ALTAR, Catherine Sienna B.

(180777) BSN 3- D

Ateneo de Zamboanga University

College of Nursing
Level 3 -- NCM 112j RLE

Name: ALTAR, Catherine Sienna B. Date: August 14, 2020

Year/Section: BSN 3-D

ADMINISTRATION OF INTRAVENOUS INFUSION

Intravenous therapy (IV) is therapy that delivers fluids directly into a vein. The intravenous route is the
fastest way to deliver medications and fluid replacement throughout the body, because they are introduced
directly into the circulation. Intravenous therapy may be used for fluid volume replacement, to
correct electrolyte imbalances, to deliver medications, and for blood transfusions.

Purpose for IV Therapy:

 • Fluid and electrolyte maintenance, restoration and replacement
• Administer medications and nutritional feedings
• Give blood and blood products
• Chemotherapy
• Patient controlled analgesics
• KVO for quick access

A. SETTING UP
B. INSERTING IV
C. CHANGING AN IV SOLUTION
D. DISCONTINUING an IV INFUSION

A. Setting Up 1 2 3 4 5
1. Verify written Prescription and make an IV label
2. Observe the 10 Rs in preparing and administering IVF
3. Explain the procedure to reassure patient and /or significant other, secure
consent if necessary
4. Assess patient’s vein, choose appropriate site, location, size /condition.
5. Do hand hygiene before and after the procedure
6. Prepare necessary materials for procedure:
1. IV tray with IV solution,
2. administration set, OR IV tubing
3. IV cannula
4. forceps soaked in antiseptic solution,
5. alcohol swabs or cotton balls soaked in alcohol with cover (this
should be exclusively used for IV), plaster,
6. tourniquet
7. gloves,
8. splint
9. IV hook
10. sterile 2x2 gauze or transparent dressing
11. Include a 3 way stopcock

7. Check the sterility and integrity of the IV solution, IV set and other devices.
8. Place IV label on IVF bottle duly signed by RN who prepared it (patient’s
name, room number, solution, time and date)
9. Open IV administration set aseptically following the infection control
measure
10. Open IV administration set aseptically and close the roller clamp and spike
the infuscate container aseptically
11. Fill drip chamber to at least half and prime it with IV fluid aseptically
12. Expel air bubbles if any and put back the cover to the distal end of the IV set
( get ready for IV insertion
B. INSERTING IV CANNULA UTILIZING THE DUMMY ARM 1 2 3 4 5

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 ALTAR, Catherine Sienna B.
(180777) BSN 3- D

1. Prepare complete IV tray with IV infusions; Dummy Arm and over-the-

needle catheter or butterfly needle
2. Verify the written prescription for IV therapy; check prepared IVF and other
things needed.
3. Explain procedure to reassure the patient and significant others and observe
the 10 Rs.
4. Do hand hygiene before and after the procedure.
5. Choose site for IV.
6. Apply tourniquet 5-12 cm. (2-6 inches) above injection site depending on
condition of patient
7. Check for radial pulse below tourniquet
8. Prepare site with effective topical antiseptic according to hospital policy or
cotton balls with alcohol in circular motion and allow 30 seconds to dry (no
touch technique). Note: Always wear gloves when doing any venipuncture.
9. Using the appropriate IV cannula, pierce skin with the correct technique.
10. Upon backflow visualization, continue inserting the catheter into the vein.
11. Position the IV catheter parallel to the skin.
12. Hold stylet stationary and slowly advance the catheter until the hub is 1 mm
to the puncture site.
13. Slip a sterilize gauze under the hub. Release the tourniquet; remove the
stylet while applying digital pressure over the catheter with one finger about
1-2 inches from the tip of the inserted catheter.
14. Connect the infusion tubing of the prepared IVF aseptically to the IV
catheter.
15. Open the clamp and regulate the flow rate.
16. Reassure patient
17. Anchor needle firmly in place with the use of:
a. Transparent tape/dressing directly on the puncture site.
b. Tape (using any appropriate anchoring style)
c. Band Aid
18. Tape a small loop of IV tubing for additional anchoring. Apply splint, if
needed.
19. Calibrate the IV fluid bottle and regulate flow of infusion according to
prescribed duration.
20. Label on IV tape near the IV site to indicate the date of insertion, type and
gauge of IV catheter and countersign.
21. Label with plaster on the IV tubing to indicate the date when to change the
IV tubing
22. Observe patient and report any untoward effect.
23. Discard sharps and waste according to Health
24. Document in the patient’s chart and endorse to incoming shift.

CHANGING IV SOLUTION

C. Changing An IV Solution 1 2 3 4 5
1. Verify doctor’s prescription in doctors order sheet
Countercheck IV label, IV card, infuscate sequence, type amount,
additives(if any, and duration of infusion
2. Observe the 10 rights
3. Explain the procedure to reassure the patient and significant others and
assess IV sites for redness, swelling and pain, et5c
4. Change IV tubing upon the discretion of the health care practitioner when
clinically indicated
5. Wash hands before the procedures
6. Prepare the necessary materials place in an IV tray
7. Check sterility and integrity of the IV solution
8. Place an IV label on the IV bottle
9. Calibrate new IV bottle according to duration on infusion as per prescription
10. Open and connect the IV tubing into the solution bottle
11. Close the roller clamp

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 ALTAR, Catherine Sienna B.
(180777) BSN 3- D

12. Regulate the flow rate according to the prescribe infusion Rate, expel the air
bubbles if evident
13. Reiterate assurance to patients and significant others
14. Discard all waste materials
15. Document and endorse accordingly

D. Discontinuing an IV infusion 1 2 3 4 5
1. Verify doctors order
2. Observe the 10 R’s
3. Assess and inform the patient
4. Prepare the necessary materials,
IV tray or injection
Tray with sterile cotton balls with alcohol
kidney basin
Plaster,
band aid
pick up forceps in antiseptic solutions
5. Wash Hands before and after the procedure
6. Close the rubber clamp of the of the administration set
7. Moistened adhesive tapes around the catheter with cotton balls and alcohol,
remove plaster gently
8. Use pick up forceps to get cotton balls with alcohol and without applying
pressure, remove needle or IV catheter, the immediately apply pressure over
the venipuncture site.
9. Inspect IV catheter for completeness
10. Place dressing over the venipuncture site
11. Discard all waste materials including IV cannula according to health care
waste management
12. Reassure the patient
13. Document time of discontinuance, status of insertion site and integrity of the
IV catheter
TOTAL:

DARWINA IRIBANI HALBI

Clinical Instructor