RATIONALE

1. Verify doctor’s prescription in doctor’s order To ensure that the order has all the necessary parts and is
sheet; countercheck IV label, infusate sequence, accurate and appropriate for the specific patient. Making
type amount, additives (if any), and duration of an IV level is also important specifically to correct an
infusion. existing electrolyte or acid-base disorder.
2. Observe principles in giving medications (10 Rs)
3. Assess and inform the patient of the  Assess the IV site if infiltration or inflammation
discontinuation of IV infusion. occurs.
 Informing the client encourage cooperation of the
client and helps ease his / her worries.
4. Prepare necessary materials; IV tray or injection Organization facilitates accurate skill performance and
tray with sterile cotton balls with alcohol, plaster improve nurse efficacy.
and kidney basin.
5. Wash hands before and after the procedures. To prevent the spread of infection.
6. Close the roller clamp.  Clamp the infusion tubing, this prevents the fluid
from flowing out of the needle onto the client or
bed.

7. Moisten adhesive tapes around the IV catheter
with cotton ball with alcohol; remove plaster
gently.
 Moistening the ashesive tape with cotton with
alcohol makes the tape easier to remove.
 Removing plaster one at a time prevents
dislodgment of the catheter or needle in case
tubing becomes entangled between layers of
dressing.

8. Without applying pressure, remove needle or IV
catheter then immediately apply pressure over the
venipuncture site with cotton ball.
 Pressure helps stop the bleeding and prevents
hematoma formation.
 Withdraw the needle or IV catheter by pulling it
out along the line of the vein. Pulling it out in line
with the vein avoids injury to the vein

9. Inspect IV catheter for completeness.
10. Place dressing over the venipuncture site.
11. Discard all waste materials including the IV
cannula according to Health Care Waste
Management.
Check the catheter to make sure it is intact and if a piece
of tubing remains in the client's vein it could move
centrally and cause serious problems
Apply the sterile dressing. This continues the pressure
and covers the open area in the skin, preventing infection.
 Discard the IV set according to agency practice.
Needles should be placed in a labeled, puncture
resistant container design for which.

12. Reassure patient.

13. Document time of discontinuance, status of Documentation provides coordination of care. Record the
insertion site and integrity of IV catheter and procedure in the patient's nursing chart.
endorse accordingly.
DISCONTINUING AN IV INFUSION