How do you document IV insertion?
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 do you document for an IV assessment?
Gauge and length of catheter and name of product,exact anatomical location (name of vein) including right or left side # of attempts… flush you used… any extension tubing you added and how the patient tolerated the procedure. This is the minimum.
How do you describe an IV site?
Assess the IV insertion site and transparent dressing on IV site. Check IV insertion site for signs and symptoms of phlebitis or infection. Check for fluid leaking, redness, pain, tenderness, and swelling. IV site should be free from pain, tenderness, redness, or swelling.
What documentation is required by the RN for a patient who has an IV in place?
RN will document IV insertion in appropriate nursing documentation (including IV site, type, gauge of catheter and number of attempts). D. A local anesthetic agent may be used when performing IV insertion unless patient refuses or use is contraindicated. (obtain order from physician).
What should a nurse document during IV therapy?
Be sure to include the following items in your charting:
- the date and time you inserted the VAD.
- the anatomic name of the vein accessed.
- the gauge, brand name or type, and length of the catheter.
- the number of attempts needed to insert the VAD.
- what solution or drug the patient is receiving via the VAD, and the flow rate.
How do you teach IV skills?
IV Therapy Tips for Starters
- Stay calm and be prepared. Hitting the bullseye on one try will depend on the nurse’s preparation and skill.
- Exude confidence.
- Assess for needle phobia.
- Observe Infection control measures.
- Assess the vein.
- Feel rather than look.
- Ask your patient.
- Use an appropriate cannula size.
What to record when administering IV fluids?
Document the date and time of the infusion when extravasation was noted, the type and size of catheter, the drug administered, the estimated amount of extravasated solution, and the administration technique used. Document the patient’s signs and symptoms, treatment, and response to treatment.