2015 Trumbull Memorial Hospital Demo

IV Therapy

IV Therapy

Clinical Indications:  Any patient where intravenous access is indicated  To administer intravenous medications  To administer intravenous fluids  To obtain a venous blood sample where applicable

Steps

Performed? Yes No

1. Inspect the IV fluid for the appropriate type, expiration date, discoloration, cloudiness, leaks, or the presence of particles.

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2. Select the appropriate catheter and administration set.

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3. Using aseptic technique, connect the IV tubing to the bag. Fill the drip chamber halfway and flush the air bubbles from the tubing. If using a flush with a PRN adapter, ensure aseptic technique when connecting, and flush all bubbles from syringe and adapter. 4. Prepare equipment such as tape, Tegaderm, or Veni-gard, antiseptic solution, body substance isolation, and tourniquet. 5. Apply the tourniquet proximal to an acceptable site. Keep in mind mastectomy patients, patients on renal dialysis, or any other condition in which restriction of blood flow could cause complications. ☐ ☐ ☐

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6. Palpate a suitable vein.

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7. Cleanse the site with an antiseptic solution.

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8. Perform venipuncture.  Advance needle and catheter into the vein. DO NOT reinsert needle through catheter.  Note flashback  Occlude vein proximal to catheter  Remove needle and dispose into the proper container without recapping  Connect IV tubing or prepared/flushed PRN adapter

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9. Release tourniquet.

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10. Open the IV to assure free flow of the fluid and adjust the rate per protocol.

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11. Cover the site with a sterile dressing and secure the IV and tubing.

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12. Document the procedure, time, and result (success) on/with the patient care report.

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136

EMR

EMT

AEMT

Paramedic

Extended