Unsafe practices and lack of standardization exist with preparation and administration of intravenous push medications (IVPM). Consensus standards for safe IVPM state to never dilute IVPM by drawing up the contents into a commercially available, prefilled, normal saline (NS) flush syringe. Despite Institute for Safe Medication Practices (ISMP) guidelines, lack of practice standardization persists, creating increased medication error risk with unnecessary dilution an ongoing issue. The purpose of this quality improvement project was to 1) identify current IVPM preparation and administration practices at a Children's Hospital in the Pacific Northwest and 2) measure nurses' adherence to national standards for IVPM post education.