Nursing Competence Checklist For Administration of An Intravenous Injection

Observation Competence Checklist For

Administration of An Intravenous Injection

Steps Allotted

Scores

Student’s Scores Remarks
1. Introduce yourself. 1
1. 2. Explain procedure to the child & family. 1
3.Assessment:

· 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.

3
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
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

swab.

10.Insert needle or needleless syringe for IV push

medication.

11.In­sert the medication slowly in the ordered time

frame.

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

desired time.

18.Check the child’s condition several times during

administration.

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.

1

1

1

 

1

1

 

1

 

1

 

 

1

1

 

 

 

1

1

1

 

 

1

 

1

 

1

 

1

1

1

23.Punctuality. 1
24.Feedback and conclusion. 1
25.Mastering procedure. 1
26. Self confidence. 1
Total Score 32 / 32

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