Ateneo de Zamboanga University

College of Nursing
Level 3 -- NCM 112j RLE

Name: ________________________ Date: __________________

Year/Section: __________________

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

[Link] 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, and
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
infusate 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
Prepare complete IV tray with IV infusions; Dummy Arm and over-the-needle
catheter or butterfly needle
1. . Verify the written prescription for IV therapy; check prepared IVF and other
things needed.
2. . Explain procedure to reassure the patient and significant others and observe the 10
Rs.
3. . Do hand hygiene before and after the procedure.
4 Choose site for IV.
5 Apply tourniquet 5-12 cm. (2-6 inches) above injection site depending on
condition of patient
6 Check for radial pulse below tourniquet
7 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.
8 Using the appropriate IV cannula, pierce skin with the correct technique.
9 Upon backflow visualization, continue inserting the catheter into the vein.
10 . Position the IV catheter parallel to the skin.
11 Hold stylet stationary and slowly advance the catheter until the hub is 1 mm to the
puncture site.
12 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.
13 . Connect the infusion tubing of the prepared IVF aseptically to the IV catheter.
14 Open the clamp and regulate the flow rate.
15 Reassure patient
16 . 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
17 Tape a small loop of IV tubing for additional anchoring. Apply splint, if needed.
18 Calibrate the IV fluid bottle and regulate flow of infusion according to prescribed
duration.
19 Label on IV tape near the IV site to indicate the date of insertion, type and gauge of
IV catheter and countersign.
20 Label with plaster on the IV tubing to indicate the date when to change the IV
tubing
21 . Observe patient and report any untoward effect.
22 Discard sharps and waste according to Health
23 Document in the patient’s chart and endorse to incoming shift.

CHANGING IV SOLUTION

C Changing An IV solutions 1 2 3 4 5
1 Verify doctors prescription in doctors order sheet
Countercheck IV label, IV card, infusate 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
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 Observfe the 10 Rs
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
Use pick up forceps to get cotton balls with alcohol and without applying pressure,
remove needle or IV catheter , the emmediately 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