisting it on clockwise. 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 in the Home IV Program booklet. Then inject 10 ml saline (1 ml at a time) pushing and pausing (like clicking a pen) until syringe is empty. For Peripheral 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 Syringe Pump 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. Remove cap from tubing. Attach tubing to access cap by pushing in and twisting it on clockwise. Press Start Normal on pump (unless otherwise instructed). Medication will slowly enter the IV access device. When medication syringe is empty, the syringe pump will alarm or beep. Press Off button on pump. 5
Disconnect tubing from access cap by twisting off counterclockwise. Attach white plug to end of tubing. Set pump aside until next dose. *If this is the last or only dose of the day, throw the syringe and tubing in the garbage. D: Post-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 using the same technique described in the Pre-flush section. 6
Swab the 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. 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 7
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. 8
CEAC 0820 February 2015