Administering IV medication IV PUSH


  • Watch
  • Gloves
  • Alcohol pads
  • Medication
  • Syringe
  • Needle for drawing up medication
  • Normal saline syringe


  1. WIIAPA:
    1. Wash hands
    2. Introduce self
    3. Identify patient (use 2 identifiers)
    4. Allergies – don’t forget food allergies
    5. Plan of care
    6. Assess patient

  1. Check accuracy and completeness of each MAR with provider’s written order including the patient’s name, medication name and dosage, route of administration and time of administration.
  2. Educate patient on medications including action and possible side effects. Allow patient to ask questions.
    Close room curtain or door.
  3. Perform hand hygiene.
  4. Utilizing aseptic technique, prepare medications for only one patient at a time and deliver medications to patient at correct time. Check label of medication carefully with MAR.
  5. Perform hand hygiene and apply clean gloves.
    Clean injection port closet to patient with alcohol pad. Allow to dry.
  6. Connect normal saline syringe to port and check for patency and blood
    return. (Pause pump or occlude IV line by pinching just above injection port if continuously infusing).
  7. Disconnect saline flush and clean port with alcohol pad. Allow to dry.
  8. Connect medication syringe and use watch and push over allotted time needed for medication to be administered correctly.
  9. Disconnect medication syringe, clean port with alcohol pad, and allow to dry.
  10. Flush injection port with normal saline at same rate medication was delivered. (Restart IV if continuous fluids infusing).
  11. Help patient to comfortable position, place call bell within reach, lower bed and raise side rails as appropriate.
    Discard supplies, remove gloves and perform hand hygiene.
  12. Stay with patient for several minutes and observe for any allergic reactions.
  13. Document.


Perry, A. G., Potter, P. A., Ostendorf, W., & Laplante, N. (2022). Clinical Nursing Skills & Techniques (10th ed., pp. 685-691). Elsevier.