Page 79 - CLINICAL PRACTICE II
P. 79

CikguOnline
   CikguOnline


                                                            UNIT 3
                                               PROCEDURE CHECKLIST 43
                    Nursing interventions for Client with Infections and Inflammations: Insertion

                                  of the peripheral line and setup intravenous infusion



                 NO.                             PROCEDURE                                   REMARKS

                       Review physician’s order for type and amount of IV fluid and
                  1.   rate of fluid administration.

                  2.   Identify and inform the patient

                  3.   Prepare equipment

                  4.   Open sterile packages using aseptic technique

                  5.   Prepare IV infusion tubing and solution

                               Check IV solution, using rights principle of drugs
                        5.1
                               administration.
                               Open infusion set, maintaining sterility of both
                        5.2    ends of tubing.

                               Place roller clamp (see illustration) about 2 to 5 cm
                        5.3    (1 to 2 inches) below drip chamber and move roller
                               clamp to ‘off’ position
                               Remove protective sheath over IV
                        5.4
                               tubing port on plastic IV solution bag
                               Clean rubber stopper on bottled solution with
                        5.5    antiseptic and insert spike into black rubber stopper
                               of IV bottle.

                        5.6    Insert infusion set into fluid bag or bottle

                               Prime infusion tubing by filling with IV solution:
                        5.7    Compress drip chamber and release, allowing it to fill
                               one-third to one-half full.
                               Remove protector cap on end of tubing and slowly
                               release roller clamp to allow fluid to travel from drip
                        5.8    chamber through tubing to needle adapter.
                               Return roller clamp to ‘off’ position after tubing is
                               primed (filled with fluid)

                        5.9    Be certain tubing is clear of air and air bubbles.


                        5.10  Replace cap protector on end of infusion tubing



              79 | P a g e
   74   75   76   77   78   79   80   81   82   83   84