Page 64 - policy and procedure infection control

Policies and Procedures on Infection Control

 Between changes of components, the IV system should be maintained as a
closed system as much as possible.

4.5.4 Nursing considerations for PN
 PN solution that is not opened or used should be returned to Pharmacy
 Administer PN solution at a constant rate.
 Assess and document vital signs, electrolyte and glucose monitoring, fluid input/
output and routine weights accurately.

 Observe for skin rashes, flushing, color changes or other adverse or allergic type
reaction and notify the doctor/pharmacist.
 Notify the doctor immediately if sepsis, suspected
 When there is no other obvious source for the fever, removal of the PN catheter
maybe considered.

4.5.5 Storage
 Refrigerate PN solutions on arrival to ward or unit and remove one hour before infusion
allowing standing in room temperature.
 TPN preparations should be returned to the Pharmacy when:
- Cloudy or particulate matter is present
- Orders are modified or discontinued and bag had not been hung.

Ministry of Health Malaysia 53