IV Drug Preparation & Administration by PVC, Volumetric & Infusion Pump

IV drug preparation
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IV Drug Preparation and Administration by PVC Peripheral Venous Cannula (Venflon)

Considerations

  • Use ANTT (aseptic non touch technique) to maintain sterility
  • Check PVC site during patient washings or every 2 to 3 hours
  • Complications include extravagation, as well as infection, feeling hot to the touch and redness; in such case remove cannula immediately
  • Flushing with 5ml saline using a 10ml syringe helps by reducing pressure, maintaining vein integrity
  • Bolus is administered from the cannula top port while an infusion via a pump is administered through the side port (in this case position a swab beneath port to keep patient clean from any dripping blood and wear gloves to protect yourself from the patient’s blood)
  • IV tubing shouldn’t be used for more than 72 hours

Preparation

  • Prepare supplies
  • Check the expiry date of every item you are using for the procedure
  • Wipe medication and saline bottle tops/caps with 2% Chlorhexidine for 30 seconds and allow to dry
  • Prepare flush with 0.9% saline; use 10ml syringe but flush with 5ml saline. You may prepare a syringe with 10ml saline if administering a bolus in between. In case of an infusion by pump for longer duration prepare only 5ml saline in a 10ml syringe and flush using a new syringe after infusion is administered
  • Prepare required medication dosage following manufacturer instructions
  • Label all medications and do not leave unattended

Method

  • Apply hand hygiene
  • Confirm patient identity, explain procedure and gain consent
  • Check cannula site for phlebitis and/or infiltration and extravasation
  • Wear gloves if opening the cannula side port due to risk of contact with body fluids (patient’s blood)
  • Wipe cannula with 2% Chlorhexidine for 30 seconds and allow to dry
  • Flush with 0.9% saline; use 10ml syringe but flush with 5ml saline…this reduces pressure and maintains vein integrity. Use push-pause technique (helps open any light blockages/crusting).
  • Administer medication at a slow rate or as recommended
  • Flush again with 5ml 0.9% saline
  • Close cannula port with a new port cap
  • Apply hand hygiene
  • Document procedure

Below you can find a collection of videos that can help provide a more visual approach to IV Drug Preparation and Administration by Peripheral Venous Cannula, Volumetric Pump and Infusion Pump.

IV Drug Preparation & Administration by PVC

Opening an Ampule

Withdrawing Medication from an Ampule

Withdrawing Medication from a Vial

How to Spike and Prime an IV Tube

IV Alaris Volumetric Pump

IV Alaris Syringe Pump

IV Cannula Removal

Special thanks to the creators of the featured videos on this post, specifically Youtube Channels NHS Greater Glasgow and Clyde, RegisteredNurseRN, Medic Todd, coolblackgirlnerd and Healthcare21.

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Claire
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Author: Claire

Claire Galea is a mum of three currently in her final year following a Degree in Nursing at the Faculty of Health Sciences, University of Malta, as a mature student. Claire is keen about public education on health-related subjects as well as holistic patient-centered care. She is also passionate about spreading awareness on the negative effects that domestic abuse leaves on its victims’ mental, emotional, social and physical wellbeing. Claire aspires to continue studying following completion of her Nursing Degree, because she truly believes in lifelong education.