Are you allowed to give IV push meds at clinicals? - page 3

I always understood the policy at our school to be "you can only give IV push meds with a licensed person" UM I learned today that you can only give IV push with the instructor! :uhoh3: I was... Read More

  1. by   Hooligan
    We are not allowed to do IV Pushes at all. It's not our school's policy but the policy of the particular institution we are doing our clinicals at.
  2. by   Thelto
    Actually, the school should follow that particular hospital policy where you are doing your clinicals. In my case, some hospitals allowed the students to do IV push, others didn't. It was up to your instructor to make it CRYSTAL CLEAR on your scope of practice. Don't be mad at yourself-it was a good learning experience and you will be a better nurse for it!
  3. by   lovinghands
    We were allowed to do IV pushs, boluses, hang blood (if 2 RN's did the verification) as long as the instructor or RN was present. I am glad my school was this way because I was well practiced when I began my preceptorship. The first day my preceptor watched my medication/iv skills to make sure I was doing them right then I did meds on my own. Of course, I asked questions when anything new came up. I agree, its very interesting to see the differences in schools.
  4. by   bluesky
    Quote from BSNgrad2004
    at Univ of MD, we are not allowed to do IV push meds. it is written in big BOLD letters in our syllabus.
    Ditto. I go to UMD too. I did find that when doing my practicum many of the nurses sort of pushed me to do it (I never did, ON the record) to show their confidence in me. It was really an uncomfortable situation.

    Besides, lets get to the bottom line here. The technique isn't that hard, push slowly and dilute with a compatible IVF if the drug burns (ala Ativan) going in. The risks are all related to thinking about drug compatibilities and how fast the drug can have a deleterious effect, NOT the difficulty of the procedure. I was very glad when my program made that rule.
  5. by   nurseshanti
    At our school, we are not allowed to do IV pushes at all. My understanding of the reason is that a number of years ago, when students were allowed to, a student from the school made a MAJOR med error when doing an IV push. I'm not going to say the name of the med she pushed because it's something the school tries to keep on the downlow and I don't want to spread that kind of info on a public message board.

    We are allowed to hang IV meds on a secondary line and IV fluids on a primary line and we are allowed to do saline or hep flushes, provided our instructor or our co-assigned RN is present. As for other skills like po meds and injections and dressings, etc., our instructor watches us the first time, sometimes the first two times, and then we're on our own. Of course, she is always on the unit if we need her or if we have any questions about anything to do with our patients.
  6. by   Jen2
    We have alot of freedom. Our instructors have to watch us the first time we do anything and then after that we are allowed to do it on our own. The only thing we are not allowed to do is give blood products including rhogam. Did you show your instructor the rule yet?
  7. by   Zans
    As an instructor I see that side. I have had a student push a narc when a physician asked him to. the client coded. bad deal for everyone. I am currently trying to figure out what most colleges do with this skill. Students can so easily be led astray by staff. Staff is trying to help, but may not realize the repercussions for the college and the student.
    If the student thinks they are now "checked off" on that skill they may do it alone. IV push meds are all different -- since it is only a route of administration. the drugs are all different with different effects.
    from reading your posts I think you have a fantastic attitude! I wish you were one of my students you seem very caring and dedicated.
    You will make a good nurse!
    Zans
  8. by   GeminiTwinRN
    When I was in nursing school, not only did we give IV pushes, we as students were often assigned to LPN's and therefore gave THEIR pushes (which of course they weren't permitted to do!)! Talk about twilight zone!
  9. by   danh3190
    At our school we can do IV pushes but only with the instructor at our side. However we're not allowed to administer resuscitation meds (Epi, Atropine, etc.) period.

    I really wonder how people are supposed to become competent at a skill if they never do it.
  10. by   mixyRN
    YIKES! That's a tough one to happen to you.
    I have learned that RN's on the floor are eager to delegate tasks to students, but they don't understand that we are not authorized to perform many tasks without the supervison of our clinical instructor!
    A fellow classmate and friend of mine was written up first semester for administering a suppository with an RN but not the instructor. I find myself saying, "let me check with my clinical instructor to see if it's OK for me to do that..." many, many times on the floor in clinical.
    I hope that all works out well for you.
  11. by   helloworld
    We aren't allowed to give them until our final semester, so we're giving them this semester. I did have an instructor in OB last semester who allowed me to give IV push meds while she watched, but she didn't allow anyone else to do it.

    This final semester we'll be giving them but an instructor will have to be present each time.
  12. by   marilynmom
    We can give any med just as long as an RN or our instructor is with us. We can even hang blood. This is for senior year. Junior year we were not allowed to do all that.

    I wonder if it has something to do with most of my clinicals have been at a University teaching hospital?
  13. by   helloworld
    Quote from marilynmom
    We can give any med just as long as an RN or our instructor is with us. We can even hang blood. This is for senior year. Junior year we were not allowed to do all that.

    I wonder if it has something to do with most of my clinicals have been at a University teaching hospital?
    We were allowed to hang blood and give any meds except IV push from nursing 1. We also could not start IVs, but we could spike the bag and hang the fluids, ofcourse with the instructor or RN there. This final semester we are doing IV pushes and starting IVs, but for these two the instructor has to be there, not the RN. Everything else we are doing independently after the instructor has gone over the meds with us and the instructor or RN has looked at the syringe and the vial for any injectables.

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