Assessment/Planning:
Gather all equipments, as follows: Administration set, Sterilize gauze, Tape or label, IV tubing, Sterile dressing and antiseptic, Clean disposable gloves and solutions ointment. Check IV solution and medication additives with physician orders.
Implementation:
Explain procedure to client. Wash hands. Carefully remove protective cover from the new solution container and expose entry site. Open administration set and removes protective covering from infusion spike. Using sterile technique, insert into new container. Close clamp on new tubing. Hang IV container on pole and squeeze drip chamber to fill at least halfway. Remove cap at end of tubing, release clamp and allow fluid to move through tubing until air bubbles have disappeared. Close clamp and recap and tubing maintaining sterility of setup. Loosen tape at IV insertion site. Don clean, disposable gloves. Carefully remove dressing and tape. Place sterile gauze square under needle hub. Place new IV tubing to client’s IV site, and loosen protective cap. Clamp the old IV tubing. Steady the needle hub with nondominant hand until change is completed. Remove tubing with dominant hand using a twisting motion. Set old tubing aside. While maintaining sterility, carefully remove cap and insert sterile end of tubing into the needle hub. Twist to secure it. Remove soiled gloves. Open the clamp. Reapply sterile dressing to site according to agency protocol. Regulate the IV flow according to physician’s order. Attached to IV tubing tape or label that states date, time, and your initials. Label container and record procedure according to agency policy. Discard used equipment in proper manner and wash hands.
Evaluation:
Record client’s response to IV infusion.
