Observation Competence Checklist For
Administration of An Intravenous Injection
|1. Introduce yourself.||1|
|1. 2. Explain procedure to the child & family.||1|
· Review the medication, administration
recommendations and the child’s former responses
and drug allergies.
· Assess the IV line for patency.
· Review if you are administering narcotics or
benzodiazepines, have antagonists and ventilation
equipment at bedside.
|4. Prepare the neededequipment and supplies:
· Syringe and needle or needleless system.
· Prepare the drug as needed.
· Dilution solutions.
· Alcohol swabs.
· Clean or sterile gloves.
|5. Flush the line with 2-5 mL normal saline.
6. Check the site again.
7. Identify port on IV line to be used for push medications or for insertion of syringe pump.
8. Wear gloves.
9.Clean the port and surrounding tubing with alcohol
10.Insert needle or needleless syringe for IV push
11.Insert the medication slowly in the ordered time
12.Observe the child carefully during administration.
13.Stop the infusion if the child suddenly becomes
lethargic or hyperactive .
When using a syringe pump:
14.Insert the primed tubing into a port close to the child.
15.Set the infusion time as ordered for the medication.
16.When using intermittent medication administration,
insert the medication in the proper dilution in the
volume control chamber.
17.Regulate the pump to administer the medication in the
18.Check the child’s condition several times during
19.At the end of administration, flush tubing with normal
saline or running IV fluid.
20. Remove gloves.
21. Wash hands.
22.Document administration and effects observed.
|24.Feedback and conclusion.||1|
|26. Self confidence.||1|
|Total Score||32||/ 32|