Page 82 - CLINICAL PRACTICE II
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                                                          UNIT 3
                                              PROCEDURE CHECKLIST 44
                           Nursing interventions for Client with Infections and Inflammations:
                                         Insertion central venous line (assisting)



                 NO.                              PROCEDURE                                  REMARKS


                  1.  Greet patient

                  2.  Identify right patient

                  3.  Verify the purpose of prescription

                  4.   Explain the procedure and purpose to patient

                  5.  Prepare equipment

                  6.   Position patient appropriately (supine position)

                  7.  Flush IV infusion set and manometer

                  8.  Place ECG monitoring


                  9.  The CVP site is surgically cleaned

                  10.  Assist the patient to remaining motionless during insertion

                       Monitor for dysrhythmias, tachypnoea, tachycardia as
                  11.
                       catheter is threaded to great veins
                       Connect primed IV tubing to catheter and allow IV solution to
                  12.
                       flow
                  13.  Assist in suturing the catheter

                  14.  Place a sterile transparent dressing over site


                  15.  Obtain a chest x-ray

                  16.  Documentation and report.

















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