Intermittent Infusion Sets

Review drug order and check for drug

  • compatibility with IV solution. Assess patient for drug allergies, infiltration, phlebitis, IV line patency, and understanding of purpose of drug therapy.
  • Gather supplies at bedside, perform hand hygiene, and verify patients identity. Explain to patient the purpose of medication and side effects.

Administer Piggyback Infusion Through Existing Line

  1. Prepare medication by checking label on small infusion bag against MAR.
  2. Connect infusion tubing to medication bag. Squeeze drip chamber and fill half full. Open regulator flow clamp to let solution fill tubing. Then close clamp and cap tubing.
  3. Hang piggyback medication bag above level of primary fluid bag.
  4. Connect piggyback tubing to appropriate connector on primary infusion line.
  5. Needleless system: Wipe needleless port on main IV line and insert tip of piggyback tubing. Lock into place as indicated by manufacturer of needleless system.
  6. Stopcock: Wipe stopcock port with alcohol swab; connect tubing. Open stopcock.
  7. Tubing port: Connect sterile 21- to 23-gauge needle to end of piggyback tubing, remove cap, clean injection port on main IV line, and insert needle through center of port. Tape junction to secure medication line to main IV line.
  8. Adjust medication flow rate as directed by institutional policy, pharmacist, or drug manual.
  9. Perform hand hygiene.
  10. After drug infusion, check and adjust flow rate of primary infusion. Turn stopcock off.
  11. Regulate main infusion line to desired rate, if necessary.
  12. Leave IV piggyback bag and tubing in place for reuse (or discard). If needle was used, discard in sharps container.
  13. Perform hand hygiene.

Administer Infusion by Volume-Control Administration Set (e.g., Volutrol)

  1. Prepare medication from vial or ampule. Check medication label against MAR.
  2. Fill volume-control administration set with desired amount of fluid (50 to 100 ml).
  3. Close clamp. Check that the clamp on air vent of volume-control administration chamber is open.
  4. Clean injection port on top of volume-control administration set with antiseptic swab.
  5. Insert syringe needle through port; then inject medication. Gently rotate volume-control administration chamber between hands.
  6. Regulate IV flow rate as directed by institutional policy, pharmacist, or drug manual.
  7. Label volume-control administration chamber with drug name, dosage, total volume including diluent, and time of administration.
  8. Dispose of supplies in proper container. Perform hand hygiene.
  9. After drug infusion, check flow rate of main IV solution (or disconnect IV tubing from IV and flush IV lock per institutional policy).
  10. Place sterile cap on end of volume-control administration set for reuse (or discard set).
  11. Perform hand hygiene.

Administer Medication Using Mini-Infuser Pump

  1. Compare prefilled syringe label with MAR. Connect syringe to mini-infuser tubing.
  2. Carefully apply pressure to syringe plunger, allowing tubing to fill with medication.
  3. Hang infusion pump with syringe on IV pole alongside main IV bag.
  4. Place syringe into mini-infusion pump (follow product directions). Secure syringe.
  5. Connect mini-infusion tubing to main IV line:
  6. Needleless system: Wipe needleless port on main IV line and insert tip of mini-infuser tubing. Lock into place as indicated by manufacturer of needleless system.
  7. Stopcock: Wipe stopcock port with alcohol swab; connect tubing. Open stopcock.
  8. Tubing port: Connect sterile 21- to 23-gauge needle to mini-infuser tubing, remove cap, clean injection port on main IV line or saline lock, and insert needle through center of port. Tape connection where IV tubing enters port.
  9. Set medication flow rate on pump as directed by institutional policy, pharmacist, or drug manual. Press button on pump to begin infusion. Set alarm, if desired.
  10. After drug infusion, check and adjust flow rate of primary infusion as needed. Regulate main infusion line to desired rate as needed. If stopcock is used, turn off mini-infusion line.
  11. Leave mini-infuser pump and tubing at bedside for reuse (or dispose of).
  12. Perform hand hygiene.
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