IV Script

IV THERAPY SCRIPT Upon checking the IV solution, it is indeed the correct
solution, not expired, no cloudiness, no particles, no

discolorations, and no leakages.
A. PREPARATION 9. Check the administration set for sterility.
1. Check doctor’s order 10. Compute for the rate of IV infusion.
- a. Type of solution 1000mL x 20 gtts = 41.66 or 41 to 42 or 40
- b. Route of administration 8 hrs 60
- c. Exact amount (dose) of fluids to be infused 11. I will now make an IV label/tag
- d. Rate of infusion 12. Assess client’s vein.
- e. Duration of infusion or the time over which the Upon checking the client’s vein, there are no complications
infusion is to be completed noted.
- f. Physician’s signature 13. The client’s vein that is suited for venipuncture is located on
2. Good morning po, I am Rica Acunin, student nurse from Far the left dorsal metacarpal.
Eastern University po. 14. I will now open the IV solution container aseptically.
3. For verification purposes po, please state your name po and 15. Disinfect rubber port with cotton ball with alcohol
your birth date. 16. Open administration set aseptically
4. Okay po ma’am/sir, for today you will be having intravenous 17. Close the roller clamp
therapy po to balance the fluids and electrolytes in your 18. Spike the container without contaminating port
body po for hydration; wherein I will be inserting a needle po 19. Hang the IV bottle using the IV stand or hook
through your vein using an IV cannula po. 20. Fill drip chamber to at least half or until the fluid level
5. Now I will perform handwashing. maintaining the sterility of tubing.
6. And position patient accordingly. 21. Prime the tubing while maintaining sterility of the end of
tubing.
B. PROCEDURE 22. Remove all air from tubing (get ready for IV insertion)
SETTING UP AN IV INFUSION
I will now proceed on setting up an IV infusion po CHANGING AN IV INFUSION
7. The articles needed are torniquet, clean gloves, iodine 23. Check doctor’s order in the Doctor’s order sheet and Kardex
wipes, cotton balls, alcohol pad, micropore, IV bottle, IV 24. There are no presence of fluid infiltration, bleeding,
cannula, and infusion set. Then I will put it at the bedside. phlebitis, and blockage in the IV system. The appearance of
8. Check the IV solution the dressing is still good.
25. Obtain the correct solution container
26. Check the sterility of IV solution.
Upon checking the IV solution, it is indeed the correct 46. Withdraw the needle or catheter by pulling it out along the
solution, not expired, no cloudiness, no particles, no line of the vein
discolorations, and no leakages. 47. Immediately apply firm pressure to the site, using sterile
27. I will now make an IV tag with the correct information. gauze, for 2-3 minutes
28. The materials that we I will be needing are new IV solution, I will pull the IV cannula na po ma’am, please take a deep
cotton balls, and bring at the bedside breath po.
29. Good morning po, I am Rica Acunin, student nurse from Far 48. Cover the venipuncture site
Eastern University po. Ma’am please press it po for 1-2 minutes to control the
30. For verification purposes po, please state your name po and bleeding po.
your birth date po. 49. Apply the sterile cotton / dressing
31. Today po, I will just change your IV infusion po since there is 50. Discard the IV solution container properly
an specific time lang po for your previous IV therapy.
32. Open and disinfect rubber port of new IV solution bottle
33. Close roller clamp of administration set C. AFTER CARE
34. Spike the container without contaminating the port 51. Put patient in a comfortable position
35. Regulate the flow rate based on duration of infusion 52. Do after care of all articles and equipment used
36. Remove bubbles (if any)
DISCONTINUING IV INFUSION D. DOCUMENTATION

37. Verify written doctor’s order to discontinue IV 53. Documents the procedure in the IV Fluid sheet, Kardex, and
38. The materials that I will be needing are new IV solution, the Nurses’ notes
cotton balls, micropore, and gloves. a. Time IVF was started, changed or terminated
39. Now I will do the handwashing b. Reasons for doing the procedure
40. For verification purposes po, please state your name po and c. The type of IVF infused, the amount infused, and the
your birth date po. rate/regulation
41. Okay po, today you will discontinue the IV therapy as per d. Effect of the procedure to the patient
doctor’s order. e. Any remarkable or pertinent observations on the patient
42. Close the roller clamp of the IV tubing was done.
43. Don clean gloves
44. Loosen the tape at the venipuncture site
45. Hold sterile gauze (cotton ball) above the venipuncture site
FEU Medical Center FEU Medical Center FEU Medical Center FEU Medical Center
Intravenous Fluid Tag Intravenous Fluid Tag Intravenous Fluid Tag Intravenous Fluid Tag
NAME:_______________________________________ NAME:_______________________________________ NAME:_______________________________________ NAME:_______________________________________

BED NO:_____________________________________ BED NO:_____________________________________ BED NO:_____________________________________ BED NO:_____________________________________
BOTTLE NO:__________________________________ BOTTLE NO:__________________________________ BOTTLE NO:__________________________________ BOTTLE NO:__________________________________
IV FLUID:____________________________________ IV FLUID:____________________________________ IV FLUID:____________________________________ IV FLUID:____________________________________
EXACT DOSE:________________________________ EXACT DOSE:________________________________ EXACT DOSE:________________________________ EXACT DOSE:________________________________
FLOW RATE:_________________________________ FLOW RATE:_________________________________ FLOW RATE:_________________________________ FLOW RATE:_________________________________
DATE & TIME STARTED:_______________________ DATE & TIME STARTED:_______________________ DATE & TIME STARTED:_______________________ DATE & TIME STARTED:_______________________
DATE & TIME TO BE CONSUMED:_______________ DATE & TIME TO BE CONSUMED:_______________ DATE & TIME TO BE CONSUMED:_______________ DATE & TIME TO BE CONSUMED:_______________
EXPIRATION DATE:___________________________ EXPIRATION DATE:___________________________ EXPIRATION DATE:___________________________ EXPIRATION DATE:___________________________
DATE & TIME OF DRESSING CHANGE: ___________ DATE & TIME OF DRESSING CHANGE: ___________ DATE & TIME OF DRESSING CHANGE: ___________ DATE & TIME OF DRESSING CHANGE: ___________
DURATION OF INFUSION:______________________ DURATION OF INFUSION:______________________ DURATION OF INFUSION:______________________ DURATION OF INFUSION:______________________
SIGNATURE:_________________________________ SIGNATURE:_________________________________ SIGNATURE:_________________________________ SIGNATURE:_________________________________



IV Script

Uploaded by

IV Script

Uploaded by

IV THERAPY SCRIPT Upon checking the IV solution, it is indeed the correct

solution, not expired, no cloudiness, no particles, no

DISCONTINUING IV INFUSION D. DOCUMENTATION

NAME:___________________ NAME:_ NAME:_ NAME:___________________

NAME:___________________ NAME:_ NAME:_ NAME:___________________

NAME:___________________ NAME:_ NAME:_ NAME:___________________

You might also like