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 15-2

Changing an IV Solution Container and

Administration Set (Continued)

Comments

11. Using a twisting and pushing motion, insert the administra-
    tion set spike into the entry site of the IV container. Alter-
    nately, follow the manufacturer’s directions for insertion.
    Hang the container on the IV pole.


12. Alternately, hang the new IV fluid container on an open
    hook on the IV pole. 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.
    Lift empty container off the IV pole and invert it. Quickly
    remove the spike from the old IV container,being careful
    not to contaminate it.Discard old IV container. Using a
    twisting and pushing motion, insert the administration set
    spike into the entry port of the new IV container as it
    hangs on the IV pole.


13. If using an electronic infusion device, open the slide clamp,
    check the drip chamber of the administration set, verify the
    flow rate programmed in the infusion device, and turn the
    device to “run” or “infuse.”


14. If using gravity infusion, slowly open the roller clamp on
    the administration set and count the drops. Adjust until
    the correct drop rate is achieved.

To Change IV Solution Container and Administration Set

15. Prepare the IV solution and administration set. Refer to
    Skill 15-1, Steps 7–11.


16. Hang the IV container on an open hook on the IV pole.
    Close the clamp on the existing IV administration set.
    Also, close the clamp on the short extension tubing
    connected to the IV catheter in the patient’s arm.


17. If using an electronic infusion device, remove the current
    administration set from device. Following manufacturer’s
    directions, insert a new administration set into infusion
    device.


18. Put on gloves. Remove the current infusion tubing from
    the access cap on the short extension IV tubing. Using
    an antimicrobial swab, cleanse access cap on extension
    tubing. Remove the end cap from the new administration
    set. Insert the end of the administration set into the access
    cap. Loop the administration set tubing near the entry site,
    and anchor with tape (nonallergenic) close to site.


19. Open the clamp on the extension tubing. Open the clamp
    on the administration set.

ExcellentSatisfactoryNeeds Practice