IV push meds alcohol swabs

[USMC2RN89]

Question what is best practice when giving IV push medications through saline lock port swab with alcohol give flush then give med or swab give flush swab again and give med? I’ve heard and seen it done both ways let me know

[Music in My Heart]

My practice is: swab - flush - med - flush/clamp

I see no point in swabbing between the flush and med since the syringe tips are sterile.

[ruby_jane, BSN, RN]

2 hours ago, The Original Music in my Heart said:

My practice is: swab - flush - med - flush/clamp

I see no point in swabbing between the flush and med since the syringe tips are sterile.

I think this is the right answer (and I like the logic) but what does the policy say you're supposed to do?

[carti, BSN, RN]

10 hours ago, ruby_jane said:

I think this is the right answer (and I like the logic) but what does the policy say you're supposed to do?

My Nursing handbook says after you flush, give the med, then flush again. Make sure the flush doesn't touch anything like the patient's skin or the table, etc before you flush. If that happens, wipe with alcohol again.