QUESTIONS AND ANSWERS ON MODULE 1

SOPs included –

 Infusion team
 Competency and competency validation
 Product evaluation-integrity-and defect reporting
 Informed consent
 First dose administration in alternative care settings
 Latex sensitivity or allergy
 Adverse and serious adverse reactions

1. Do you have an IV team?

Ans. Yes. We do have an IV team.

2. How do the team help you? / What is their responsibilities? / What does the IV team do?
Ans.
 They take rounds and assess IV cannulas of all patients in the unit.
 They perform IV cannulation especially the difficult ones
 They supervise the infusion practices of the unit ensuring safe infusion therapy.
 They assess patients for IV complications and report to the incharges.
 They take sessions on IV therapy and complications for us.

3. Is competency assessment and privileging done for IV cannulation for you?

Ans. Yes. IV cannulation is a part of our Competency assessment and privileging.

4. Who does your competency assessment and privileging?

Ans. Competency assessment and privileging is done by incharge and nurse educator.

5. Is it important to do competency assessment and privileging for IV therapy on a regular basis?

Ans. Yes. It is important to do competency assessment and privileging for IV therapy on a regular
basis as it will help to ensure safe infusion therapy and vascular access device insertion and its
management.

6. In case if you find that a product (for eg a syringe / cannula) is defective, what will you do?
Ans. If any product is found to be defective, it is immediately reported to the incharge and a CQI
(Continuous Quality Improvement) form is filled. The incharge sends a mail to the stores
regarding the product issues and the entire batch of the product is then recalled if the issue is
justified.

7. Do you take an informed consent? When do you take and who takes it?
 Ans. Yes, We take informed consent for insertion of intravenous catheters like peripheral line
insertion, central line insertion, PICC line insertion and chemoport insertion. The clinican who
performs the procedure obtains the consent.

8. When do you take consent from a surrogate?

Ans. A surrogate gives consent if the patient is:
 Unconscious / delirious / under effect of sedation or anesthesia
 Minors / Adolescent (12 – 18 years of age) – Surrogate has to sign along with the
parent / guardian.
 Mentally incapacitated / mentally incapable of making the decision by himself / herself.

9. What will you do in case someone has latex sensitivity? / What will you do in case someone has
allergy to latex / gloves?
Ans. If the person is having allergy to latex / glove:
 Remove all latex containing products from the person’s surroundings to reduce risk of
exposure
 Provide or use latex-free equipments / products during patient care.
 Educate the person how to avoid latex exposure
 In addition, for the patient - Document in admission assessment form, put Red band
with allergy written on it on the patient’s dominant hand also mention it on the white
board present at the patient’s bedside.

10. What will you do in case a patient develops an adverse reaction?

Ans. In case a patient develops an adverse reaction:
 Stop the procedure immediately
 Check vitals
 Inform doctor and carry out the orders
 Fill an adverse drug reaction (ADR) form
 Send the medicine along with the ADR form to the pharmacy.

In case it is reaction to a Product

 Incase if a reaction is observed in few patients after use of certain product

 The use of product is stopped immediately
 The physician is informed and the patients are treated for the same
 The store is informed about it and the product is withdrawn from all the department
 An incident report form (CQI) is filled
 An official mail is also sent to the stores
 The manufacturer is informed about the product feedback
 The use of the product is stopped.
11. Where is the Adverse drug reaction form?
Ans. It is available on the Intranet (Intranet – Nursing – General forms – Adverse drug reaction
reporting form)