ASSISTING I.V.

INSERTION

Name: Mary Grace G. Rivera Yr. & Sec.BSN2D Grade:___________

Legend:
1- excellent
2- Very satisfactory
3- Satisfactory
4- Needs improvement
5- Poor

PROCEDURE RATIONALE E VS S NI P
1 2 3 4 5

1. Wash hands. Reduce microorganism transfer

2. Prepare the equipment.
3. Check the information label of the
I.V. solution container, including the
patient’s name and room number, the
type of solution, the time & date of it’s
preparation, the preparer’s name and
the ordered infusion rate.
4. Compare the solution label with the
doctor’s order.
5. Remove the protective cap of the
solution bottle.
6. Take out the I.V. set from the
package.
7. Remove the protective cap of the
I.V. set needle/puncture device.
8. Close the clamp of the I.V. tubing.
9. Insert the I.V. set needle/puncture
device into the rubber port of the
solution bottle.
10. Fill the drip chamber with I.V.
solution by pressing lightly on it.
PROCEDURE
11. Open the I.V. tubing clamp and fill
tubing completely with solution,
Facilitate efficiency and
organization
Ensures the right the IV and patient
to prevent administration errors.
Avoid administration error and
ensures client is receiving the
correct therapy
Keep IV tubing port sterile at all
times. If IV tubing port becomes
contaminated, dispose of it
immediately and replace.
Check if the set is still sealed and
sterile that is to be inserted into the
rubber port of the solution bottle.
This gives access to the puncture
device that is to be inserted in the
solution bottle, making sure the
device is still sterile.
Stops the infusion to prevent air
bubbles from forming in IV tubing.
Make sure that the device is sterile
before inserting it to the solution
bottle using the sterile technique.
Filling the drip chamber prevents
air from entering the IV tubing.
RATIONALE 1 2 3 4 5
Fluid in the drip chamber helps
prevent air from being introduced
purging air out. into IV tubing.

12.. Bring the equipment together with Promotes efficiency and make the
the prepared I.V. solution at patient’s equipment and materials accessible
bedside. during the procedure.
13. Check patient’s identity. Avoid administration errors and
ensures right patient is receiving the
right therapy
14. Explain procedure. Promotes cooperation and reduces
patient’s anxiety
15. Wash hands. Reduce microorganism transfer
16. Place the patient in a comfortable Provide comfort while making the
reclining procedure leaving the arm in arm accessible for insertion.
a dependent position to increase
capillary fill of the lower arm and hand.
17. If the patient’s arm is cold, warm it Provide comfort and easy visibility
by rubbing and stroking the arm or of the vein
cover the entire arm with warm packs
for 5-10 minutes.
18. Clean the I.V. insertion with Prevent contamination.
povidone- iodine or alcohol in a
circular motion, from inside to out.
19. Do not touch the cleansed area and Reduce microorganism transfer and
instruct the patient to do the same. reduces contamination.

20. Place the I.V. pole in the proper Prevents backflow of blood in the
slot in the patient’s bed frame or if tubing and dislodging
using a portable I.V. pole, position it
close to the patient.
21. Hang the I.V. bottle on the I.V The IV bag should be
approximately one metre above the
IV insertion site.
22. After insertion of the I.V. catheter Avoid further injury and needle
by the doctor or trained I.V. therapy prick
nurse, dispose the needles/ stylet in a
sharps container.
23. Regulate the flow rate. This step ensures the IV solution is
infusing at the correct rate.
24. Secure the device with a Prevent the device from dislodging
transparent semipermeable dressing or and ensures it is secured in its
by the use of an adhesive bandage. position
PROCEDURE RATIONALE 1 2 3 4 5
25. Loop the I.V. tubing on the Secure position and prevents device
patient’s limb, and secure the tubing from dislodging
with tape or bandage.

26. Adjust the flow rate as ordered. Ensures right rate is regulated
27. If puncture site is near a movable Prevents dislodging and promotes
joint & secure it with a roller gauze or security of device’ position.
tape to provide stability.
28. Label the last piece of tape with the
type, gauge of needle, and length of the
cannula; date and time of insertion; and
your initials.
29. Wash hands.
30. Document procedure.
REMOVING A PERIPHERAL I.V.
LINE
1. Check the doctor’s order and verify
the patient’s name and room number.
2. Prepare the equipment.
3. Bring equipment to bedside.
4. Explain procedure.
5. Clamp the I.V. tubing to stop the
flow of solution.
6. Gently remove the transparent
dressing and all tape or bandages from
the skin if possible, use alcohol or
acetone to disable adhesive.
7. Using the aseptic technique, open the
gauze pad and adhesive bandage and
place them within reach.
8. Put on gloves.
9. Hold the sterile gauze pad over the
puncture site with one hand & use your
other hand to withdraw the cannula
slowly & smoothly, keeping it parallel
to the skin.
PROCEDURE
10. Using the gauze pad, apply firm
pressure on the site for 1-2 minutes
after removal or until the bleeding has
stopped.
11. Clean the site and apply the
adhesive bandage or if blood oozes,
apply a pressure bandage.
12. Instruct the patient to restrict
activity for about 10 minutes and to
leave the dressing in place for at least
an hour.
13. Do after care.
14. Wash hands.
15. Document procedure.
Label IV solution bag as per agency
policy. Do not write directly on the
IV bag.
Reduce contamination and
microorganism transfer
Undocumented procedure is
considered undone.
Avoid administration errors and
ensures patient is receiving the right
therapy.
Facilitates efficiency and
organization.
Make the equipment and materials
accessible during the procedure.
Promote cooperation and reduce
anxiety.
Stops flow and leakage while
discontinuing the IV
Makes the tape easier to be
removed.
Promotes sterility and avoid
contamination
Reduce microorganism transfer.
Pulling the cannula slowly prevents
discomfort for the patient and avoid
pain while removing.
RATIONALE 1 2 3 4 5
To prevent from massive bleeding
of the site.
Reduce microorganism transfer.
Prevent the site from receiving
pressure and causes bleeding.
Leave the area clean and
comfortable for the patient.
Reduce microorganism transfer.
Undocumented procedure is
 considered undone.

COMMENT:
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Student’s Signature over Printed Name

Clinical Instructor’s Signature