Today I have opportunity to follow charge nurse. She was responsible for all the IV medication administration in the facility. I learned how to assess for patency of IV lines and flush the venous access once a shift. She demonstrated the push and stop method for flushing intravenous lines. She also told me how important it is to monitor for peak and trough level when administering vancomycin. Trough level of the patient determines the next schedule dosage amount of medication. It was interesting to learn about the new packaging system they used at sacramento sub acute. Before preparing the packaging for next vancomycin dose laboratory has to fax the trough result of patient to pharmacy then it is calculated to make the package for future dose.