DISCONTINUING AN IV INFUSION

DISCONTINUING AN IV INFUSION  

1. Verify written doctor’s order to discontinue IV including IV medicines.

2. Observe ten (10) Rs.

3. Assess and inform the patient of thediscontinuation of IV infusion & of anymedicine.

4. Prepare the necessary materials: IV tray or injection tray with sterile cottonballs with alcohol, plaster, pick-up forceps in antiseptic solution, kidneybasin, Band-Aid.

5. Wash hands before and after procedure.

6. Close the roller clamp of the IVadministration set.

7. Moisten adhesive tapes around the IV catheter with cotton ball withalcohol; remove plaster gently.

8. Use pick-up forceps to get cotton ball with alcohol and without applyingpressure, remove needle or IV catheter then immediately apply pressureover the venipuncture site.

9. Inspect IV catheter for completeness.

10. Place dressing over the venipuncture site.

11. Discard all waste materials including the IV cannula according to HealthCare Waste Management (DOH/DENR).

12. Reassure patient.

13. Document time of discontinuance, status ofinsertion site and integrity of IV catheter andendorse accordingly.

CHANGING AN IV SOLUTION

1               CHANGING AN IV SOLUTION

           1. Verify doctor’s prescription in doctor’s order sheet; countercheck IV label,IV card, infusate                sequence, type, amount, additives (if any), duration ofinfusion.

2. Observe ten (10) Rs.

3. Explain procedure to reassure patient &significant others & assess IV site forredness, swelling, pain, etc.

4. Change IV tubings and cannula if 48-72hours lapsed after IV insertion.

5. Wash hands before and after the procedure.

6. Prepare necessary materials; place on IV tray.

7. Check sterility and integrity of IV solution.

8. Place IV label on the IV bottle.

9. Calibrate new IV bottle according to duration ofinfusion as per prescription.

10. Open and disinfect rubber port of IV solution tofollow.

11. Close the roller clamp and spike thecontainer aseptically.

12. Regulate the flow rate based on theprescribed infusion rate of infusion.Expel air bubbles (if any).

13. Reiterate assurance to patient and significant others.

14. Discard all waste materials according to Health Care Waste Management.

15. Document and endorse accordingly.