A

Start

Check doctors
order and IV
sheet of
patient

New IV order?

Explain
procedure to
client
Perform hand
hygiene
Keep IV bag
(unless under
50mL or used
for more than
24 hours)

Determine
what type of
fluid is in the
new IV bag

Prepare the
new IV bottle

Disinfect the
rubber port of
the bottle

Prepare the
necessary
materials

Close clamp of
previous
administration

Check sterility
of the IV
infusion

Kink the
tubing

Is the IV bag clear

and sterile?

Discard IV bag

Spike the
container
without
contaminating

Hang the IV

Proceed to
patients room
with IV bag and
materials

Regulate the flow

rate based on the
duration of the

Document
the change in
patients IV
sheet

End