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ADMINISTERING IV DRUGS

INCORPORATION OF DRUG INTO IVF BOTTLE/BAG

1. Verify the written medication card against the

MD prescription; observe hospital policy on
drug administration.

2. Observe ten (10) Rs when preparing and

administering medication.

3. Explain procedure (medication and action) to reassure patient & significant

others and check patency and IV site.

4. Verify for skin test of drug for IV

incorporation (if skin testing is necessary).

5. Do hand hygiene before and after the procedure.

6. Prepare necessary materials needed for the procedure such as: injection
tray, syringes needed, right drug to be incorporated either in vial or
ampule.

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.
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7. Disinfect injection port of the vial & the ampule before breaking then
aspirate the right dose aseptically.

8. Remove the cover of the administration set, maintain sterility and

incorporate prepared drug into the airway aseptically. Recap airway after.

Note: if the administration set has no airway, pull out the set and
incorporate the prepared the drug and re-spike the IV set to the bottle then
place the label. (All these should be done aseptically).

9. Swirl the IV bottle to mix the drug with IVF and regulate the flow rate
accordingly.

10. Observe for 5-10 mins. for any drug

interaction while reassuring the patient;
monitor VS.

11. Document in the patient’s chart.

12. Discard sharp and other wastes according to Health Care Waste
Management (DOH/DENR).

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.