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This Laboratory Manual of Skill Procedures focuses on Intravenous Therapy. It contains 2 (two) Manuals. The first Manual is the Initiation and maintenance of peripheral Intravenous (IV) therapies, monitoring of established IV’s and the second Manual is the Administration of medication thru heparin lock or the 3 way stopcock. Administering IV drugs are required competencies for healthcare professionals in the Philippines, the ASEAN region and the world.
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This Laboratory Manual of Skill Procedures focuses on Intravenous Therapy. It contains 2 (two) Manuals. The first Manual is the Initiation and maintenance of peripheral Intravenous (IV) therapies, monitoring of established IV’s and the second Manual is the Administration of medication thru heparin lock or the 3 way stopcock. Administering IV drugs are required competencies for healthcare professionals in the Philippines, the ASEAN region and the world. This clinical procedure manual is intended for the College of Nursing Level III students of Western Mindanao State University to develop their skills, knowledge, attitude and values befitting an effective and skilled nurse. The Level III College of Nursing faculty is dedicated in providing these components to enable the successful implementation of each student’s scope of practice. These endeavors will prepare the learners to be competent to practice these skills independently adhering to standard procedure. INTRODUCTION The human body is made up of 50 – 60% water. The balance between water, plasma and electrolytes is essential to maintaining homeostasis within the body. Understanding this balance will enable the Level III Nursing students to assess and manage their patients’ fluid and electrolyte disturbances. Current Intravenous (IV) therapy is less than 100 years old. Yet, it was known as early as the 1600s that medications could be injected into a vein. Because of a lack of understanding about sterility, infection control, and other scientific methods, original attempts to deliver IV fluids and drugs met with little success. The greatest advance in drugs, equipment, and procedures has occurred in the past 25 years. The practice and regulation surrounding IV therapy continues to evolve. Intravenous (IV) therapy is the administration of fluid and electrolytes directly into the client’s circulatory system through a vein. An IV catheter may be placed in a peripheral or a central vein. Factors determining IV placement location include, the length of therapy, type of medication or nutritional solution and physician preference. GOAL: To produce health care professionals who have acquired the fundamental principles and competencies required to begin, maintain, and discontinue intravenous therapy. LEARNING OBJECTIVES: At the end of 20 hours of RLE, utilizing critical thinking and the nursing process, the student can:
RUBRICS for the Student’s Actual Performance This is how you are going to be evaluated by your respective Clinical Instructors after your Supervised Practice Demonstration using the numerical value presented below.
D. Drip Chambers
14 Rights (R’s) of Medication Administration
I. INTRAVENOUS INSERTION and FLUID INITIATION (Please provide the Rationale after each step)
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IV Solution Administration set IV cannula Sterile forceps Cotton balls with alcohol Plaster Tourniquet Sterile gloves Sterile 2x2 gauze or transparent dressing **Rationale:
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**Rationale:
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______________________________________________** Fill drip chamber at least halfway and prime the tubing aseptically **Rationale:
______________________________________________** Expel air bubbles if present Cover distal end of the IV set **Rationale:
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Rationale: _______________________________________**
REFERENCES American Academy of Orthopedic Surgeons (AAOS). (2014). Jones & Bartlett Learning. 8th^ Edition. 5 Wall Street Burlington, MA 01803 Association of Nursing Service Administrators of the Philippines. (2011). IV therapy handout. 9 th^ edition IV therapy Incredibly made easy.(2010). Wolters Kluwer/Lippincott Williams. 4th^ Edition
Silvestri, Linda Anne. (2014). Comprehensive Review for the NCLEX-RN Examination. Saunders Elsevier. Sixth Edition. Willis, L. (2010). IV therapy Incredibly Made Easy. Fourth Edition. Wolters Kluwer Health/Lippincott Williams & Wilkins, ebook Polymed medical services. I.V. Cannula. Retrieved from http://www.polymedicure.comi-v- cannula. Vera, M. (2016). 50 IV therapy tips & tricks: How to hit the vein in one shot. Retrieved from https://nurseslabs.com/50-intravenous-therapy-iv-tips-tricks.