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 15-2

Changing an IV Solution Container and

Administration Set

Goal:The prescribed IV infusion continues without interruption

and with infusion complications identified. Comments

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


2. Gather all equipment and bring to 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 or tape, as appropriate.


6. Compare 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 patient identification band with the MAR/
   CMAR. Alternately, label 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.


7. 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.

To Change IV Solution Container

8. If using an electronic infusion device, pause the device or
   put on “hold.” Close the slide clamp on the administration
   set closest to the drip chamber. If using gravity infusion,
   close the roller clamp on the administration set.


9. Carefully remove the cap on the entry site of the new IV
   solution container and expose the entry site, taking care
   not to touch the exposed entry site.


10. Lift empty container off IV pole and invert it. Quickly
    remove the spike from the old IV container,being careful
    not to contaminate it.Discard old IV container.

ExcellentSatisfactoryNeeds Practice