Monday, May 27, 2024

ADMINISTRATION OF INTRAVENOUS MEDICATION (INFUSION)

Table of Contents

REQUIREMENTS #

  1. A trolley containing the following:
    1. Top Shelf
      1. A sterile field with two sterile gallipot with a lid
  2. Bottom Shelf
    1. Cannula (Different sizes)
    2. Tourniquet
    3. Medication (Infusion bag/bottle, ampoule or vial)
    4. Syringe and needle
    5. Sterile glove
    6. Sterile cotton in a pack
    7. Antimicrobial solution (Methylated spirit)
    8. Sterile water
    9. Receiver for used items
    10. Sharps container
    11. Adhesive strips/tape
    12. Mackintosh and dressing towel
    13. Timer
  3. Giving set
  4. Drip stand

STEPS #

  1. Check for the right patient, right medication, right time, right dose against doctor’s order and treatment chart (manual or electronic) as well as the expiry date
  2. Establish rapport (Refer to steps)
  3. Explain procedure to patient and ensure patient’s right to know/consent and to refuse
  4. Perform hand hygiene
  5. Ensure quality of the infusion (check for cloudiness, sediments and other particles)
  6. Prepare and send trolley and other equipment to the patient’s bedside
  7. Read the label on the infusion and compare with patient’s treatment chart (manual or electronic)
  8. Encourage patient to use the washroom or serve a bedpan/urinal
  9. Check vital signs and records
  10. Select and inspect sites for administration
  11. Place infusion stand at the side of the bed and prepare adhesive strips/tape
  12. Insert the piercing needle of giving set into the rubber seal of the infusion bag/bottle
  13. Hang the infusion bag/bottle on the drip stand
  14. Remove the cap from the other end of the giving set and attach needle to it
  15. Assist patient to assume a desirable position
  16. Protect the bed with a mackintosh and dressing towel
  17. Fill the chamber halfway and expel air from the giving set
  18. Perform hand hygiene using alcohol rub
  19. Wears sterile gloves
  20. Clean the site with antimicrobial solution (methylated spirit) with cotton swab
  21. Ask assistant to apply tourniquet to locate the vein
  22. Introduce the cannula into the vein
  23. Remove the metallic stylet and put it in the sharps container
  24. Release the tourniquet and connect the giving set
  25. Secure cannula into position and check for infiltration or haematoma
  26. Remove glove and perform hand hygiene
  27. Regulate the flow rate as ordered with the aid of a timer
  28. Reposition patient appropriately in bed
  29. Observe patient for any adverse reaction
  30. Encourage patient to report any adverse reaction
  31. Check infusion rate accuracy after ten (10) minutes and continue to observe the site of insertion for swelling
  32. Record time of setting up, type and amount of fluid on the treatment, intake and output chart
  33. Document procedure on nurses’ notes (manually or electronically)
  34. Dispose off used items and decontaminate trolley
  35. Perform hand hygiene
  36. Check on patient after thirty (30) minutes for therapeutic effect