i can't explain your feeling that rns have a casualness about giving iv meds except to suggest to you that when you have done a procedure so many, many times, you do
become very confident in what you are doing. i've been an iv therapist and given thousands of iv push meds. i'm sure that i must look pretty casual as i am doing all that. i applaud your attention to the serious nature of what is going on with iv administration. i would ask you to keep in mind that you can only be responsible for your own behavior and not anyone else's (unless, of course, you are in a position of some influence and power!) so, if you want to take every iv push medication seriously, do so. i wouldn't worry about others unless you see them making an error that is going to hurt a patient. you are not the iv push policeman.
there was a drug company that used to put out a wonderful drug compatibility chart. can't remember the name of it. some of the nursing drug books have compatibility charts on the inside covers. you might try asking different pharmacists at the facilities where you do your clinicals if they know which drug companies put out these compatibility charts. most hospital pharmacies have one or two pharmacists or pharmacy techs who do nothing but the iv admixtures, so they might know who these drug companies are. i might be wrong, but i think that facts and comparisons
had drug incompatibilities in it, but they are listed by the individual drugs. most hospitals have updated copies of facts and comparisons
somewhere around the joint. it's online resource is called efacts
, i believe.
i have a link to a chart on iv push medications from a hospital pharmacy service that you might find helpful. print it out. you never know when these organizations are going to decide to take these wonderful tools off the internet.
- to access the pharmacy policy manual click on "pnp alpha index" on the left side of this web page. you will get the index listing of the pharmacy services of the medical university of south carolina. you can find two different iv push medication charts (adult and pediatric) here by clicking on the following links: iv push chart - adults and iv push chart - pediatric