Administering a Piggyback Intermittent Intravenous

Administering a Piggyback Intermittent Intravenous
Administering a Piggyback Intermittent Intravenous
1. Gather equipment. Check each medication order against
the original order in the medical record, according to facility policy. Clarify any inconsistencies. Check the patient’s
chart for allergies.
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 CMAR/MAR and select the proper medication
from the patient’s medication drawer or unit stock.
8. Compare the label with the CMAR/MAR. Check
expiration dates. Confirm the prescribed or appropriate
infusion rate. Calculate the drip rate if using gravity
system. Scan the bar code on the package, if required.
9. When all medications for one patient have been prepared,
recheck the label with the MAR before taking them to the
10. Lock the medication cart before leaving it.
11. Transport medications to the patient’s bedside carefully,
and keep the medications in sight at all times.
12. Ensure that the patient receives the medications at the
correct time.
13. Perform hand hygiene and put on PPE, if indicated.
14. Identify the patient. Usually, the patient should be
identified using two methods. Compare information with
the CMAR or MAR.
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Administering a Piggyback Intermittent Intravenous

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