Errors Associated with IV Medication Preparation and Administration
According to INS Infusion Therapy Standards of Practice, the organization establishes the process for compounding and preparing parenteral solutions and medications. There is a higher rate of error with IV medications compared to other routes. Sources of error include dilution of IV push medications, adherence to Aseptic Non Touch Technique (ANTT®) practices to reduce the risk of infection, drug shortages, and workflow changes—as well as the many steps involved in preparation and administration processes. Institute for Safe Medication Practices (ISMP) and INS recommend methods to reduce risk such as ready-to-administer (RTA) for IV push medications. In this session, we will discuss methods and training used to promote safe infusion medication preparation and administration.
At the conclusion of this session, participants will be able to:
• List 3 common errors during preparation and administration of IV push medications
• Describe how to prepare an IV push medication following ANTT guidelines
• Discuss ways to enhance nurses’ role in proactively reducing IV push medication errors
Maureen Burger MSN, RN, CPHQ, FACHE
Maureen Burger is the chief nursing officer for Visante Consulting LLC, a medication management consulting firm. She has a long and varied career in positions of progressive responsibility, both in nursing and hospital administration, including as the vice president of quality, safety, risk, accreditation, and infection control for Indiana University Health. As a consultant now, she is thrilled to be able to focus her research, writing, and consulting on medication safety, especially when it involves IV push medications and drug diversion in health care. Maureen Burger obtained a master’s degree in critical care nursing from Case Western Reserve University, is certified in health care quality, and is recognized as a fellow by the American College of Healthcare Executives. She is the humble recipient of a Daisy Award, and a member of the American Organization for Nursing Leadership (AONL), the American Association of Critical Care Nurses (AACN), the Infusion Nurses Society (INS), the Association for Vascular Access (AVA), the American College of Healthcare Executives (ACHE), and the International Health Facility Diversion Association (IHFDA). She is a founding member of the National Coalition for IV Push Safety (www.ncivps.org), and is a frequent speaker and author on topics related to medication safety and drug diversion. When she is not advocating for patients and safety, Maureen Burger and her husband breed and race thoroughbred horses. She lives in Indianapolis, Indiana.