tpn utilizing peripheral and central vascular access
DESCRIPTION
Procedure from the 7th edition of the Nursing Standards on Intravenous Practice of ANSAP. This 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.TRANSCRIPT
Downloaded from IVTeam Phils Hub | ivthub.blogspot.com
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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TPN UTILIZING PERIPHERAL ACCESS
1. Verifies doctor’s prescription.
2. Explains the procedure to reassure patient and significant others (benefits, risks, duration, changes in volume and flow rate, etc.)
3. Secures consent form from patient and/or authorized member of the family.
4. Prepares parenteral solution and all other devices needed for the parenteral administration taking into consideration the mode of administration such as:
a. Peripheral Access b. Central Access
5. Assesses patient and choose suitable vein,
location, and get baseline vital signs
6. Checks the integrity and functionality of the parenteral solution and IV devices.
7. Observes the ten (10) Rs in safe drug administration.
8. Do hand hygiene and maintain asepsis throughout the procedure.
9. Prepare TPN solution (follow procedure of Setting Up).
Downloaded from IVTeam Phils Hub | ivthub.blogspot.com
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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10. Inserts the IV catheter aseptically
(large, bore catheter. Follow procedure I in IV insertion).
11. Connects the tubng to the prepared parenteral solution and regulate flow rate as prescribed.
12. Dresses IV site as per IV standard.
13. Labels IV site and solution as per IV standard.
14. Continue to reassure patient and do pertinent health education.
15. Disposes waste materials according to Health Care Waste Management
(DOH/DENR).
16. Documents procedure and observations with corresponding nursing intervention in the patient’s chart like I&O, weight daily, etc.
17. Monitors patient periodically and report unusual findings if any: such as
signs of infection, hyper & hypoglycemia, change of color and consistency of solution, etc.
18. Document observation and intervention as
necessary.
19. Reassure patient.
Downloaded from IVTeam Phils Hub | ivthub.blogspot.com
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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TPN UTILIZING CENTRAL VASCULAR ACCESS
1. Follow procedure in Procedure of Peripheral Access from steps 1-9.
2. Assist surgeon in Open or Closed Central
Vascular Access Procedures (maintain asepsis throughout the procedure).
3. Connects the IV administration set to the
central vascular access catheter aseptically and regulate flow rate as prescribed.
4. Assess dressing over central vascular access for swelling, redness, pain and foul smelling discharges. Change dressing aseptically everyday.
Downloaded from IVTeam Phils Hub | ivthub.blogspot.com
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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5. Monitor/reassure patient.
6. Document observations and circumstances as necessary.
7. Discard waste materials according to Health Care Waste Management (DOH/DENR).