This is a simplified chart to highlight the floor restrictions for each medication. Click this link for more details:
Drug Name (Brand) | Step Down | Med-Surg/Rehab | L&D/MICC |
Acetaminophen | IVPB | IVPB | IVPB |
(Ofirmev) | |||
Acetazolamide | IVPush | IVPush | – |
(Diamox) | IVPB | IVPB | |
Acetylcysteine 20% | IVPB | IVPB | – |
(Acetadote) | LVP | LVP | |
Acyclovir | IVPB | IVPB | IVPB |
(Zovirax®) | |||
Adenosine Phosphate | RRT or Code Blue Only | RRT or Code Blue Only | RRT or Code Blue Only |
(Adenocard®) | |||
Alteplase (CathFlo) | IV catheter dwell | IV catheter dwell | IV catheter dwell |
Albumin | IVPB | IVPB | IVPB |
Aminophylline | IVPB | IVPB | IVPB |
IV-Drip | IV-Drip | IV-Drip | |
Amiodarone | IVPB | RRT or Code Blue Only | RRT or Code Blue Only |
(Cordarone®) | IV-Drip | ||
(IVPush-code only) | |||
Ampicillin | IVPB | IVPB | IVPB |
IVPush | IVPush | IVPush | |
Liposomal | IVPB | IVPB | IVPB |
Amphotericin B | |||
(AmBisome®) | |||
Amphotericin B | IVPB | IVPB | IVPB |
(Fungizone®) | |||
Argatroban | IV-Drip | IV-Drip | – |
Atropine | IVPush | RRT or Code Blue Only | RRT or Code Blue Only |
Bumetanide | IVPB | IVPB | – |
(Bumex®) | IVPush | IVPush | |
IV-Drip | |||
Calcium Chloride | IVPB | IVPB | IVPB |
LVP | LVP | LVP | |
IV-Drip | |||
Calcium Gluconate | IVPB | IVPB | IVPB |
LVP | LVP | LVP | |
IV-Drip | |||
Chlorothiazide (Diuril®) | IVPB | IVPB | IVPB |
Chlorpromazine (Thorazine®) | IVpush | IVpush | – |
IVPB | IVPB | ||
Cidofovir (Vistide®) | IVPB | IVPB | – |
Cosyntropin (Cortrosyn®) | IVPush | IVPush | IVPush |
IVPB | IVPB | IVPB | |
Desmopressin (DDAVP) | IVPush | IVPB | IVPush |
IVPB | IVPB | ||
Dexamethasone (Decadron®) | IVPush | IVPush | IVPush |
IVPB | IVPB | IVPB | |
Dextran 40 (Rehomacrodex®) | LVP | LVP | LVP |
Dextrose 50% | IVPush | IVPush | IVPush |
Diazepam (Valium®) | IVPush | IVPush | IVPush |
Digoxin | IVPush | IVPush | – |
Digoxin Immune Fab (Digifab) | IVPB | – | – |
Diltiazem (Cardizem®) | IVPush | IVPush | – |
IV-Drip | |||
Diphenhydramine (Benadryl®) | IVPush | IVPush | IVPush |
IVPB | IVPB | IVPB | |
Enalaprilat (Vasotec®) | IVPush | IVPush | IVPush |
IVPB | IVPB | IVPB | |
Epinephrine HCl | RRT or Code Blue Only | RRT or Code Blue Only | RRT or Code Blue Only |
Epoetin Alfa | IVPush | IVPush | – |
Eptifibatide (Integrilin®) | IVPush | – | – |
IV-Drip | |||
Estrogen, Conjugated (Premarin®) | IVPush | IVPush | – |
Ethacrynate Sodium (Ethacrynic Acid) (Edecrin®) | IVPush | IVPush | IVPush |
IVPB | IVPB | IVPB | |
Famotidine | IVPush | IVPush | IVPush |
(Pepcid®) | IVPB | IVPB | IVPB |
Fentanyl Citrate | IVPush | – | IVPush |
Ferric Sodium Gluconate (Ferrlecit®) | IVPB | IVPB | IVPB |
Filgrastim | IVPush | IVPush | – |
(Neupogen, Zarxio®) | |||
Flumazenil | IVPush | IVPush | IVPush |
(Romazicon®) | |||
Folic Acid | IVPush | IVPush | IVPush |
IVPB | IVPB | IVPB | |
Foscarnet Sodium | IVPB | IVPB | – |
(Foscavir®) | |||
FOSphenytoin Sodium | IVPB | IVPB | IVPB |
IVPush | IVPush | ||
(Cerebyx®) | |||
Furosemide | IVPush | IVPush | IVPush |
IVPB | IVPB | IVPB | |
(Lasix®) | IV-Drip | ||
Ganciclovir Sodium | IVPB | IVPB | – |
(DHPG®, Cytovene®) | |||
Glucagon | IVPush | IVPush | IVPush |
IV-Drip | |||
(GlucaGen®) | |||
Glycopyrrolate | IVPush | IVPush | N/A |
(Robinul®) | |||
Granisetron HCL | IVPush | IVPush | – |
(Kytril®) | |||
Haloperidol (Haldol®) | IVPush | – | – |
Heparin Sodium | IVPush | IVPush | IVPush |
IV-Drip | IV-Drip | IV-Drip | |
hydralazine HCl | IVPush | IVPush | IVPush |
(Apresoline®) | |||
Hydrocortisone Sodium Succinate | IVPush | IVPush | IVPush |
(Solu-Cortef®) | IVPB | IVPB | IVPB |
IV-Drip | IV-Drip | IV-Drip | |
Hydromorphone HCl | IVPush | IVPush | IVPush |
IV-Drip | IV-Drip | ||
(Dilaudid®) | PCA | PCA | |
Hypertonic Saline (3%) | IVPB | – | – |
LVP | |||
Ibutilide Fumarate | IVPB | – | – |
(Covert®) | |||
Immune Globulin | IVBP | IVPB | – |
(Flebogamma®, Gamunex-C®) | |||
Insulin – Regular Insulin IV Push | IVPush | IVPush | – |
(Novolin R®, Humulin R®) | |||
Insulin, Regular Infusion | IV-Drip | – | IV-Drip |
(Novolin R®, Humulin R®) | |||
Iron Dextran | IVPB | IVPB | IVPB |
IVPush – test dose only | IVPush – test dose only | IVPush – test dose only | |
(Infed®) | |||
Iron Sucrose | IVPB | IVPB | IVPB |
IVPush | IVPush | IVPush | |
(Venofer®) | |||
Ketorolac Tromethamine | IVPush | IVPush | IVPush |
(Toradol®) | |||
Labetalol HCl | IVPush | IVPush | IVPush |
(Normodyne®, Trandate®) | |||
Lacosamide | IVPB | IVPB | – |
levETIRAcetam | IVPB | IVPB | IVPB |
IVPush | IVPush | IVPush | |
(Keppra®) | |||
Levothyroxine Sodium | IVPush | IVPush | IVPush |
(Synthroid®) | |||
Lidocaine HCl 1% | IVPB | IVPB | IVPB |
(Xylocaine 1%®) | |||
Lidocaine HCl 2% | IV-Drip | RRT or Code Blue Only | RRT or Code Blue Only |
IV Bolus | |||
(Xylocaine PF®) | IV-Push | ||
Lorazepam | IVPush | IVPush | IVPush |
(Ativan®) | |||
Magnesium Sulfate | IVPB | IVPB | IVPB |
LVP | LVP | IV-Drip | |
Mannitol | IVPush | IVPush | – |
IVPB | IVPB | ||
Meperidine | IVPush | IVPush | IVPush |
(Demerol®) | |||
Methyldopa | IVPB | IVPB | IVPB |
(Aldomet®) | |||
Methylprednisolone Sodium Succinate | IVPush | IVPush | IVPush |
IVPB | IVPB | IVPB | |
(Solu-Medrol®) | LVP | LVP | LVP |
Metoclopramide HCl | IVPush | IVPush | IVPush |
IVPB | IVPB | IVPB | |
(Reglan®) | |||
Metoprolol Tartrate | IVPush | IVPush | IVPush |
(Lopressor®) | |||
Midazolam | IVPush (only with O2 sat, RR and BP monitor) | RRT or Code Blue only | – |
(Versed®) | |||
Milrinone Lactate | IVPB | – | – |
IV-Drip | |||
(Primacor®) | |||
Morphine Sulfate | IVPush | IVPush | IVPush |
IV-Drip | IV-Drip | PCA | |
PCA | PCA | ||
Multivitamin Infusion | IVPB | IVPB | IVPB |
LVP | LVP | LVP | |
(MVI-12®) | |||
Nalbuphine (NuBAIN) | IVPush | IVPush | IVPush |
Naloxone (Narcan) | IV Push | IV Push | IV Push |
IV-Drip | IV-Drip | ||
Neostigmine (Prostigmine) | IV Push | – | – |
Nitroglycerin (Tridil) | IV-Drip | RRT or Code Blue only | RRT or Code Blue only |
Octreotide Acetate | IVPush | IVPush | – |
IV-Drip | |||
(Sandostatin®) | IVPB | ||
IV-Drip | |||
Ondansetron | IVPush | IVPush | IVPush |
IVPB | IVPB | IVPB | |
(Zofran®) | |||
Oxytocin | – | IV-Drip | IV-Drip |
(Pitocin®) | |||
Pamidronate Disodium | IVPB | IVPB | – |
(APD, Aredia®) | |||
Pantoprazole Sodium | IVPush | IVPush | IVPush |
(Protonix®) | IVPB | IVPB | IVPB |
IV-Drip | IV-Drip | IV-Drip | |
Pentamidine Isethionate | IVPB | – | – |
(Pentam®) | |||
Phentolamine | IVPush | IVPush | – |
(Regitine®) | |||
Phenobarbital Sodium | IVPush | IVPush | IVPush |
(Luminal®) | IVPB | IVPB | IVPB |
Phenytoin Sodium | IVPB | IVPB | IVPB |
(Dilantin®) | |||
Phytonadione | IVPB | IVPB | – |
Potassium Chloride | IVPB | IVPB | IVPB |
Potassium Acetate | |||
Potassium Phosphate | IVPB | IVPB | IVPB |
Procainamide HCL« | IVPB | RRT or Code Blue Only | – |
IV-Drip | |||
(Pronestyl®) | |||
Prochlorperazine | IVPush | IVPush | IVPush |
(Compazine®) | |||
Promethazine | – | – | – |
(Phenergan®) | |||
Propranolol | IVPush | IVPush | – |
(Inderal®) | |||
Protamine Sulfate | IVPush | IVPush | IVPush |
IVPB | IVPB | IVPB | |
Rh Immune Globulin | IVPush | IVPush | IVPush |
(WinRho®) | |||
Rifampin | IVPB | IVPB | IVPB |
Sodium Bicarbonate | IVPush | IVPush | IVPush |
IVPB | IVPB | IVPB | |
LVP | LVP | LVP | |
Sodium Chloride 3%(Hypertonic Saline) | IV-Drip | – | – |
Sodium Thiosulfate | IVPB | IVPB | IVPB |
Terbutaline | – | – | IVPush |
(Brethine®) | |||
Thiamine HCl | IVPB | IVPB | IVPB |
IVPush | IVPush | IVPush | |
(Vitamin B1) | LVP | LVP | LVP |
Torsemide | IVPush | IVPush | – |
(Demedex®) | IV-Drip | ||
Tranexamic acid (CYKLOKAPRON®) | IVPB | IVPB | IVPB |
IVPush | IVPush | ||
Acronym: TXA | |||
Trimethoprim/ Sulfamethoxazole | IVPB | IVPB | IVPB |
(Septra®/ Bactrim®/ Co-trimoxazole®) | |||
Verapamil HCl | IVPush | – | – |
(Isoptin®) | |||
Zidovudine (AZT) | – | – | IVPB |
Zoledronic Acid (Zometa®) | IVPB | IVBP | IVPB |