and significant others (benefits, risks, duration, changes in volume and flow rate , etc. Prepare parenteral solution and all other devices needed for the parenteral administration taking into consideration the mode of administration such as: a. Peripheral Access b. Central Access UTILIZING PERIPHERAL ACCESS Assess patient and choose suitable vein, location, and get baseline vital signs Check the integrity and functionality of the parenteral solution and IV devices. Observe the ten rights in safe drug administration Do hand hygiene and maintain asepsis throughout the procedure. Prepare TPN solution.
Inserts the IV catheter aseptically
(large, bore catheter). Connect the tubing to the prepared parenteral solution and regulate flow rate as prescribed. UTILIZING PERIPHERAL ACCESS Dress IV site as per IV standard. Label IV site and solution as per IV standard. Continue to reassure patient and do pertinent health education. Dispose waste materials according to Health Care Waste Management Document procedure and observations with corresponding nursing intervention in the patient’s chart like I&O, weight daily, etc.
Monitor patient periodically and report unusual findings
if any: such as signs of infection, hyper & hypoglycemia, change of color and consistency of solution, etc. UTILIZING PERIPHERAL ACCESS
Document observation and intervention
as necessary.
Reassure patient. UTILIZING CENTRAL VASCULAR ACCESS UTILIZING CENTRAL VASCULAR ACCESS Follow procedure in Procedure of Peripheral Access from steps 1-9.
Assist surgeon in Open or Closed
Central Vascular Access Procedures (maintain asepsis throughout the procedure).
Connect the IV administration set to the central
vascular access catheter aseptically and regulate flow rate as prescribed. UTILIZING CENTRAL VASCULAR ACCESS Assess dressing over central vascular access for swelling, redness, pain and foul smelling discharges. Change dressing aseptically everyday.
Monitor/reassure patient.
Document observations and circumstances
as necessary.
Discard waste materials according to Health Care