INTRAVENOUS THERAPY
PROCEDURE MANUAL
-1-
, LETTER OF ACCEPTANCE
__________________________________________ hereby approves
(Facility)
the attached Reference Manual as of _____________________.
(Date)
The Intravenous Therapy Procedure Manual will be reviewed at least
annually or more often when deemed appropriate. Revisions will be
reviewed as they occur.
Current copies of the Intravenous Therapy Procedure Manual shall be
maintained at each appropriate nursing station.
I have reviewed this manual and agree to its approval.
__________________________
(Administrator)
__________________________
(Director of Nursing)
__________________________
(Medical Director)
-2-
, TABLE OF CONTENTS
TABLE OF CONTENTS
INTRODUCTION
A. Purpose 1
B. Local Standard of Practice 1
RESPONSIBILITIES
A. Responsibilities: M Chest Pharmacy 1
B. Responsibilities: Administrator 1
C. Responsibilities: Director of Nursing Services (DON/DNS) 1
D. Skills Validation 2
AMENDMENTS
GUIDELINES
A. Resident Candidacy for IV Therapy 1
B. Excluded IV Medications and Therapies 1
C. Processing the IV Order 1
D. IV Solutions/Medications: Storage 2
E. IV Solutions/Medications: Handling 3
F. IV Solutions and Supplies: Destroying and Returning 4
G. IV Tubing 5
H. Peripheral IV Catheters and Needles 6
I. Central Venous Devices 7
J. Documentation and Monitoring 8
K. IV Medication Administration Times 9
L. Emergency IV Supplies 10
I
, TABLE OF CONTENTS
PROTOCOLS
A. IV Antibiotic 1
1. Purpose
2. Guidelines
3. Nursing Responsibilities
B. IV Push 2
1. Purpose
2. Guidelines
C. Anaphylaxis Allergic Reaction 4
1. Purpose
2. Guidelines
3. Nursing Responsibilities and Interventions
4. Signs and Symptoms of Anaphylaxis
5. Drugs Used to Treat Anaphylaxis
6. Physician Protocol
PRACTICE GUIDELINES
A. Purpose 1
B. Personnel 1
C. Competencies 1
D. Definitions 1
E. Resident Outcome 2
F. Staff Outcome 2
G. System Outcome 2
H. Implementation Parameter 3
I. Area of Intervention Responsibility 4
1. Assessment
2. Planning
3. Implementation
4. Outcome Evaluation
5. Documentation
II
PROCEDURE MANUAL
-1-
, LETTER OF ACCEPTANCE
__________________________________________ hereby approves
(Facility)
the attached Reference Manual as of _____________________.
(Date)
The Intravenous Therapy Procedure Manual will be reviewed at least
annually or more often when deemed appropriate. Revisions will be
reviewed as they occur.
Current copies of the Intravenous Therapy Procedure Manual shall be
maintained at each appropriate nursing station.
I have reviewed this manual and agree to its approval.
__________________________
(Administrator)
__________________________
(Director of Nursing)
__________________________
(Medical Director)
-2-
, TABLE OF CONTENTS
TABLE OF CONTENTS
INTRODUCTION
A. Purpose 1
B. Local Standard of Practice 1
RESPONSIBILITIES
A. Responsibilities: M Chest Pharmacy 1
B. Responsibilities: Administrator 1
C. Responsibilities: Director of Nursing Services (DON/DNS) 1
D. Skills Validation 2
AMENDMENTS
GUIDELINES
A. Resident Candidacy for IV Therapy 1
B. Excluded IV Medications and Therapies 1
C. Processing the IV Order 1
D. IV Solutions/Medications: Storage 2
E. IV Solutions/Medications: Handling 3
F. IV Solutions and Supplies: Destroying and Returning 4
G. IV Tubing 5
H. Peripheral IV Catheters and Needles 6
I. Central Venous Devices 7
J. Documentation and Monitoring 8
K. IV Medication Administration Times 9
L. Emergency IV Supplies 10
I
, TABLE OF CONTENTS
PROTOCOLS
A. IV Antibiotic 1
1. Purpose
2. Guidelines
3. Nursing Responsibilities
B. IV Push 2
1. Purpose
2. Guidelines
C. Anaphylaxis Allergic Reaction 4
1. Purpose
2. Guidelines
3. Nursing Responsibilities and Interventions
4. Signs and Symptoms of Anaphylaxis
5. Drugs Used to Treat Anaphylaxis
6. Physician Protocol
PRACTICE GUIDELINES
A. Purpose 1
B. Personnel 1
C. Competencies 1
D. Definitions 1
E. Resident Outcome 2
F. Staff Outcome 2
G. System Outcome 2
H. Implementation Parameter 3
I. Area of Intervention Responsibility 4
1. Assessment
2. Planning
3. Implementation
4. Outcome Evaluation
5. Documentation
II
