IV Drug Administration

WIPERNA

Wash hands

Hello____
My name is______
I'm a _____

Explain
I was wondering if I could give you some medication - would that be alright? I believe you have a cannula already in site, so we don't need to use an injection and we can use that.

Check name/nameband/prescription chart/allergies

Check infusion site
?redness
?swelling
?pain

Ex/Nm/Nb/Pc/All/Cann

Equipment
Clean tray
2 sterile needles
2 alco swabs
2 syringes

Saline
Drug
Dilutent - sterile water

Sharps bin

& Assemble

Reconstitute
Check prescription chart with drug name, dose, strength, volume, route, time, date, signature - if not signed, not legal to give - therefore find doctor who prescribed it

Check with leaflet or trust drug administration policy

Check name, strength, volume of drug

Check expiry dates x3 - saline/dilutent/drug

Double check with another person

Pc/Lt/Dg/ExpD/x2P

Reconstitute according to guidelines

What you want / Got x What's it in

Wash hands

Glove

Needle + syringe

Flip cap off ampoule

Wipe wth alc swab

Aspirate sterile water

Inject into ampoule

Agitate

Draw up drug

Draw up flush

Distinguish CAREFULLY

WH/Gl/N&S/FpCp/Wp/SW/Amp/Agit/Flh/Dist

Patient

Recheck name, nameband, prescription chart, allergies

Wash hands

Change gloves

Remove port cap

CLEAN BUNG with alco swab and allow to dry

Flush with 5ml saline

?resistence, pain, swelling, leakage around cannula, back flow of blood on aspiration

Inject drug - over recommended time

1ml

Feeling ok? Watch for adverse effects - flushing, resp difficulties, tachycardia

... if occurs...

Stop injection

W/D back into syringe

Get help

Stay with patient

... if added to IV infusion

Fill in additive label and stick onto bag

Date/Time/Drug/Signature

Finish flush

Replace bung/cap

Rc-N/Nb/Pc/All
WH/Gl/Bg/CB/Fs/Dg/AE/Fs/Bg

Thank you

Tidy away

Wash hands
Complete prescription chart and fluid chart - sign

Inform nurse if delayed reaction