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ADMINISTERING IV DRUGS

IV PUSH through the HEPARIN LOCK DEVICE

1. Check medication card against the written

doctor’s prescription.

2. Observe ten (10) Rs when preparing and

administering medication.

3. Explain procedure to the patient (name of the medicine and action) before
administration.

4. Do hand hygiene before and after the

procedure (use gloves especially for chemo
drugs).

5. Gather equipment to include/but not limited to the following:

IV tray

Heparin solution

Normal saline diluent

or Isotonic solution

This copy of the procedures from the 7th edition of the Nursing Standards on Intravenous Practice by ANSAP 1
was reproduced for educational purposes of Filipino student nurses and registered nurses
who need to review and study the procedures prior to actual IVT training and practicum.
Downloaded from IVTeam Phils Hub | ivthub.blogspot.com

2.5 cc syringes (3 pcs.)

Tuberculin/TB syringe 1 pc.

6. Prepare medication to be administered e.g., antibiotic and draw it up into

a syringe.

7. Fill a tuberculin syringe with Heparin solution. N.B. Heparin solution is

usually prepared with 0.1 cc Heparin plus 0.9 cc Normal saline or Isotonic
solution.

8. Fill the 2.5 cc syringe with Isotonic solution or Normal saline 1 cc each.

9. If using Hep. Loc device with 3-way stop cock with

Luer-lock, rotate the stop cock so that the line
going to the patient is closed (this will prevent
backflow of blood).

10. Remove the cover of the injection port aseptically

and keep the sterility of the cover.

This copy of the procedures from the 7th edition of the Nursing Standards on Intravenous Practice by ANSAP 2
was reproduced for educational purposes of Filipino student nurses and registered nurses
who need to review and study the procedures prior to actual IVT training and practicum.
Downloaded from IVTeam Phils Hub | ivthub.blogspot.com

11. Check the patency, open the IV line inject NSS or Isotonic solution to flush
the Heparin solution.

12. Close the IV line & remove saline syringe and insert medication syringe
into port.

13. Open the IV line & inject medication into the vein, timing the flow rate
according to doctor’s prescription or drug manufacturer’s instructions.

14. Observe patient for any adverse reactions & do nursing intervention
accordingly.

15. Close the IV line & remove medication syringe.

16. Insert the saline syringe, open the line & flush catheter tubing /IV cannula
to flush the line.

17. Close & remove saline syringe.

18. Close the IV line, remove syringe and return the cover of the injection
port aseptically.

19. Document in the patient’s chart and Kardex.

20. Discard waste according to Health Care Waste Management (DOH/DENR).

Note: Normal saline can take the place of Heparin. Studies have shown
the efficacy of NSS. Heparin solution can be used if normal saline or
Isotonic solution is not available.

This copy of the procedures from the 7th edition of the Nursing Standards on Intravenous Practice by ANSAP 3
was reproduced for educational purposes of Filipino student nurses and registered nurses
who need to review and study the procedures prior to actual IVT training and practicum.