Nurses may choose to give intravenous medications as an IV Push if it is within their scope and the parameters of the medication admin policy.
So we’re going to tackle that right after this. welcome back my name is tammy you’re new here consider subscribing below so that you get the next video nursing put into one task. anytime we get at our medication rights, and so we’re not going to cover those today we’re medication ,,, in medication rights are done. scope of practice. to understand that we need our parental
Manual. all right so iv push. the first place we want to look to see if we can give it iv push is the it says yes but there’s this number one beside it – that means i need to do a parental manual i see the required education, equipment, and monitoring. clinical competency to administer direct iv. a specialized clinical competency module, or in-class training and have had
That may include a written exam, a return demonstration with an educator on a supervision of somebody else who can sign you off . and once you’ve been deemed want to find is the usual dosing, and here we are at the adults section. iv or infusion four milligrams as a single dose before induction of four milligrams as a single dose. so this now times one dose. what i want
To go to next is the actual instructions for a milligram per ml concentration over two to five minutes. now if i’ve never given what does it look like. that information is also in here as well under product ampule, so i now know what i’m looking for, and it doesn’t have to be in a counter somewhere so i’m gonna take a look for that. all right so i have my has got medication
Up here in the tip of going to simply give it a quick tip and you see the air has filled the ampule ampule and when i break off here there’s likely to be shards of glass that we three ml syringe because i’m drawing up two mls; my orders for 4 milligrams. i’m in a facility that has the plastic sheath to use an alcohol swab to cover around here. i’m going to push with my
Thumb grab my needle, insert and i can withdraw. in fact i can turn this right now you want to label your vial before you go into the patient’s room. i’ve got the hubcap so that when i remove it i’m not losing sight of my mls here. so at saline infusion running, i’m simply going to clean off my port closest to my going to attach my ondansetron and i like to turn it so
That i can see all of so my tendency – oops there’s a little bit of air tendency is to give a tenth so like i’ll ten seconds for each subsequent line. then the next 10 seconds i’ll push up to tenth of an ml and then i’m gonna wait till 30 seconds i’m gonna push in the see that it’s gonna take me – so we’re already at 30 seconds now total actually which will take you just
Over two minutes. now if my patient just has a this video i’m going to fast forward this part i have a saline flush here of to do this part so i’m going to push in positive pressure. it shouldn’t be flushed and patent, i can go ahead and give my medication. fast-forward that part ;attach my medication, get my watch ready, and i will up one tenth of a ml and wait for the
Next. push one tenth of a ml and wait when we get to 40 seconds i’m going to push in the next ten – so it actually patients getting their medication in a safe manner. every time we access we need to clean the hub, and because it’s still full of because that’s full of medication currently i don’t want to go too fast. through there i can finish off my last couple cc’s of
Saline flush. push and and you’re done! so today we’ve looked at several elements that are involved in infusion and without an infusion. i hope this has been helpful. if you have any and subscribe so that you get the next video when it’s released. until next time
Transcribed from video
IV Push (Direct IV) Medication Administration for Nurses By NurseMinder