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    Iv Priming Checklist

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    tumabotaboariane
    The document outlines the steps for priming an IV line and starting an IV infusion. It lists 19 steps for the procedure including verifying the IV solution and patient, preparing materials while maintaining sterility, priming the tubing, hanging the IV bag, and documenting the infusion. Performance is graded on a scale and the student must sign after completion.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Iv Priming Checklist

    Uploaded by

    tumabotaboariane
    15 views3 pages
    The document outlines the steps for priming an IV line and starting an IV infusion. It lists 19 steps for the procedure including verifying the IV solution and patient, preparing materials while maintaining sterility, priming the tubing, hanging the IV bag, and documenting the infusion. Performance is graded on a scale and the student must sign after completion.

    Original Title

    IV-PRIMING-CHECKLIST

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    The document outlines the steps for priming an IV line and starting an IV infusion. It lists 19 steps for the procedure including verifying the IV solution and patient, preparing materials while maintaining sterility, priming the tubing, hanging the IV bag, and documenting the infusion. Performance is graded on a scale and the student must sign after completion.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    15 views3 pages

    Iv Priming Checklist

    Uploaded by

    tumabotaboariane
    The document outlines the steps for priming an IV line and starting an IV infusion. It lists 19 steps for the procedure including verifying the IV solution and patient, preparing materials while maintaining sterility, priming the tubing, hanging the IV bag, and documenting the infusion. Performance is graded on a scale and the student must sign after completion.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    You are on page 1of 3

    University of San Agustin

    General Luna St., 5000, Iloilo City Philippines


    www.usa.edu.ph

    COLLEGE OF NURSING, NUTRITION AND DIETETICS

    PERFORMANCE CHECKLIST
    (I.V. Priming and Follow-Up)

    Name: _____ Course/Year/Section: Date:__________


    Time Started: Time Ended: __________________
    Materials:
    IV fluid bottle (at least 500cc)
    IV tubing
    clean gloves
    alcohol swab
    labeling materials (IV tubing tag, pen)

    GRADING CRITERIA: LEGEND:


    Performance Of Task:
    1. Performs task correctly & accurately. 5 - Excellent (E)
    2. Performs task systematically. 4 - Very Satisfactory (VS)
    3. Finishes procedure on time.
    4. Performs task with ease & confidence. 3 - Satisfactory (S)
    5. States correct rationales/terms. 2 - Needs Improvement (NI)
    1 - Incorrectly Performed (IP)
    0 - Not Performed (NP)
    E VS S NI IP NP
    Meets Meets Meets Meets Meets Not
    PROCEDURE/STEPS all at at at at Performed
    criteria least least least least 0
    5 4 3 2 1

    1. Verify and select correct IV solution bag,


    rate, and frequency. and compare to the
    medication administration record (MAR) or
    order sheet.
    2. Identify the correct patient for the correct
    procedure.
    3. Prepare the materials: IV solution, IV
    tubing, Alcohol swabs, labelling materials
    4. Wash hands (you will be using aseptic
    technique to prevent contamination to the
    IV line or bag)
    5. Don gloving.
    6. Open tubing packaging and un-kink it. Then
    roll the clamp to the closed position.

    120 YEARS OF AUGUSTINIAN EXCELLENCE IN VIRTUS ET SCIENTIA

    Contact No.: 0939-278-9080 |Fax No.: (033) 337-4403

    Email: [email protected] | Website: www.usa.edu.ph


    University of San Agustin
    General Luna St., 5000, Iloilo City Philippines
    www.usa.edu.ph

    COLLEGE OF NURSING, NUTRITION AND DIETETICS

    6. Date and time the tubing (do it at the


    beginning so you don’t forget or it may get
    wet or lost).

    8. Open IV bag packaging (if it has it) and hold the


    IV bag in your non-dominate hand upside down.
    There are two ports on the bag, a medication
    administration port which you won’t be using and
    spiking port .
    9. Pull stopper off spiking port (keep port opening
    sterile and don’t touch it)
    10. Remove spike sleeve (don’t touch the spike)

    11.Spike the IV bag by inserting the spike into the


    spiking port (do this by performing a twisting
    motion)
    12. Hang bag on the IV pole.

    13. Squeeze drip chamber until half way full


    (most chamber have an indicator)
    14. With distal end of tubing over a basin / sink /
    garbage, slowly open roller clamp to prime the IV
    tubing. Check the tubing and make sure there are
    no large air bubbles (very small ones are okay)…
    you can flick it or re-flush the line again to remove
    them.
    15. Close roller clamp, cover distal end with sterile
    dead-ender or sterile protective cover. Hang
    tubing on IV pole to prevent from touching the
    ground. Keep the distal end sterile prior to
    connecting IV to patient.
    16. After connecting to the patient IV site Label
    tubing and IV bag with date, time, and initials.
    Label IV solution bag as per agency policy. Do not
    write directly on the IV bag.
    17. Discard the empty packaging and return
    any materials used to proper places.

    18.Perform hand hygiene after the procedure.

    19. Document the procedure done and the IV


    infusion started.
    Record the following:
    A. Name of the 120 YEARS OF AUGUSTINIAN EXCELLENCE IN VIRTUS ET SCIENTIA
    IV fluid
    Contact No.: 0939-278-9080 |Fax No.: (033) 337-4403
    B. Date and time started
    Email: [email protected] | Website: www.usa.edu.ph
    C. IV infusion Rate
    University of San Agustin
    General Luna St., 5000, Iloilo City Philippines
    www.usa.edu.ph

    COLLEGE OF NURSING, NUTRITION AND DIETETICS

    CI’s Name and Signature: _________________________


    Student’s Name and Signature: ___________________________

    120 YEARS OF AUGUSTINIAN EXCELLENCE IN VIRTUS ET SCIENTIA

    Contact No.: 0939-278-9080 |Fax No.: (033) 337-4403

    Email: [email protected] | Website: www.usa.edu.ph

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