setting up an iv infusion

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This copy of the procedures from the 7th edition of the Nursing Standards on Intravenous Practice by ANSAP was reproduced for educational purposes of Filipino student nurses and registered nurses who need to review and study the procedures prior to actual IVT training and practicum.

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SETTING UP AN IV INFUSION

1. Verify written prescription and make IV label.

2. Observe ten (10) Rs when preparing & administering IVF.

10 Golden Rules for Administering Drug Safely

(from Nursing 88 Vol. 18, August 1988)

a. Administer the RIGHT DRUG. b. Administer the right drug to the RIGHT PATIENT. c. Administer the RIGHT DOSE. d. Administer the right drug by the RIGHT ROUTE. e. Administer the right drug at the RIGHT TIME. f. DOCUMENT each drug you administer. g. TEACH your client about the drugs he is receiving. h. Take a complete patient DRUG HISTORY. (There is a risk of adverse drug

reactions when a number of drugs are taken or when patient is taking alcohol drinks.)

i. Find out if the patient has any DRUG ALLERGIES. j. Be aware of potential DRUG – DRUG or DRUG – FOOD INTERACTIONS. To

protect your patient and your license, follow these guidelines for avoiding medication errors.

By: Cathleen McGovern, RN, BSN

Quality Assurance Coordinator Edge Water Hospital Chicago, Illinois, USA

3. Explain procedure to reassure patient and/or significant others, secure consent, if necessary.

Name of Patient: ___________ Rm #: ___

IVF Fluids: ________________________

Bottle #: __________ Flow Rate: _______

Drug Incorporation: __________________

Date & Time Started: _________________

Date & Time to consume: _____________

NOD: _____________________________



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4. Assess patient’s vein; choose appropriate site location, size and condition.



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5. Do hand hygiene before and after the procedure.



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6. Prepare necessary materials for procedure

IV tray with IV solution

IV Administration Set

IV cannula



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forceps soaked in antiseptic solution

alcohol swabs or cotton balls soaked in alcohol with cover (this should be exclusively used for IV) plaster tourniquet gloves splint IV hook sterile 2x2 gauze or transparent dressing.

7. Check the sterility and integrity of the IV solution, IV set

and other devices. 8. Place IV label on IVF bottle duly signed by RN who

prepared it (patient’s name, room no., solution, drug incorporation, bottle sequence, and duration, time, and date.



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9. Open the seal of the IV infusion aseptically and disinfect rubber port with cotton ball with alcohol.

10. Open the IV administration set aseptically and close the roller clamp and spike the infusate

container aseptically.

11. Fill drip chamber to at least half and prime it with IV fluid aseptically.

12. Expel air bubble if any and put back the cover to the

distal end of the IV set (get ready for IV insertion).

setting up an iv infusion

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