Assisting Iv Infusion
Assisting Iv Infusion
Assisting Iv Infusion
Definition:
Is an administration of fluid, electrolytes, or nutrients through a needle or cannula
inserted into a vein.
Purpose:
To administer fluids intravenously when clients are unable to take fluids orally and for
medication purposes.
Principles:
Assess vital signs for baseline data
Assess bleeding tendencies
Assess disease or injury to extremities
Assess status of veins to determine appropriate venipuncture sites
Observe appropriate infection control procedures
Equipment:
IV solution
IV tubing
IV catheter or needle
IV pole for gravity infusion
Adhesive or non- allergenic tape
Clean gloves
Rubber Tourniquet
Antiseptic swabs
Antiseptic ointment such as Povidone Iodine
Sterile gauze, Dressing or transparent occlusive dressing
Arm splint (if required)
Steps Rationale
1. Check the doctor’s order
2. Explain the procedure the patient To facilitate acceptance & willingness to
cooperate since venipuncture can cause
discomfort.
3. Wash hands. Gather all equipment Wash hands for appropriate infection control
procedures and to save time & effort.
4. Inspect the solution of the following: To check if the order reflects the patient’s
kind of solution ordered, volume actual condition. Cloudiness is evidence that
ordered & clearness & expiration date the container has been opened previously.
Leaks indicate possible contamination.
5. Open the vacodrip set. Follow the
instructions accompanying the set.
6. Prepare the prescribed bottle of the
solution accompanying the
instructions.
7. Open the regulator and let a little
amount of fluid run through the tube.
Be sure that no air present in the tube.
8. Carry the needed equipment to the
bedside
9. Hang IV bottle/pack on IV pole & Container should be suspended about 1m(3ft)
prepare strips of plaster. above the client’s head. This height is needed
to enable gravity to overcome venous
pressure & facilitate flow of the solution into
the vein. Strips of plaster are used to tape the
catheter later.
10. Un-sleeve the arm involved
11. Place the padded arm board or splint,
and tourniquet under arm
12. Open the tray
13. Doctor applies tourniquet & offer The tourniquet is used to dilate the vein
cotton ball w/alcohol to the doctor & making it easier to insert the needle properly.
instruct patient to make a fist. And should be place firmly to15 to 20 cm
above the venous flow. If the radial pulse can
be palpated, the arterial flow is not obstructed.
Cotton ball w/ alcohol is used to disinfect the
site. The client should make a fist to contract
the muscles which compresses the distal veins
& distending them. Tapping lightly the vein
w/ your fingertips may also distend the vein.
14. Remove the cover of the IV catheter The doctor holds the needle pointing in the
and offer the needle to the doctor (the direction of blood flow at a 30o angle w/
doctor inserts the needle). Once back- bevel up & pierce the skin beside the vein
flow of blood is present, release and about 1cm (1 ½ in) below the site planned for
remove the tourniquet and open the piercing.
regulator.
15. Offer plaster & assist in anchoring. Plaster is used to secure the needle properly.
( chevron method) a small gauze under the
needle is required keeping the needle in
position in the vein.
16. Adjust the arm board or splint, Arm board or splint is used to stabilize the
bandage, and anchor securely. arm as well as the tubing.
17. Regulate the flow of the solution as To ensure appropriate
ordered. infusion flow.
18. Instruct the patient or watcher to call The watcher should observe the patient all the
when there is a change in the rate of time and call the nurse when there is a
flow, or when the solution stops problem. Proper communication should be
flowing, when the site is painful or established. This is to prevent complications
bulging, when the solution is almost associated with IV therapy.
consumed and when there is air or
blood in the tubing.
19. Leave the patient in a comfortable Assess the patient’s difficulties after the
position. infusion.
20. Carry the tray to the utility room. Do after care. Wash hands to observe
Wash your hands. appropriate infection control procedures.
21. (When venoclysis is out) Clamp the So that blood would not get in the tubing
tubing when the bottle is almost empty when fluid is consumed.
22. Remove the adhesive tape For easy removal of the IV catheter.
23. Apply the pressure using Cotton ball Pressure help stop the bleeding and prevents
with alcohol over the point of hematoma formation.
insertion and withdraw the needle
quickly.
24. Dry the area with cotton ball and To prevent the open skin from infection and
apply adhesive tape. for continues application of force and
pressure on area.
25. Leave the patient comfortably and tidy Assess any difficulties the patient feels and
the unit. apply appropriate nursing interventions to
settle the problem.
26. Bring the vacoliter with tubing to the
utility room and put it to its proper
place
27. Chart: Date, time, solution used, For documentation purposes and further use.
bottle/pack number, amount rate per
minute, site and doctor who inserted
the needle. In numbering
bottles/packs used, ascertain whether
the number is for the whole series or
one day series. Record the unusual
reaction of the patient or the treatment,
if there is any.