Name: Patricia Feb G.

De Los Santos Date: ______________

Evaluator/Signature: ________________________________________________________ Grade: _____________

ASSISTING A PERIPHERAL VENOUS ACCESS IV INFUSION

Description: Peripheral IV devices: are cannula/catheter inserted into a small peripheral vein for therapeutic purposes such as administration of medications, fluids and/or
blood products. Peripheral intravenous catheters (PIVC) are the most commonly used intravenous device in hospitalised patients. They are primarily used for therapeutic
purposes such as administration of medications, fluids and/or blood products as well as blood sampling

Purpose:

Equipment:

ACTION RATIONALE PERFORMED REMARKS

 YES NO
1. Verify the IV solution order on the patient’s This ensure that the IV solution delivered is right and avoid any mistakes
chart with the medical order. Clarify any that can put the patient’s health or condition at risk.
inconsistencies. Check for color, leaking, and
expiration date. Know techniques for IV
insertion, precautions, purpose of the IV
administration, and medications if ordered.

2. Gather, prepare and place the following To perform efficiently and save time and effort.
materials and equipment on the IV tray:
clean gloves, tourniquet, IV tag/label,
cleansing swabs (chlorhexidine preferred),
IV catheter or butterfly needle, and alcohol
wipes; bring to the bedside.

3. Perform hand hygiene and put on PPE, if To prevent cross contamination of microorganisms that might cause
indicated. infection to the patient

4. Identify the patient by asking the patient’s Identifying the patient before performing the procedure is essential to
name or reading the Identification bracelet. ensure that the drug ordered is delivered to the right patient

5. Close curtains around bed and close the door  This is to provide privacy to the patient.
to the room, if possible. Explain what you  Explaining the procedure to the patient relieves anxiety and to
are going to do and why you are going to do facilitate cooperation.
it to the patient. Ask the patient about  Identifying any allergies prevents patient from discomfort and injury
allergies to medications, tape, or skin
antiseptics, as appropriate. If considering
using a local anesthetic, inquire about
allergies for these substances as well.
ACTION RATIONALE PERFORMED REMARKS
 YES NO
1. Compare the IV container label with the  To ensure that you administer the right IV solution ordered by the
doctor’s order. Remove IV bag from outer physician to a specific patient.
wrapper, if indicated. Check expiration dates.  Expired products should be replaced and discarded. IV solutions that
Alternately, prepare and label the IV tag are expired may decrease their stability and sterility
specifying patient’s name, room number,  Labelling facilitates identification needs and provides data to other
medical practitioners what solution and other medications is being
name and type of IV solution, additives, drop
administered.
rate, date and time of IV insertion, estimated
date & time to be consumed & name of IV
Therapist.
2. Maintain aseptic technique when opening  To maintain the sterility of the ends of the tubing
sterile packages and IV solution. Remove  Labelling facilitates identification needs and to ensure that it is
administration set from package. Apply label changed regularly
to tubing reflecting the day/date for next set
change, per facility guidelines.
3. Close the roller clamp or slide clamp on the  To facilitate flow of fluid to the drip chamber
IV administration set. Invert the IV solution 
container and remove the cap on the entry
site, taking care not to touch the exposed
entry site. Remove the cap from the spike on
the administration set. Using a twisting and
pushing motion, insert the administration set
spike into the entry site of the IV container.
4. Hang the IV container on the IV pole.  The drip chamber is partially filled with solution to prevent air from
Squeeze the drip chamber and fill at least moving down the tubing
halfway.

5. Open the IV tubing clamp, and allow fluid to The tubing is primed to prevent the introduction of air into the client. Air
move through tubing. Allow fluid to flow bubbles smaller than 0.5 mL usually do not cause problems in the
until all air bubbles have disappeared and the peripheral lines
entire length of the tubing is primed (filled)
with IV solution. Close the clamp. After
 fluid has filled the tubing, recap the end of
the tubing.

PERFORMED
ACTION RATIONALE REMARKS
YES NO
6. After the IV therapist successfully inserted Lowering the bed helps the flow of IV solution through the body.
the IV catheter, remove equipment and
return the patient to a position of comfort.
Lower bed, if not in lowest position.
7. Return to check flow rate and observe IV site
for infiltration 30 minutes after starting
infusion which include: Swelling,
discomfort, burning, and/or tightness, cool
skin and blanching & decreased or stopped
flow rate and at least hourly thereafter. Ask
the patient if he or she is experiencing any
pain or discomfort related to the IV infusion.
8. Document the location where the IV access Documentation provide continuity of care and determine possible
was placed, as well as the size of the IV deviation what is normal and to easily monitor.
catheter or needle, the type of IV solution,
and the rate of the IV infusion.

Evaluation:
 Learner’s Reflection: (What did you learn most of the activity? What is its Instructor’s Comments:
impact to you?)

References:
Lynn, P. (2011). Taylor's Clinical Nursing Skills: A Nursing Process Approach. 3 rd Edition. Philadelphia: LWW
Smith-Temple, J & Johnson, J.Y. (2006). Nurses’ Guide to Clinical Procedures. 5 th Edition. Philadelphia: LWW.
Hilton, P.A. (2004). Fundamental of Nursing Skills. Philadelphia: Whurr Publishers Ltd.
Mills, E. J. (2004). Nursing Procedures. 4th Edition. Philadelphia: LWW