Progression to More Complex Administration Routes

Introduction to Parenteral Routes

As students display proficiency with non-parenteral medications, they are ready to be introduced to more complex administration routes such as subcutaneous (SubCut), intramuscular (IM), and intravenous (IV) medication. Initially learning these routes in the class and lab environments, they will then begin to administer them in the clinical environment. Supervision might focus on the principles of aseptic technique, needle selection, and site rotation among other safety considerations during actual medication administration.

Supervised Practice with Parenteral routes

A student might learn to administer SC anticoagulants or insulins, or IM injections. Initially, the instructor might have the student practice the steps before the student performs the injection under close supervision.

Managing IV Medications

The transition to IV medications involves understanding IV pump operation, calculating drip rates, and mixing IV medications according to sterile procedures. A guided experience might start with an instructor demonstrating how to set up an IV antibiotic, followed by the student preparing and administering an IV saline flush under supervision.