CHANGING AN IV CONTAINER
TUBING AND DRESSING
- INITIAL INSERTION OF A
CATHETER WIT TRANSPARENT
DRESSING OR SERIL GAUZE
- LABELED: TIME AND DATE
PURPOSE:
- MAINTAIN REQUIRED FLUID
FLOW
- STERILITY OF IV SYSTEM
- DECREASE INCIDENCE OF
PLEBITIS AND INFECTION
- MAINTAIN PATENCY OF IV
TUBING
- PREVENT INFECTION AT THE
IV SITE AND INTRODUCTION
OF MICROORGANISMS INTO
THE BLOOD STREAM
ASSESSMENT:
- PRESENCE OF FLUID
INFILTRATION
- BLEEDING
- PHLEBITIS
- IV SITE
- ALLERGY TO TAPE OR IODINE
- INFUSION RATE AND AMOUNT
ABSORBED
- BLOCKAGE IN IV SYSTEM
- APPEARANCE OF DRESSING
o INTEGRITY
o MOISTURE
o NEED FOR CHANGE
- TIME AND DATE PREVIOUS
DRESSING CHANGE
PLANNING:
- REVIEW CARE PROVIDER’S
ORDER FOR CHANGES IN
FLUID AD.
PROCEDURES:
CORRECT SOLUTION CONTAINER
- READ LABEL OF THE NEW
CONTINER
- VERIFY CORRECT SOLUTION
- CORRECT CLIENT
- CORRECT ADDITIVES
- CORRECT DOSE
SET UP:
- TIME
- PRIME THE TUBE
- LABEL THE TUBE
STRIP TAPES:
- BUTTERFLY NEEDLE: 2-3
1.25CM(1/2IN) TAPES
- CATHETER: 3 STRIPS 1.25CM
- HANG THE TAPES AT THE
EDGE OF THE TABLE:
READINESS (ENSURE TABLE IS
CLEAN FOR AVOID
CONTAMINATING THE TAPE)
OPEN ALL EQUIPMENTS:
- DRESSING
- SWABS
- ADHESIVE BANGAE
- OINTMENT
PLACE TOWEL UNDER THE
EXTREMITY:
- PREVENT SOILING OF BED
LINEN
REMOVE TAPE ONE LAYER AT A
TIME:
- PREVENT DISLODGEMENT
REMOVE ADHESIVE IN THE
DIRECTION OF THE CLIENT’S HAIR:
- MINIMIZE DISCOMFORT
ASSESS IV SITE: (AVOID FURTHER
TRAUMA)
- PRESENCE OF INFILTRATION
- INFLAMMATION
CLAMP THE TUBE: (PREVENT
BLOOD FROM COMING OUT OF THE
NEEDLE)
- WITH NON-DOMINANT HAND
- APPLY PRESSURE TO THE VEIN
ABOVE THE END OF THE
CATHETER
HOLD THE HUB:
- THUMB AND INDEX FINGER OF
NON-DOMINANT HAND
LOOSEN THE TUBING:
- DOMINANT HAND
- USING TWISTING PULLING
MOTION
USING CHLORHEXIDINE SWABS:
(PREVENT CONTAMINATION OF IV
SITE FROM BACTERIA)
- CLEAN THE SITE
- BEGINNING AT THE CATHETER
AND CLEANING OUTWARD 2-
INCHES DIAMETER
RETAIN THE NEEDLE OR
CATHETER:
- BUTTERFLY NEEDLE
o TAPE TO THE WINGS
o CRISS CROSS
o CHEVRON METHOD
- CATHETER
o APPLY TAPE USING U
METHOD
LABEL THE DRESSING AND SECURE
IV TUBING:
- DATE AND TIME
- SECURE IV TUBING WITH
ADDITIONAL TAPE (AS
REQUIRED)
DOCUMENT:
- SOLUTION CONTAINER
- TUBING
- DRESSING
- FLUID INTAKE
- NUMBER OF CONTAINER
- ASSESSMENT
EVALUATION:
- STATUS OF IV SITE
- PATENCY OF IV SYSTEM
- ACCURACY OF FLOW
CONSIDERATIONS:
- ASSEBLE MATERIALS PRIOR
THE PROCEDURE
- WASH HANDS BEFORE AND
AFTER
- EXPLAINE THE PROCEDURE
- VEIN ARE DIFFICULT TO
ACCESS:
o WARM SOAKS – TO
INCREASE BLOOD FLOW
- NON/LATEX GLOVES ARE
WORN FOR INSERTION OF THE
CATHETER AND CHANGING
THE DRESSING
- SITE OR DRESSING SHOULD BE
MARKED WITH LABELS
o DATE
o TIME
o INITIALS OF THE INDV.
PERFORMING THE
PROCEDURE.