UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION
CLINICAL POLICY AND PROCEDURE
TITLE: Boniva Administration (Intravenous Bolus)
Effective Date: August, 2007 Approval: See Authorization
Supersedes Protocol: None Contact: Clinical Staff Education
Reviewed May 2009 August 2011
PURPOSE: To provide guidelines for administration of Boniva / Ibandronate (IV bolus)
at UWMF Clinics.
DEFINITION: Boniva /Ibandronate alters the cycle of bone formation and breakdown
in the body. Ibandronate is used to treat or prevent osteoporosis in women after
POLICY: The clinical staff will utilize the following guidelines to properly administer
Boniva to UWMF patients.
SUPPLIES: Provider’s order, Patient’s record, Labeled syringe with appropriate drug
dose, Non-sterile gloves, IV start kit, Pressure dressing, 5mL NS
1. Check the name and dose of medication against the provider’s order. Clarify any
2. Complete patient assessment and lab findings relevant to medication.
Obtain a serum Creatinine prior to administration of Boniva/ Ibandronate.
NOTE: If Creatinine is <0.8 or >1.4 contact provider.
Obtain patient’s vital signs.
Review patient’s drug allergies
3. Review medication order, adhering to the five rights of drug administration.
Right – drug, dose, time, route, patient
Check the expiration date of the medication
4. Identify the patient and provide privacy for the procedure.
5. Wash hands and apply gloves.
6. Start IV, obtaining a positive blood return.
7. Secure the IV in place.
8. Administer 3 mL Boniva over 15-30 seconds.
9. Flush IV with 5 mL of Normal Saline.
10. Remove IV and apply a pressure dressing.
11. Allow the patient to remain in the waiting room for 20-30 minutes to observe for any
12. In the patient’s record document the following:
Date, drug name, dose, time
IV procedure – IV site, catheter size and fluid used and infused
Saline flush amount
Lot number, manufacturer, NDC# and expiration date
Educational instructions given to patient
How the patient tolerated the procedure
Follow-up care or appointment (if needed)
REVISED BY: LaVay Morrison RN Clinical Staff Educator
REVIEWED BY: Jody Lease, RN Case Manager Rheumatology
WRITTEN BY: Danielle Varnell, RN Clinical Staff Educator
Medical Director Date