Republic of the Philippines

Province of Bukidnon
City of Malaybalay
Bukidnon State University

Administering Medication via IVTT

(Script)

Submitted by:

Maria Angelica G. Cabatic

Jaemelou Padilla

Jacquilyn Cantila Adajar

April Joy Traza

Submitted to:

Mrs. Lharra Postrano RN, MAN

Maria: What administering medication via IVTT? It is a method of administering
concentrated medications directly into the vein using a syringe through a needleless
port on an existing IV line or a saline lock.

So for today’s video, we’re going to discuss how to administer medication via
intravenous tolbutamide test.

Jacquilyn: So, we have three objectives for this procedure, namely:

1. Discuss the role of the practitioner in the administration on

intravenous injections

2. Evaluate and assess the procedures of administering intravenous

injection

3. Explain and undertake the procedure of intravenous substance

administration

Jaeme: Before starting the steps on administering the medication, we must remember and
put in mind that:

1. One syringe for one patient

2. Use single dose vial for injections whenever possible.

3. Multi dose vials must be stored and accessed in a clean medication

preparation area, and never in the patient treatment area.

April: The following equipment would be needed for the following procedure:

Non-sterile gloves, antiseptic solution, cotton balls, syringe, ampoule or vial

of medication

Maria: For the first step, we’ll have to;

1. Prepare one medication for one patient at the correct time as per agency policy.
Review the physician’s order for the correct order and guidelines. Math calculations
may be required to determine the correct dose to prepare the medication.

Remember to always apply the twelve rights of medication administration.

Review the agency policy if a medication is a stat or should be given instantly, given
for the first time, a loading dose, or a one-time dose.

After preparing the medication, always label the medication syringe with the patient
name, date, time, medication, and concentration of the dose, dose, and your initials.
Never leave the medication syringe unattended.

Next,
2. Create privacy if possible. This provides comfort to patient.

Then,

3. Confirm patient ID using two patient identifiers (e.g., name and date of birth) and
compare the Medication Administration Record printout with the patient’s wristband to
confirm patient ID. This ensures you have the correct patient.

Jacquilyn: For the fourth step;

4. Check allergy band for any allergies, and ask patient about type and severity of
reaction. This ensures allergy status is correct on the Medication Administration
Record and on patient allergy band.

Next,

5. Discuss purpose, action, and possible side effects of the medication. Provide
patient an opportunity to ask questions. Encourage patient to report discomfort at the
IV site (pain, swelling, or burning). Keeping patient informed of what is being
administered helps decrease anxiety.

Then,

6. Perform hand hygiene and put on non-sterile gloves. Hand hygiene prevents the
transmission of microorganisms.

After that,

7. Clean access port in a circular motion with an alcohol swab for 15 seconds. Allow
to dry. This technique prevents introduction of microorganisms by the syringe.

Jaeme: The eighth step is to;

9. Attach medication syringe to access device.

Then,

10. Using a timer with a second hand, inject medication at the correct rate according
to agency policy. Use a push-pause method to inject the medication. Using a timer
ensures safe medication administration. Rapid injection of IV medications can be fatal.
A slow rate allows medications to be administered correctly.

April: And for the eleventh step;

11. Remove used medication syringe and dispose of all syringes/filter needles into
appropriate puncture-proof containers. This prevents accidental needle-stick injuries.

Next,

12. Remove gloves and perform hand hygiene. This reduces transmission of microorganisms.
Then,

13. Document as per agency protocol. Document the time, reason, drug, dose, effect, and
any adverse reactions.

Lastly,

14. Observe for expected therapeutic effect and for adverse effects. The patient needs
to be evaluated and monitored, especially for high-alert medications. IV medications
act rapidly.

So that is all for administering medication via, I hope you have learned something as
well as enjoyed our video. God bless and have a nice day everyone.