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TPN UTILIZING PERIPHERAL ACCESS

1. Verifies doctor’s prescription.

2. Explains the procedure to reassure patient


and significant others (benefits, risks,
duration, changes in volume and flow rate,
etc.)

3. Secures consent form from patient and/or


authorized member of the family.

4. Prepares parenteral solution and all other


devices needed for the parenteral administration
taking into consideration the mode of
administration such as:
a. Peripheral Access
b. Central Access

5. Assesses patient and choose suitable vein,


location, and get baseline vital signs

6. Checks the integrity and functionality of the


parenteral solution and IV devices.

7. Observes the ten (10) Rs in safe drug administration.

8. Do hand hygiene and maintain asepsis


throughout the procedure.

9. Prepare TPN solution (follow procedure of Setting Up).

This copy of the procedures from the 7th edition of the Nursing Standards on Intravenous Practice by ANSAP 1
was reproduced for educational purposes of Filipino student nurses and registered nurses
who need to review and study the procedures prior to actual IVT training and practicum.
Downloaded from IVTeam Phils Hub | ivthub.blogspot.com

10. Inserts the IV catheter aseptically


(large, bore catheter. Follow
procedure I in IV insertion).

11. Connects the tubng to the prepared


parenteral solution and regulate
flow rate as prescribed.

12. Dresses IV site as per IV standard.

13. Labels IV site and solution as per IV standard.

14. Continue to reassure patient and do pertinent health education.

15. Disposes waste materials according to Health Care Waste Management


(DOH/DENR).

16. Documents procedure and observations with


corresponding nursing intervention in the
patient’s chart like I&O, weight daily, etc.

17. Monitors patient periodically and report unusual findings if any: such as
signs of infection, hyper & hypoglycemia, change of color and consistency
of solution, etc.

18. Document observation and intervention as


necessary.

19. Reassure patient.

This copy of the procedures from the 7th edition of the Nursing Standards on Intravenous Practice by ANSAP 2
was reproduced for educational purposes of Filipino student nurses and registered nurses
who need to review and study the procedures prior to actual IVT training and practicum.
Downloaded from IVTeam Phils Hub | ivthub.blogspot.com

TPN UTILIZING CENTRAL VASCULAR ACCESS

1. Follow procedure in Procedure of Peripheral Access from steps 1-9.

2. Assist surgeon in Open or Closed Central


Vascular Access Procedures (maintain asepsis
throughout the procedure).

3. Connects the IV administration set to the


central vascular access catheter aseptically
and regulate flow rate as prescribed.

4. Assess dressing over central vascular access


for swelling, redness, pain and foul smelling discharges. Change dressing
aseptically everyday.

This copy of the procedures from the 7th edition of the Nursing Standards on Intravenous Practice by ANSAP 3
was reproduced for educational purposes of Filipino student nurses and registered nurses
who need to review and study the procedures prior to actual IVT training and practicum.
Downloaded from IVTeam Phils Hub | ivthub.blogspot.com

5. Monitor/reassure patient.

6. Document observations and circumstances as


necessary.

7. Discard waste materials according to Health Care Waste Management


(DOH/DENR).

This copy of the procedures from the 7th edition of the Nursing Standards on Intravenous Practice by ANSAP 4
was reproduced for educational purposes of Filipino student nurses and registered nurses
who need to review and study the procedures prior to actual IVT training and practicum.