Clinical Assessment Preparation

CPNE Study Guide

 IV Mini Bag:  Determine drug compatibility Spike the bag  Prime tubing before initiating flow of IV medication  Clear air from tubing before initiating flow of IV medication  Lower primary IV bag onto the hanger on IV pole. Mini bag will need to be higher than primary bag  Open clamp on secondary tubing  Place wristwatch in one hand. With the other hand, slowly open IV clamp on primary line  Start counting to regulate the drip rate according to your calculations. Try to divide your total one-minute rate by 4 to get a rate for 15 seconds  Regulate flow rate to deliver the prescribed amount in the assigned period of time (+/- 5 drops per minute for medication delivered via gravity flow)  Maintain sterile technique  When you are within 2-3 drops of the calculated rate, remove your hand from clamp and count for one whole minute  Declare that you are ready to verify your drop rate. You are allowed to be within plus or minus 5 drops  IV Push:  Clean off top of medication vial with alcohol wipe  Put on clean gloves and assess IV site  Cleanse the port with alcohol wipe  Aspirate for blood return unless contraindicated when an intermittent venous access device is used  Flush with prescribed solution before IV push medication  Give flush slowly over 8-10 seconds  Inject the medication at the assigned rate  Flush with prescribed solution after IV push medication Use 15 second intervals to be sure you are keeping time. Be SLOW  Maintain sterile technique 1. Maintain environmental safety a) Discard unused medication and/or packaging in the designated container b) Engage safety device on needle prior to discarding c) Dispose of syringes and needles in designated medical waste container 

Document: Record on the MAR Prior to Administering Medication: 1. Correct indication for use of medication(s) 2. Pertinent patient data associated with assigned medications on the MAR

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