- Verify the written M.D. prescription and follow hospital policy on drug.
- Observe 10 Golden Rules in the administration of medication when preparing and administering doctor’s prescription.
- Explain procedures to patient (especially the medicine and its action) and check IV site. Verify for skin test of the drug before IV incorporation.
- Do hand hygiene before and after procedure. Never forget the importance of hand washing.
- Prepare the necessary materials for the procedure. This may include the right drug, right dose, and right diluents needed, IV injection tray, syringes and needles.
- Check present IV fluid label, level and incorporated medicine in the Volumetric Chamber or IV bottle if with incorporated medicine, check for the drug-drug incompatibility and if the on-going IV fluid in the Volumetric Chamber is to be consumed in 6-8 hours, request a prescription and keep the whole set sterile for succeeding doses.
- Aspirate prepared right drug with correct dose.
- Add desired IVF diluents into volumetric chamber by opening the sliding clamp from the bottle then close the clamp.
- Disinfect rubber injection port of the volumetric chamber and incorporate the drug. Mix gently
- Open the clamp of the airway at the volumetric chamber and incorporate the drug. Mix it again gently
- Regulate the flow rate of IV infusion accordingly.
- Place IVF label on volumetric chamber indicating drug incorporated and flow rate.
- Reassure/monitor patient when incorporated medicine is consumed; clamp airway of volumetric chamber, add IVF and regulate flow rate of main IVF as prescribed.
- Discard the waste according to Health Care Waste Management.
- Document in the patient’s chart.