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When inserting an I.V. device, document: date and time of insertion. the type, length, and gauge of the catheter inserted. the name of the vein cannulated. number and location of attempts. the type of dressing applied to the site. how the patient tolerated the procedure. your name and credentials.
IV fluid therapy is ordered by a physician or nurse practitioner. The order must include the type of solution or medication, rate of infusion, duration, date, and time.
Accurate and complete documentation regarding IV initiation should include the following: Date/Time of procedure. Manufacturers brand name of device. Gauge and length of device.
PIVC assessment includes: Assessment of PIVC insertion site: Assessment is to include the catheter position, patency/occlusion, limb symmetry, any signs of phlebitis (erythema, tenderness, swelling, pain etc.) pressure injuries, and for signs of infiltration/extravasation injuries.
Type, brand, length, and size of vascular device. Date and time of insertion, number and location of attempts, type of catheter stabilization and dressing, patients response to the insertion, and identification of the person inserting the device. Use of visualization and guidance technologies.
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Assess the IV insertion site and transparent dressing on IV site. Check IV insertion site for signs and symptoms of phlebitis or infection. Check for fluid leaking, redness, pain, tenderness, and swelling. IV site should be free from pain, tenderness, redness, or swelling.
What are signs of an infiltration/extravasation? Redness around the site. Swelling, puffy or hard skin around the site. Blanching (lighter skin around the IV site) Pain or tenderness around the site. IV not working. Cool skin temperature around the IV site or of the scalp, hand, arm, leg or foot near the site.
How to accurately document I.V. insertion the date and time you inserted the VAD. the anatomic name of the vein accessed. the gauge, brand name or type, and length of the catheter. the number of attempts needed to insert the VAD. what solution or drug the patient is receiving via the VAD, and the flow rate.

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