Question

A newly hired nurse is being given orientation and training in the hospital by a senior member of the nursing staff. Assigned to a medical-surgical unit the nurse receives instructions on procedure. The nurse is instructed to “ push Heparin IV” through a tube in the person’s arm . The nurse when being trained in the nursing program was instructed not to do such a thing as it could have serious consequences . When the newly hired nurse questioned the procedure that nurse was told by the senior nurse: “ Look that is how we do it here, missy. We are understaffed and do not have the time to do it intravenously. If you want to work here that is how you will do it too.” What should/can the nurse do?

Why are you not able to use push IV heparin ?

Answer 1

Ans) The nurse as she is trainee she may resist herself from doing so can ask that senior staff to administer heparin.

We are not able to use push IV Heparin as:

- IV injection may be given undiluted or diluted in 50-100 mL NS or D5W

- Infusion: Dilute in NS, D5W, or other compatible fluid

- Continuous IV therapy is preferred because intermittent IV therapy produces a higher incidence of bleeding abnormalities.

- Invert IV bag at least 6 times to ensure mixing and prevent pooling of medication.

- Use constant-rate IV infusion pump.