This is the process of examining the site of an intravenous line after insertion. The procedure is carried out by the nurse half hourly, hourly or when the electronic device beeps.
Aims
· Detect/determine patency of IV line
· Prevent complications e.g. infiltration or extravasation
· Prevent bleeding
· Prevent pain and discomfort
Requirements
a. A tray containing the following:
· Cotton wool swabs
· Adhesive tape
· Methylated spirit
· Gallipot
· Receiver for used swabs
· Examination gloves
b. Light source
Steps
1. Establish rapport (refer steps)
2. Explain procedure to child or caregiver/family (refer steps)
3. Allow caregiver to take a decision of either staying or leaving the resuscitation area
4. Perform hand hygiene 5. Identify the ongoing need of the IV line
5. Compare IV fluid rate with the order given
6. Visualize the IV site, the dressing, and the tubing 4 hourly with appropriate light noting any:
· Swelling
· Leakage
· Colour changes
· Symptoms of circulatory impairment
7. Compare the two limbs for changes
8. Palpate above and below insertion site for pain and feel for the temperature
9. Identify and manage complications if any
10. Dispose off, decontaminate and clean used items
11. Appreciate child, caregiver/family for their cooperation
12. Document findings in nurses note
13. Documents finding nurses notes
14. Notifies Ward Manager and Paediatrician
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