Nursing Management

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Before:

 Inform the client about the procedure


 Nurses should have a thorough knowledge of fluids and drugs, their effects,
dosage, recommended rate, incompatibilities, contraindications, and allergic
reactions, prior to administration
 Collect and document relevant patient data
 Manage venous access cost-effectively
 Know the correct solution and equipment needed and how to initiate the infusion
 Practice good hand hygiene before and after palpating, inserting, replacing, or
dressing any intravascular device

During

 Choose the most appropriate vascular access device by selecting a device that
1. Has the potential for providing access throughout the course of therapy
2. ensures the best possible outcome,
3. has the least risk to the patient and the health care provider.
 Regulate the infusion (with or without pump)
 Make sure the line is patent
 Assess catheter site daily
 Identify and correct problems such as infection, phlebitis, embolism and etc.
 Administer medications and/or infusions at the proper rate and within the
ordered intervals
After:

 Document time of discontinuance, status of insertion site and integrity of IV catheter and
endorse accordingly.
 Inspect IV catheter for completeness

 Instruct patient to Check the area for bruising or swelling for a few days after you get home.
 If you have bruising or swelling, put ice or a cold pack on the area for 10 to 20 minutes at a
time. Put a thin cloth between the ice and your skin.
 Instruct patient to shower or bathe as usual.
 Be gentle using the area around the IV site for a day or two. But you should be able to do
your normal activities.

References:

1. Policies and procedures for infusion nursing, Fourth Edition. Chapter 5: Vascular
access device site selection and placement. Infusion Nurses Society. (2011).
2. Potter, P. A., Perry, A. G. Fundamentals of Nursing, Seventh Edition. Elsevier.
St. Louis, MO. (2009).
3. Grady, N. et al. Guidelines for the prevention of intravascular catheter-related
infections. Centers for Disease Control and Prevention. (2011).

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