Nursing Demos: IV Push
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Nursing Demos: IV Push


Hi. I’m Sarah and today we’re going to
perform the skill of IV push. So I’m going to grab my patients chart.
Looks like here we have Morgan Brown. MR number 5891351325, date of birth
8/4/70. He has no known allergies and looks like there’s an order here for
morphine sulfate 2 milligrams IV push, every three hours PRN. I was told that he
is experiencing some pain. Before I administer the medication, I want to make
sure that it’s compatible with the IV fluids that he has infusing. So I’m looking here under morphine and under incompatibilities I do not see any
issues with normal saline. So that’s we’re good to go with that. I also want
to look for any adverse effects. Anything I should monitor after and before giving
the medication. So I see here it’s for moderate to severe pain. I want to monitor for any respiratory distress. I want to make sure that his
pain relief occurs and that he’s comfortable after administering the
medication, that’s how I know that the medication will be working. Now I’m going to prepare my medication. I have morphine sulfate injection, two
milligrams per ml. Expiration date of 12/20/50 so that’s good. I’m
to give a dose of two milligrams. So I’m going to make sure that since this says two milligrams per ml, I’m only going to draw up one milliliter. The date is today, the time is now. For Morgan Brown date of birth 8/4/70, with no known
allergies and I will complete my documentation after I’ve administered
the medication. Now I’m going to gather my supplies. Make sure I grab the right
size syringe since I’m only giving one ml, I don’t need a large syringe. I’m
going to use this three ml syringe. A needle-less cannula and I want an alcohol swab. Now I’m going to perform my second
check. Again, I have Morgan Brown 8/4/70. No known allergies. I’m going to give
morphine sulfate injection 2 milligrams IV push every three hours. I have here two milligrams per ml. I’m only going to give
1 ml. Expiration date of 12/20/50. Today and the time is now and I will
document later. I’m going to drop one milliliter of air
since I’m giving one milliliter of medication. Going to inject the air.
Remember to inject air to air and not air to medication otherwise you’re going
to get a bunch of bubbles. Okay, we have 1 ml. I do not see any air bubbles in my syringe. If I were giving more than one medication at a time or not administering this medication immediately, I would want to label the
syringe with the patient’s name, medication, dose, and time. Okay. So again I
have morphine sulfate two milligrams per ml. I drew up one ml to make two
milligrams. Expiration date 12/20/50, for Morgan Brown. Date of birth 8/4/70. No known allergy, the time is now, and the day is today. I am now going to go to the
room and administer the medication. Hi Morgan, its Sara, your nurse. I’m here
with your pain medication. Where are you experiencing pain right now? Okay, can you
tell me what your pain is on a scale of 0 to 10? Okay. How would you describe the
pain? Is it nagging, stabbing, gnawing, aching, cramping? Okay. I wonder if you’re
experiencing that chest pain from all that coughing you are doing. So I brought
some medication for you, it’s morphine. I’m gonna go ahead and give that to you, but before I do that can you please tell me your name and date of birth? Great,
that’s what I have here. And you don’t have any allergies Morgan ? Okay. So Morgan,
I’m gonna administer this medication. It shouldn’t, um, your pain should decrease and you should feel better after I administer it. If you start to feel
uncomfortable or get any itching or notice that you’re having any problems
breathing, after I administer, I want to make sure
that you call me. Use your call light here and call me right away. I’m gonna use the hub closest to the patient. I’m going to scrub the hub for about 15
seconds Make sure it’s all clean. And prior to administering this, I
double-checked how fast I would want to administer the medication. Since it’s an
IV medication we have to be very careful that we don’t administer things too fast. So now I’m going to unscrew the syringe from the needle-less device. Connect it to
the port I’m gonna use my clock on the wall. While
clamping down to make sure that my medication is going forward to the
patient and not back up into the solution. So I have it kinked right here
before the port. And I know that I’m to administer this medication about over
about 1 to 2 minutes Okay, after I’ve injected the medication, I’m going to unclamp my tubing. So my IV fluids can continue to flow. I’m going to put my syringe in my needle-less device in the sharps container. Okay, Morgan. I
administered your medication I hope this is going to give you some relief. Use
your call light to call me if you have any issues or if you need anything. Otherwise I’ll be back in about a half hour to check on you,
to make sure that the medication is working properly. Now I’m back at the nurse’s station and
I’m going to document the medication that I administered. I want to make sure
that I document the right patient, right time and date, right dose, right
medication, right route, and if the patient experienced any adverse effects
and or and or to make sure that the patient had pain relief and the new pain
assessment. This now concludes our skill of IV push.

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