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IV MEDICATION CHECK-LIST
SUBMITTED TO:- PROF SHREEJA VIJAYN MAAM
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10/4/2023
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SUBMITTED BY:- SHERIN ANNA ABRAHAM
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IV Medication check-list
Introduction:-
It is the administration of medication through the vein. The drugs which
can't be absorbed from gastrointestinal tract or are irritating to the
muscles are being administered through the intravenous (IV) route. This
route of drug administration is less traumatic than intramuscular and
subcutaneous drug administration if a peripheral line is well
established, whereas the risk of infection is high. To prevent infection
the strict aseptic techniques are required to be followed.
Possible sign and symptoms
- Phlebitis- refers to the swelling, redness, heat tenderness and pain
related to local inflammation of the vein.
-Infiltration: Oozing of fluid into the tissue surrounding the vein
puncture site.
Signs/Symptoms:- Tightness, edema, discomfort, no back flow of blood
blanching of affected area and coldness on palpation.
If such symptoms are present, medication should not be administered
and new IV line must be initiated.
Articles needed for IV medication :-
✓ Gloves
✓ Medication card
✓ Hand sanitizer
✓ Sterile syringe (2ml, 5ml, 10ml)
✓ Dry cotton
✓ Sprit Swab
✓ Medication
✓ Kidney tray
✓ Paper bag
✓ Green Sheet
✓ Gauze
✓ Get well soon card
✓ Flush
Steps of procedure check-list
Pre-procedural steps.
S.No. Steps to be done Yes No Partially
done
1.) Identify the patient
2.) Introduce yourself to the child and
parent
3.) Explain the procedure to the parents and
what cooperation you seek from them
4.) Check the medicine to be administered
as per doctor's order
5.) Check 10 rights of medication
➢ Right patient; ask name and check
ID band.
➢ Right dose
➢ Right route
➢ Right time & frequency
➢ Right technique
➢ Right diagnosis
➢ Right drug
➢ Right to refuse
➢ Right education related to drug
➢ Right documentation of drug given
6.) To recheck whether the medicine has
already been administer in order to
avoid re-administering the medicine
7.) Perform three checks of medicines :-
• When taking from patient bed-side
• Before withdrawing
• Before administering
8.) Check the NAME of the medication,
prescription DATE and SIGN of the
physician along with EXPIRY DATE of
drug.
9.) Check for any discoloration/ any
precipitates in the medicine
10.) Do AST (Antibiotic sensitivity test) for
antibiotic medicines which are given for
the first time.
11.) Do proper drug calculation before
administration
= Dose prescribed × Quantity (in ml)
Dose in hand
Intra-procedural steps
Partially
S.No. Steps to be done Yes No done
1.) Do proper hand washing and dry hands
2.) Open all the required items such as
syringes, medications, cotton containers
3.) Use hand rub and after that do proper
gloving.
4.) Clean the top of vials with spirit swab
before loading, let it dry.
5.) Dissolve and load medicine according to
the calculation.
6.) Keep the filled syringe in the sterile pack.
7.) Check the cannula site for patency,
infiltration.
8.) Again explain before administration.
9.) Clean all the ports with spirit swab.
10.) Use green sheet under cannula site.
11.) Flush 2ml of normal saline.
12.) Add the loaded medicine into the pedia
set and add rest normal saline to make it
up to 30 ml.
13.) Connect the IV line with the cannula port
properly after cleaning it with spirit swab
14.) Set the flow on the recommended rate
by the physician.
15.) Do proper labeling of the medicine, date
& time on the pedia set.
16.) Stop the medication if the child becomes
lethargic/ hyperactive/ shivering or any
other local adverse reaction.
Post –procedural steps
S.NO. Steps to be done Yes No Partially
Done
1.) Observe the child for 15- 20mins
2.) Reassure the child
3.) Ask parents to inform any
signs/symptoms after administration
Discard the items in the tray according
4.)
to the BMW management
• Discard sharp items in white
container without recapping
• All plastic items in red bucket
• Discard vial/ ampoules in blue
bucket
• All dry waste in dry waste bucket
5.) Do proper hand washing after the
procedure
Document the procedure done with
6.)
proper date, time, dose, frequency along
with signature.
