Name of Student: Rosehelle O.

Camello_______________________________________

ASSISTING IN INTRAVENOUS INFUSION

Definition: The introduction of relatively large quantities of solution into a vein.

Purpose:

- To supply fluid when clients are unable to take in adequate volume of fluids.
- To provide salts needed to maintain electrolyte balance.
- To establish a lifetime for rapidly needed medications.

Principles:

- Maintain aseptic technique

Equipment/s:

- Cotton balls w/ alcohol

STEPS Retur 1 2 P
n E
Dem
o
1. Check the doctor’s order.
Rationale: To prevent any errors and provide accuracy.
2. Explain the procedure to the client.
Rationale: To lessen anxiety and gain patient
cooperation.
3. Gather all equipment. Wash your hands.
Rationale: To save time and effort.
4. Inspect the solution on the following: kind/type,
volume, and clearness and expiration date.
Rationale: To avoid errors.
5. Open the intravenous (IV) set. Close the regulator.
Follow the instructions accompanying the set.
Rationale: To ensure that the solution used will be in
accordance to the doctor’s order.
6. Prepare the prescribed bottle or bag of the solution .
Expose the insertion site (IV port) of the bag or
bottle by removing the protective cover aseptically.
Remove the cap from the spike and insert the spike
into the insertion site (IV port) of the bag or bottle.
Rationale: For preparation for the insertion of the IV.
7. Hang the IV bag or bottle at the IV stand/pole.
Rationale: In order to have enough pressure for the IV
fluid to infuse. Standard procedure is to hang the IV bag
atleast 3 feet above an adults’s patients heart to ensure
there is enough pressure to keep IV running at a constant
rate.
8. Partially fill the drip chamber with solution.
Squeeze the chamber gently until it is half full of
solution. Remove the protective covering of the tip
of the tubing (Do not throw the protective cover).
Rationale: In order to prevents air from entering the IV
tubing. Also, do not throw the protective cover in order if
the tubing is needed to be covered then keep it sterile.
9. Open the regulator and let a little amount of fluid
run up to the tip of the tubing. (If air is present, tap
the tubing if necessary, with your fingers to help
the bubbles move). Recap the tip of the tubing.
Rationale: In order to avoid air bubbles forming in the
tubing.
[Link] the needed equipment to the bedside.
Rationale: To save time and effort.
[Link] the bedside, hang the IV bag/bottle to the IV
stand/pole.
Rationale: In order to have enough pressure for the IV
fluid to infuse.
[Link] and prepare the venipuncture site.
Rationale: To easily do the procedure in the patient.
[Link] the padded arm board or splint and the
tourniquet.
Rationale: Engorges the vein for easier IV insertion.
[Link] the IV catheter assembly from its sterile
packaging.
Rationale: For preparation for the insertion of the IV.
15. Offer the tourniquet and cotton ball with alcohol to
the physician. Instruct the client to make a fist.
Rationale: Cleansing the insertion site reduces
transmission of microorganisms.
[Link] the cover of the IV catheter and offer the
needle to the physician (the physician inserts the
cannula). Once back-flow of blood is present, wait
for the physician to remove the stylet. Remove the
protective cap from the distal end of the tubing and
attach the end of the IV tubing to the catheter hub.
Rationale: Pressure from torniquet causes quick
backflow of blood into the catheter.
[Link] the plaster to the physician and assist in
anchoring. Check the patency by allowing the IV
fluid to flow. (Note any signs of infiltrations).
Stable the IV catheter and apply a dressing. Place
the padded arm board or splint under the
venipuncture site.
Rationale: To promote patient’s comfort.
[Link] the arm board or splint, bandages, and
anchor securely.
Rationale: Secure catheter in place and controls
bleeding and infection.
[Link] the flow of the solution as ordered.
Rationale: Keeps vein open and ensures patency of IV.
[Link] the patient or watcher to call the nurse on
duty when the following conditions are observed:
a. when there is a change in the rate of flow
b. when the solution stops flowing
c. when the site is painful and bulging
d. when the solution is almost consumed
e. when there is air or blood in the tubing.
Rationale: In order to be assess and for patient’s safety.
[Link] the client in a comfortable position.
Rationale: To promote patients comfort.
[Link] the tray to the utility room. Wash your hands.
Rationale: For proper disposal and to avoid spread of
contamination.
IV Termination/Discontinued/Dislodged
[Link] IV fluid is to be terminated/discontinued:
a. Check Physicians order
b. Proceed to step number 24
Rationale: To ensure accuracy and prevent errors.
If IV line is dislodged:
a. Close the regulator
b. Proceed to step number 24
Rationale: For patient’s safety and comfort.
[Link] the adhesive tape with alcohol or NSS and
remove gently.
Rationale: To facilitate easy removal of the needle.
[Link] pressure using sterile dry cotton ball over the
insertion site and withdraw the cannula quickly.
(Note: check the cannula if it is intact).
Rationale: Pressure help stops the bleeding and prevents
hematoma formation.
[Link] the area with cotton ball and immediately
apply firm pressure to the insertion site using sterile
gauze for 2-3 minutes.
Rationale: Pressure helps stops the bleeding and prevent
hematoma formation.
[Link] the client comfortable and tidy the unit.
Rationale: To promote patients comfort.
[Link] the used IV set to the utility room and
discard properly (infectious-yellow receptacle).
Rationale: For proper disposal and to avoid
contamination and spread of infection.
[Link]: date, time, solution used, bottle/bag number,
volume, regulation, site, and the physician who
inserted the needle. Record the unusual reaction of
the patient to the treatment if there is any.
Rationale: For documentation purpose and all relevant
information.
[Link] to answer questions:
A.
B.
Total Score:
Equivalent Grade
Final Grade:
Signature of C.I.:
Signature of Student: