ASHP Symposia

Addressing Risks Associated with IV Push Medication Use in Adults


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. Recent ISMP survey data has revealed continued significant risk associated with the preparation and administration of IV push medications in clinical locations. This symposium will describe the need to replace old practices with new paradigms and will educate participants about the Institute for Safe Medication Practices (ISMP) Guidelines for Safe Practice of Adult IV Push Medications, which were developed a national, multidisciplinary, invitational summit held by ISMP. At this symposium, medication safety experts will discuss strategies for identifying and addressing the risks associated with IV push injection, including those associated with management of doses during drug shortages, unsafe unit-based preparation, unsafe injection practices, and limited training and guidance. A new gap analysis tool will be presented at the symposium that can be used by organizations to align best practices.

Intended Audience:

  • Pharmacists
  • Pharmacy Technicians

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 unit-based 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 Safe Practice Guidelines for Adult IV Push Medications. 
  4. Recognize the role of all stakeholders in the attainment of safe IV push practices in adults.
  5. Explain how to use an IV push gap analysis tool to perform an organizational assessment of risk.

Introduction and Overview: 

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


Understanding the Challenges and Risk Associated with IV Push Medication Use

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

ISMP Guidelines for Safe Practices: An Interdisciplinary Best Practice Approach

Susan Paparella, MSN, RN, Vice President, ISMP



This activity is supported by Baxter.

CE Accreditation

Release Date: 2-15-2019
Expiration Date: 2-15-2022

Pharmacists and Pharmacy Technicians

This CE activity is jointly provided by ProCE, Inc. and the Institute for Safe Medication Practices (ISMP). ProCE, Inc. is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. ACPE Universal Activity Number 0221-9999-19-054-H05-P/T has been assigned to this knowledge-based home-study CE activity (initial release date 2-15-19). This activity is approved for 1.5 contact hours (0.15 CEU) in states that recognize ACPE providers. This CE activity is provided at no cost to participants. Statements of completion will be issued online at upon completion of the evaluation and post-test with a score of 70% or higher. Proof of completion will be posted in NABP CPE Monitor profiles. No partial credit will be given.


This CE activity is jointly provided by the Institute for Safe Medication Practices (ISMP), ProCE, Inc., and Wild Iris Medical Education, Inc. This activity provides 1.5 contact hour of nurse CE credit.

Wild Iris Medical Education, Inc. is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

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