Replacing Old Practices with New Paradigms: Adopting Safe Practices for IV Push Medications


While much emphasis has been placed on the improvement of IV infusion safety, there remains a limited amount of standardized safe practices associated with IV push injection safety. This webinar will describe the latest changes in procedural and practice expectations and will educate participants about Institute for Safe Medication Practices (ISMP) guidelines for adult IV push medications, which were developed as a result of a national summit. Expert speakers will discuss strategies for identifying and managing the risks associated with IV push injection, including those associated with unsafe unit-based preparation, unsafe injection practices, and limited training and guidance.

Intended Audience:

  • Quality and Risk Management Leaders
  • Pharmacy and Nursing Managers and Administrators
  • Medication Safety and Patient Safety Officers
  • Pharmacists
  • Nurses
  • Clinical Educators

Learning Objectives:

Following completion of this activity, participants will be able to:

  1. Identify the most common unsafe practices and at-risk behaviors associated with the preparation and administration of IV push medications to adults.
  2. Discuss safe practices associated with the use of IV push medications for adults.
  3. Describe the anticipated challenges to the implementation of ISMP's IV Push Guidelines.
  4. Recognize the role of nursing leadership in the attainment of safe IV push practices in adults.

Introduction and Overview:

Michael R. Cohen, RPh, MS, ScD (hon.), DPS (hon.), FASHP, President, ISMP


Push Medication Use: Understanding the Risk and Safety Challenges

Michelle Mandrack, MSN, RN, Director of Consulting Services, ISMP

Advancing Medication Safety: ISMP Safe Practice Guidelines for Adult IV Push Medications

Susan Paparella, MSN, RN, Vice President, ISMP



This activity is funded through an educational grant from Fresenius Kabi.

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CE Accreditation

No continuing education credits are available for this activity.


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