STUDENT’S NAME FOR FACULTY USE ONLY DATE
DATE EDUCATOR’S NAME PASS / FAIL
Skills Modules 3.0 Checklist: Intravenous Medications
Administering Intravenous Push Medications
INSTRUCTIONS: Use the following checklist to evaluate competency in completing this skill. Select
Satisfactory (S) or Unsatisfactory (U) for each step and provide comments as needed.
*Document the relevant information (assessment findings, pharmacological and nonpharmacological
interventions) in the client’s medical record.
Step by Step
STEP S U EVALUATOR’S COMMENTS
Verify prescription for medication. Verify client’s name,
medication name, dose and route. Verify correct time for
medication.
Confirm safe dosage range, adverse effects, and
contraindications.
*Assess the client’s history for allergies.
Gather necessary equipment.
*Introduce yourself to the client.
*Perform hand hygiene.
*Introduce yourself to the client.
Copyright ©2022 Assessment Technologies Institute, L.L.C. All rights reserved. This resource is copyright protected material of ATI and is provided
for use solely under license by ATI. Copying, distributing, or posting this material on the internet or social media is strictly prohibited. Posting on
institution LMS requires ATI’s prior written permission.
PAGE 1
www.atitesting.com ©2022 Assessment Technologies Institute, L.L.C.
Skills Modules 3.0 Checklist: Intravenous Medications
Administering Intravenous Push Medications
STEP S U EVALUATOR’S COMMENTS
*Provide privacy as needed.
*Verify client identification .
Ask the client if they have any allergies.
*Provide client education about the medication.
Verify medication order, medication name, and expiration
date on the medication
Scan client and medication (if barcode system available).
Prepare the correct amount of medication.
Put on clean gloves if necessary.
Complete any other necessary assessments prior to
medication administration.
Assess the client’s IV site for signs of infiltration or
inflammation.
If an IV infusion is currently running, pause it.
PAGE 2
www.atitesting.com ©2022 Assessment Technologies Institute, L.L.C.
Skills Modules 3.0 Checklist: Intravenous Medications
Administering Intravenous Push Medications
STEP S U EVALUATOR’S COMMENTS
Select and clean the injection port closest to the insertion
site with an approved antiseptic cleaner. Allow to dry.
Connect the syringe to the injection port.
Inject the medication at the prescribed rate.
Disconnect the syringe and, if necessary, flush with normal
saline, cleaning the port in between (remember that the
flush should be administered at the same rate of the
medication).
If IV infusion was running prior to medication, then restart
the infusion.
*Ensure that the client is in a safe position prior to leaving
the room and has the call light within reach.
References
Lynn, P. (2019). Taylor’s clinical nursing skills (5th ed.). Philadelphia: Wolters Kluwer.
Potter, P. A., Perry, A. G., Stockert, P., & Hall, A. (2017). Fundamentals of nursing (9th ed.). St. Louis, MO:
Elsevier pp. 676-677.
PAGE 3
www.atitesting.com ©2022 Assessment Technologies Institute, L.L.C.
