Intavenous

1.	Goal: The medication is added to an adequate amount of compatible solution and mixed appropriately. Gather equipment. Check medication order against the original physician’s order according to agency policy. Clarify any inconsistencies. Check the patient’s chart for allergies. Verify the compatibility of the medication and intravenous fluid. Calculate the infusion rate.
2.	Know the actions, special nursing considerations, safe dose ranges, purpose of administration, and adverse effects of the medications to be administered. Consider the appropriateness of the medication for this patient.
3.	Perform hand hygiene.
4.	Move the medication cart to the outside of the patient’s room or prepare for administration in the medication area.
5.	Unlock the medication cart or drawer. Enter pass code and scan employee identification, if required
6.	Prepare medications for one patient at a time.
7.	Read the Medication order and select the proper medication from the patient’s medication drawer or unit stock.
8.	Compare the label with the Medication order. Check expiration dates and perform calculations, if necessary.
9.	If necessary, withdraw medication from an ampule or vial.
10.	Recheck the label with the Medication order before taking it to the patient.
11.	Lock the medication cart before leaving it.
12.	Transport medications to the patient’s bedside carefully, and keep the medications in sight at all times.
13.	Perform hand hygiene.
14.	Identify the patient. Usually, the patient should be identified using two methods. Compare information with the patient’s chart a. Check the name and identification number on the patient’s identification band. b. Ask the patient to state his or her name. c. If the patient cannot identify him or herself, verify the patient’s identification with a staff member who knows the patient for the second source.
15.	Close the door to the room or pull the bedside curtain
16.	Complete necessary assessments before administering medications. Check allergy bracelet or ask patient about allergies. Explain the purpose and action of the medication to the patient.
17.	Check that the volume in the current intravenous infusion is adequate.
18.	Close the clamp between the solution container and roller clamp on the infusion tubing and pause the intravenous pump, if appropriate.
19.	Clean the medication port with an antimicrobial swab.
20.	Steady the container and uncap the needle or needleless device. Insert it into the port. Inject the medication. Withdraw the needle or needleless device. Do not recap the used needle. Engage the safety shield or needle guard, if present.
21.	Remove the container from the IV pole and gently rotate the container to mix the medication and solution.
22.	Rehang the container on the pole. Attach the label to the container so that the dose of medication that has been added is apparent.
23.	Open the clamp, and readjust the flow rate or check the pump settings for correct infusion rate and restart pump.
24.	Discard the needle and syringe in the appropriate receptacle.
25.	Perform hand hygiene.
26.	Evaluate the patient’s response to medication within the appropriate time frame