How do you document IV insertion?

How to accurately document I.V. insertion

  1. the date and time you inserted the VAD.
  2. the anatomic name of the vein accessed.
  3. the gauge, brand name or type, and length of the catheter.
  4. the number of attempts needed to insert the VAD.
  5. what solution or drug the patient is receiving via the VAD, and the flow rate.

What are the steps to insert and IV?

Procedure Steps

  1. Introduce yourself to the patient.
  2. Sanitise your hands using alcohol cleanser.
  3. Re-check the vein.
  4. Clean the patients skin with the alcohol wipe.
  5. Remove the needle cover.
  6. Flashback of blood is seen in the hub.
  7. Advance the rest of the cannula into the vein.
  8. Remove the needle.

How would you describe a good IV site?

IV site should be free from pain, tenderness, redness, or swelling. Ensure patient is informed to alert the health care provider if they experience pain or notice swelling or redness at the IV site. If patient is unable to report pain at IV site, more frequent checks are required.

What should be included in IV documentation?

When inserting an I.V. device, document:

  • date and time of insertion.
  • the type, length, and gauge of the catheter inserted.
  • the name of the vein cannulated.
  • number and location of attempts.
  • the type of dressing applied to the site.
  • how the patient tolerated the procedure.
  • your name and credentials.

What is the right documentation in IV therapy?

Throughout I.V. therapy, document the patient’s tolerance of the therapy, site appearance (include standardized scales for phlebitis, infiltration, and extravasation, if they occur), site care, and reinforcement of patient and family teaching.

What are the possible complications of IV insertion?

Complications include infection, phlebitis and thrombophlebitis, emboli, pain, haematoma or haemorrhage, extravasation, arterial cannulation and needlestick injuries. Careful adherence to guidelines and procedures can minimise these risks.

How do you document IV dressing?

The following should be documented in the resident’s medical record: a. Date, time, type of dressing, and reason for dressing change. b. Any complications/intervention related to insertion site or surrounding area.

What is the required nursing care activities for the IV?

When administering IV fluids to a patient, the nurse must continually monitor the patient’s fluid and electrolyte status to evaluate the effectiveness of the infusion and to avoid potential complications of fluid overload and electrolyte imbalance.