HHC Health & Home Care Clinical Policy And

HHC HEALTH & HOME CARE Section: 8-13
Medications: Administration of Intravenous Dobutamine __RN
EQUIPMENT:
Infusion set with needle or needleless adaptor
IV solution, as ordered
Medication
Syringes (appropriate size for meds)
Alcohol wipes
Normal saline
Heparin solution (100u/cc or as prescribed)
IV pole
Infusion pump
Gloves
Puncture-proof container
Impervious trash bag
PROCEDURE:
1. Adhere to Universal Precautions.
2. Explain procedure to patient/caregiver.
3. Position patient for comfort.
4. Take and record vital signs, and repeat as ordered
during infusion of medication.
5. Premedicate patient, if ordered.
6. Assess patency of venous access.
7. Assemble infusion set with medication and initiate
infusion. (See Administration of IV Therapy in the
Home, No. 9.01.)
8. Set infusion rate per physician's orders.
9. If irregular heartbeat or palpitation occurs during
infusion, stop the infusion and notify the physician.
10. When infusion is complete, flush venous access
device with normal saline and heparin solution. (See
CVC: Irrigation/Heparinization, No. 9.17) If infusion
continuous (see Changing IV Solution Container
and Tubing, No. 9.03).
11. Discard soiled supplies in appropriate containers.
AFTER CARE:
1. Document in patient's record:
a. Medication administered, dose, time, rate and
route.
b. Type and appearance of venous access site.
c. Patient's response to procedure, side effects
and management.
d. Instructions given to patient/caregiver.
e. Communication with physician.
149