This guide will help you safely give your medication through your central venous catheter (CVC) by the IV push method (also called a direct injection). Always follow the specific instructions from your nurse or pharmacist.
Supplies You’ll Need
- Medication syringe (pre-filled or prepared as directed)
- Saline flush syringes
- Heparin flush syringes (if prescribed)
- Alcohol wipes
- Clean work area
Before You Start
- Wash your hands thoroughly with soap and water for at least 20 seconds, then dry.
- Gather all your supplies and place them on a clean surface.
- Check your medication: right patient, right drug, right dose, right time, right route.
- Inspect the syringe for leaks or particles.
Step-by-Step Instructions
1. Clean your catheter hub
- Scrub the injection cap (the end of your catheter) with an alcohol wipe for 15–30 seconds.
- Let it air dry completely.
2. Flush with saline
- Remove the cap from the saline syringe.
- Push out a small drop to remove air.
- Connect to your catheter hub.
- Gently push-pause (push a little, stop, push again) until all saline is infused.
- Remove and discard the syringe.
3. Administer your medication
- Attach the medication syringe to your catheter.
- Inject the medication slowly over the time your nurse or pharmacist instructed (for example, over 2–5 minutes).
- Use a push-pause technique if instructed.
4. Flush with saline again
- Attach a new saline flush syringe.
- Flush using the push-pause method to clear the medication from your line.
- Remove and discard the syringe.
5. Flush with heparin (if prescribed)
- If your nurse instructed you to use heparin, attach the heparin syringe.
- Slowly inject the full amount.
After You’re Done
- Dispose of used syringes in a sharps container.
- Wash your hands again.
- Record the medication and time in your log (if asked to keep one).
When to Call Your Pharmacist, Nurse or Doctor
Call right away if you notice:
- Redness, swelling, or drainage at the catheter site
- Fever or chills
- Pain or burning during flushing
- Resistance when pushing the syringe (do not force it)