NUR 146 CL - IV Push Flashcards
(6 cards)
1
Q
IV Push: How to set up for IV Push
A
Pump: Stop infusion
Gravity: Clamp
- Disinfect work surface or tray to create general aseptic field
- Perform hand hygiene, put on clean gloves
2
Q
IV Push: When preparing the medication
A
- Draw up medication immediately prior to administration; use filter needle to draw med from ampule
- Add appropriate amount of diluent to IV bolus ONLY if recommended by manufacturer
- Label vial of medication with patient’s name and date opened
- Keep vial for max of 28 days / Or specified by manufacturer
After getting medication
- Remove needle into sharps, red label onto blunt needle: (med, patient name, time, date, initials)
3
Q
IV Push: How do you choose which site to connect at?
A
- If med and infusion are compatible, pause pump and/or pinch IV tubing
- If med + infusion are NOT compatible: Start a second line OR use alternate IV Catheter or port closest to patient; stop infusion and clamp during med push
- If infusion can’t be paused, or if blood/parenteral nutrition- then use alternate IV catheter
4
Q
IV Push: First flush
A
- Clean IV Port alcohol 15s, then let dry
- Connect
- Pinch “Upper” part of tubing to prevent backflow up into IV bag
- Open IV Port Clamp (Not the tubing clamp)
- Aspirate to ensure blood return, then flush with saline
- Discard flush
5
Q
IV Push: Medication (second)
A
- Clean IV port w/ alcohol 15sec, then let dry
- Pinch “Upper” part of tubing
- Connect medication syringe
- Aspirate
- Push med according to prescibed time; look at watch
- Disconnect
6
Q
IV Push: Second flush (last)
A
-Clean IV port alcohol 15 sec, let dry
- Pinch “Upper” part of tubing
- Aspirate (?)
- Flush, *At same speed/rate medication was pushed
- Maintain positive pressure at end of flush to prevent reflux
- (This is in order to instill remaining medication and clear line)
- Disconnect
- Resume infusion is applicable; if not, clamp saline-locked catheter per facility protocol
