Equipment
■ Clean nonsterile gloves, sterile 2 in. 2 in. gauze dressings.
■ 1-in. tape or transparent semipermeable dressing.
■ Linen-saver pad.
Assessment
■ Verify the order and assess the patient’s readiness to have the IV fluid discontinued (e.g., tolerating oral fluids, has adequate urine output, laboratory values are within normal limits). Post-Procedure Reassessment
■ Assess the integrity of the removed catheter; compare the length to the original insertion length to ensure the entire catheter is removed.
■ Be Smart! If a catheter defect is noted, report to the manufacturer and regulatory agencies and complete an incident report according to agency policy.
■ Monitor the patient’s response to oral fluids after IV therapy is discontinued. Note changes in the patient’s condition that might indicate the need to re-establish IV therapy.
Key Points
■ Be Smart! Place a linen-saver pad under the extremity with the IV catheter to prevent soiling patient’s clothing or bed linen.
■ Don clean nonsterile gloves, and close the roller clamp on the administration set.
■ Carefully remove the IV dressing, catheter stabilizer, and tape securing the tubing.
■ Scrub the catheter-skin junction with an antiseptic pad.
■ Place a sterile 2 in. 2 in. gauze pad above the IV insertion site and gently remove the catheter. Do not press on the gauze pad while removing the catheter.
■ Be Safe! Apply firm pressure with the gauze pad over the insertion site. Hold pressure for 1 to 3 minutes; hold longer if bleeding persists.
■ Apply a folded sterile 2 in. 2 in. gauze pad. Secure it with tape.
Documentation
■ You will usually record this procedure on a flowsheet or in the electronic patient record.
■ Chart the date and time IV therapy was discontinued.
■ Note the condition of the site, including the presence of any complications.
■ If complications are present, document your interventions and notify the primary care provider.
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| Do not press on the pad while removing the catheter |
3 comments:
Due 11/13/2020
IV cannula sizes and flow rates are crucial considerations in medical settings. Proper selection ensures optimal fluid delivery without compromising patient safety. Understanding the relationship between cannula size and flow rates enhances precision in healthcare interventions, promoting efficient treatment outcomes.
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