Intravenous therapy


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  • Established in 1993 as a guide for those who are & will be practicing intravenous therapy. PRC BON No. 08 series, feb 4, 1994 , the maiden issue (first edition) of the Intravenous standards on intravenous therapy was printed and circulated.First used in Cagayan de Oro City where Training for Trainors conducted June 9 – 11, 1994, after the ANSAP Board Members and advises had undergone the Training fortrainors at Philippines Heart Center on October 1993.
  • Another revision was required to incorporate PRC – BON’s protocol of May 1995. Because of the new concept and evolving technology, more revisions was deemed necessary.Revisions were made by ANSAP’s special committee collaborated with PRC – BON to ensure a safe & quality nursing practice in Intravenous therapy.
  • This ordinance (Appendix 3) was passed in 1991 by the Metropolitan Manila Council (now called as Metro Manila Development Authority), a political body covering Metro Manila.
  • The highlight of this ordinance is the provision obliging all hospitals in Metro Manila to use
  • Promotion of Voluntary Blood DonationTo ensure adequate supply of human blood, voluntary blood donation shall be promoted through the following:
  • Department, PBCC, Philippine Society of Hematology and Blood Transfusion (PSHBT), Philippine Society of Pathologists (PSP), Philippine Medical Association (PMA), Philippine Association of Medical Technologists (PAMET) and the Philippine Nursing Association (PNA)
  • Establishment of bld services network - The collection of blood in various areas in the community, such as schools, business enterprises, barangays, and military camps shall be promoted.Walking blood donors - In areas where there may be inadequate bloodbanking facilities, the walking blood donor concept shall be encouraged and allgovernment hospitals, ruralhealth units, health centers and barangays in these areas shall be required to keep at all times a list of qualified voluntary blood donors with their specified blood typing.
  • Intravenous therapy

    1. 1. Intravenous Therapy Course<br />
    3. 3. Learner Responsibilities<br />Be on time.<br />Make sure to sign the attendance sheet .<br />No eating and drinking inside the VITAL Classroom.<br />No picture taking and video recording inside the VITAL classroom and VIRTUAL LAB<br />Cellphones must be turned on silent mode.<br />Observe proper decorum.<br />Complete the hours & requirements of the course.<br />
    4. 4. During Return – Demonstration:<br />Don’t bring checklist & ballpen inside the VIRTUAL lab.<br />Don’t touch manikin unless otherwise instructed by the trainer.Wear clean gloves.<br />Don’t use alcohol but water when cleaning manikin.<br />Trainer will provide torniquet for venipuncture insertion.<br />
    5. 5. Objectives<br />Discuss the basic foundation of IV therapy according to the following:<br /><ul><li>Historical background of IV therapy
    6. 6. Philosophy
    7. 7. Standards and competencies of IV therapy</li></ul>Differentiate intravenous solutions according to content, osmolarity and anticipated outcome following use. <br />
    8. 8. Objectives<br />Understand infection control principles in performing intravenous therapy to patients thoroughly.<br />Differentiate intravenous complications and its proper management in patients receiving intravenous therapy.<br />Differentiate continuous, intermittent and direct intravenous delivery methods.<br />Calculate intravenous flow rates correctly.<br />
    9. 9. Demonstrate initiation, maintenance & discontinuation of the following intravenous therapy procedures:<br />Intravenous fluids<br />Blood transfusion <br />Perform administration & incorporation of intravenous medications in different infusion methods.<br />
    10. 10. Demonstrate proper venipuncture in peripheral intravenous line correctly.<br />Perform appropriate documentation of initiation, maintenance & discontinuation of intravenous therapy.<br />
    11. 11. Before entering the course, the student should be able to demonstrate competency in:<br />handwashing;<br />assessing of vital signs;<br />standard precautions;<br />principles of aseptic technique;<br />medication calculations;<br />medication administration.<br />
    12. 12. Historical background<br />
    13. 13.
    14. 14.
    15. 15. Philosophy<br />
    16. 16. Philosophy<br />The Association of the Nursing Service Administrators of the Philippines, Inc. (ANSAP) envisions itself to be a cohesive, pro – active, professional association, committed to excellence in nursing. <br />It believes that safe and quality nursing care to patients is the primary responsibility of nurses. <br />
    17. 17. Philosophy<br />It believes that those who practice Intravenous therapy nursing are only those registered nurses who are adequately trained and have completed the training requirements in the Intravenous Therapy Training Program for Nurses as prescribed by ANSAP, based on PRC – BON Res. No. 08 series 1994, in compliance with 1991 RA 7164, otherwise known as Philippine Nursing Act of 1991, Art. V Sec. 27.<br />
    18. 18. Philosophy<br />It believes that its mission is fulfilled when all Intravenous Therapy Nurses are proficient and competent in all clinical aspects of Intravenous Therapy.<br />
    19. 19. ANSAP<br />Nursing Standards on Intravenous Practice<br />
    20. 20. Definition<br />Intravenous therapy<br /><ul><li>Insertion of a needle or catheter / cannula into a vein, based on the physician’s written prescription. </li></li></ul><li>Objectives<br />Serve as guide for nurses in providing safe and quality nursing care to patients, relative to IV Therapy.<br />Promote the application of principles underlying the administration of IV Therapy.<br />Recognize the ethico – legal implications of IV Therapy.<br />
    21. 21. Scope of Practice<br />Role Definition<br />The IV nurses are RNs committed to ensure the safety of all patients receiving IV Therapy.<br />
    22. 22. Scope of Practice<br />B. Description of Practice<br />1. Ethico – legal implications<br />ANSAP, Inc. upholds quality nursing practice and is going to continue with the IV Training for the following reasons:<br />1.1. Nursing curriculum does not provide in – depth training in parenteral IV drug administration.<br />1.2 The Nurse Administrator has the command responsibility for the whole nursing practice in the Health Care Facility.<br />
    23. 23. Scope of Practice<br />1.3 Globally, the IV Therapy certification is a mandatory requirement for the nurse practitioner.<br />1.4 IVT is voluntary, only those nurses who are adequately trained and have completed the training requirements in the IVT Program for Nurses as prescribed by ANSAP will be issued and IV Certificate of Training and the IVT Card of ANSAP.<br />
    24. 24. Scope of Practice<br />2. Basis of Practice<br />2.1 Legal therapeutic prescription of a licensed physician.<br />2.2 Thorough knowledge of the vascular system, interrelatedness of the body system with proficiency in the skill of the IV Therapy.<br />2.3 Recognition of holistic approach to patient care.<br />
    25. 25. Scope of Practice<br />2.4 Collaboration with members of the health care team<br />2.5 Net working and linkages with the external environment.<br />2.6 Individual professional accountability.<br />
    26. 26. Scope of Practice<br />2.7 The utilization of the Nursing Process, through:<br />A – Collection of pertinent data to arrive at a Nursing Diagnosis<br />P – Formulation of nursing care plan relevant to IV Therapy<br />I – Nursing Activities<br />E – Assessment of the effectiveness of care, based on pre – determined objectives<br />
    27. 27. Scope of Practice<br />3. Clinical Skills<br />The IV Therapy nurses shall be proficient and competent in all clinical aspects of the IV therapy.<br />4. Procedures<br />a.Carry out physician’s prescription for IV Therapy<br />b. Perform peripheral venipuncture<br />c. Based on physician’s written prescription, prepare, initiate, monitor, and terminate IV therapy.<br />
    28. 28. Scope of Practice<br />d. Determine solution & medication incompatibilities.<br />e. Change IV site, tubings, dressings, according to IVT Standards.<br />f. Establish flow rates of solutions, medications, blood and blood components as prescribed.<br />
    29. 29. Scope of Practice<br />Proficient technical ability in the use, care, maintenance and evaluation of IV equipment.<br />h. Nursing management of patients receiving IV therapy and peripheral/central/parenteral nutrition in various set – ups .<br />
    30. 30. Scope of Practice<br />i. Adherence to established infection control practices.<br />j. Observation & assessment of all adverse reactions.<br />k. Appropriate documentation relevant to the preparation, administration, termination of all forms of IVT.<br />
    31. 31. Scope of Practice<br />5. Indications of IV Therapy<br />a.Maintain hydration and / or correct dehydration in patients unable to tolerate sufficient volumes of oral fluids / medications.<br />b.Parenteral Nutrition<br />c.Administration of drugs<br />d.Transfusion of blood or blood components<br />
    32. 32. Scope of Practice<br />6. Contraindications <br />Administration of irritant fluids or drugs through peripheral access.<br />
    33. 33. 10 golden rules for administering drugs safely<br />
    34. 34.
    35. 35.
    36. 36.
    37. 37.
    38. 38.
    39. 39. Type of Fluid<br />Medication additives & flow rate<br />Electronic infusion device<br />Duration of therapy & nurse’s signature<br />
    40. 40.
    41. 41. Location & condition of insertion site<br />Complications, patient’s response & nursing interventions<br />Patient teaching & evidence of patient understanding instructions or perform a return demonstration<br />Signature of nurse<br />Other observations<br />
    42. 42.
    43. 43. Measures to reduce patient’s risks<br />
    44. 44.
    45. 45. Objectives<br />(I) prevent hospital acquired infection; <br />(2) environmental protection; <br />(3) protection of hospital personnel and visitors, garbage collectors, scavengers and the community at large.<br />
    46. 46. The ordinance classifies hospital waste and prescribes the use of a color coding of waste bags to identify the types of wastes.<br />It provides for the standard storage procedures and the alternative disposal system such as incinerator system, enclosed burning pit, ground pits and the sewage disposal system for hospital waste<br />
    47. 47. (4) types of trash bags for easy identification of waste<br />
    48. 48.
    49. 49.
    50. 50. National Blood Services Act<br />of 1994<br />
    51. 51.
    52. 52.
    53. 53.
    54. 54. Next module… <br />