Skill Checklists for Taylor's Clinical Nursing Skills: A Nursing Process Approach

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Copyright © 2011 by Wolters Kluwer Health | Lippincott Williams & Wilkins. Skill Checklists for Taylor's Clinical Nursing Skills:

Skill Checklists for Taylor's Clinical Nursing Skills:
A Nursing Process Approach, 3rd edition

Name Date

Unit Position

Instructor/Evaluator: Position

SKILL 15-1

Initiating a Peripheral Venous Access IV Infusion

Goal:The access device is inserted on the first attempt, using

sterile technique. Comments

1. Verify the IV solution order on the MAR/CMAR with
   the medical order. Clarify any inconsistencies. Check the
   patient’s chart for allergies. Check for color, leaking, and
   expiration date. Know techniques for IV insertion, precau-
   tions, purpose of the IV administration, and medications if
   ordered.


2. Gather all equipment and bring to the bedside.


3. Perform hand hygiene and put on PPE, if indicated.


4. Identify the patient.


5. Close curtains around bed and close the door to the room,
   if possible. Explain what you are going to do and why you
   are going to do it to the patient. Ask the patient about
   allergies to medications, tape, or skin antiseptics, as appro-
   priate. If considering using a local anesthetic, inquire about
   allergies for these substances as well.


6. If using a local anesthetic, explain the rationale and proce-
   dure to the patient. Apply the anesthetic to a few potential
   insertion sites. Allow sufficient time for the anesthetic to
   take effect.

Prepare the IV Solution and Administration Set

7. Compare the IV container label with the MAR/CMAR.
   Remove IV bag from outer wrapper, if indicated. Check
   expiration dates. Scan bar code on container, if necessary.
   Compare on patient identification band with the MAR/
   CMAR. Alternately, label the solution container with the
   patient’s name, solution type, additives, date, and time.
   Complete a time strip for the infusion and apply to IV
   container.


8. Maintain aseptic technique when opening sterile packages
   and IV solution. Remove administration set from package.
   Apply label to tubing reflecting the day/date for next set
   change, per facility guidelines.

ExcellentSatisfactoryNeeds Practice