TPN Utilizing Peripheral and Central Vascular Access

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TPN UTILIZING PERIPHERAL ACCESS

1. Verifies doctor’s prescription. 2. Explains the procedure to reassure patient and significant others (benefits, risks, duration, changes in volume and flow rate, etc.)

3. Secures consent form f orm from f rom patient pa tient authorized member of the family.

and/or and /or

4. Prepares parenteral solution and all other devices needed for the parenteral administration taking into consideration the mode of administration such as: a. Peripheral Access b. Central Access 5. Assesses patient and choose suitable vein, location, and get baseline vital signs 6. Checks the integrity and functionality of the parenteral solution and IV devices. 7. Observes the ten (10) Rs in safe drug administration. administration .

8. Do hand hygiene and throughout the procedure.

maintain

asepsis

9. Prepare TPN solution (follow procedure of Setting Up).

This copy of the procedures from the 7th edition of the Nursing Standards on Intravenous Practice by ANSAP was reproduced for educational purposes of Filipino student nurses and registered nurses who need to review and study the procedures prior to actual IVT training and practicum.

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10. Inserts the IV catheter c atheter aseptically (large, bore catheter. Follow procedure I in IV insertion).

11. Connects the tubng to the prepared parenteral solution and regulate flow rate as prescribed. 12. Dresses IV site as per IV standard. 13. Labels IV site and solution as per IV standard. 14. Continue to reassure patient and do pertinent health education. 15. Disposes waste materials according ac cording to Health Care Waste W aste Management (DOH/DENR). 16. Documents procedure and an d observations observat ions with wit h corresponding nursing intervention in the patient’s chart like I&O, weight daily, etc. 17. Monitors patient pati ent periodically periodicall y and report unusual unusu al findings if any: such as signs of infection, hyper & hypoglycemia, change of color and consistency of solution, etc. 18. Document necessary.

observation

and

intervention

as

19. Reassure patient.

This copy of the procedures from the 7th edition of the Nursing Standards on Intravenous Practice by ANSAP was reproduced for educational purposes of Filipino student nurses and registered nurses who need to review and study the procedures prior to actual IVT training and practicum.

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TPN UTILIZING CENTRAL VASCULAR ACCESS

1. Follow procedure in Procedure of Peripheral Access from steps 1-9.

2. Assist surgeon in Open or Closed Central Vascular Access Procedures (maintain asepsis throughout the procedure). 3. Connects the IV administration set to the central vascular access catheter aseptically and regulate flow rate as prescribed.

4. Assess dressing over central vascular access for swelling, redness, pain and foul smelling discharges. Change dressing aseptically everyday.

This copy of the procedures from the 7th edition of the Nursing Standards on Intravenous Practice by ANSAP was reproduced for educational purposes of Filipino student nurses and registered nurses who need to review and study the procedures prior to actual IVT training and practicum.

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5. Monitor/reassure patient.

6. Document observations necessary.

and circumstances cir cumstances

as

7. Discard waste materials according to Health Care Waste Management (DOH/DENR).

This copy of the procedures from the 7th edition of the Nursing Standards on Intravenous Practice by ANSAP was reproduced for educational purposes of Filipino student nurses and registered nurses who need to review and study the procedures prior to actual IVT training and practicum.

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