{"id":991,"date":"2015-06-22T23:12:37","date_gmt":"2015-06-23T03:12:37","guid":{"rendered":"https:\/\/pressbooks.bccampus.ca\/clinicalproceduresforsaferpatientcaretrubscn\/chapter\/8-9-summary\/"},"modified":"2019-09-30T14:30:12","modified_gmt":"2019-09-30T18:30:12","slug":"8-13-summary","status":"publish","type":"chapter","link":"https:\/\/pressbooks.bccampus.ca\/clinicalproceduresforsaferpatientcaretrubscn\/chapter\/8-13-summary\/","title":{"raw":"8.13 Summary","rendered":"8.13 Summary"},"content":{"raw":"Infusion therapy is a common treatment in the hospital setting, and vital for patient recovery. The safe management of IV equipment and procedures related to IV therapy is an essential skill for safe patient care. This chapter reviewed the skills necessary to care for a patient receiving IV therapy, and the benefits and complications related to peripheral intravenous therapy, central venous catheters, blood and blood products, and PN.\r\n<div class=\"bcc-box bcc-success\">\r\n<h3 style=\"text-align: center\">Key Takeaways<\/h3>\r\n<ul>\r\n \t<li>Use strict aseptic technique when preparing and maintaining all IV solutions and equipment. Most complications related to IV therapy can be prevented.<\/li>\r\n \t<li>Be alert and vigilant, and assess for complications as per agency policy.<\/li>\r\n \t<li>Keep up to date with recommendations for safe care with IV therapy from the Centers for Disease Control and Canadian Patient Safety Institute.<\/li>\r\n \t<li>There are many types of equipment and procedures related to IV therapy. Educate yourself on the various types of equipment and devices to care for your patient safely.<\/li>\r\n \t<li>Receive the appropriate training for initiating IVs, CVC care and maintenance, and blood and blood product transfusions.<\/li>\r\n \t<li>Remember that patients on IV therapy are at an increased risk for fluid overload. These patients include the elderly, young, and those with cardiac and\/or renal disease.<\/li>\r\n \t<li>Follow all transfusion policies to avoid transfusion errors. Be alert to the potential complications of blood and blood product transfusions.<\/li>\r\n \t<li>Complete all daily assessments related to a patient receiving PN. These patients are generally quite ill and have a diminished ability to tolerate complications.<\/li>\r\n<\/ul>\r\n<\/div>\r\n<h2>Suggested Online Resources<\/h2>\r\n1. <a href=\"http:\/\/www.transfusionmedicine.ca\/resources\/clinical-guide-transfusion\" target=\"_blank\" rel=\"noopener\">Canadian Blood Services: Clinical Guide to Transfusion<\/a>. These educational materials provide guidelines for the care of patients receiving blood or blood products. This information includes blood administration, adverse reactions, blood components, emergency transfusions, pediatric and neonatal transfusions, and more.\r\n\r\n2. <a href=\"http:\/\/testandcalc.com\/quiz\/index.asp\" target=\"_blank\" rel=\"noopener\">Drug Calculations<\/a>. This medication calculation website reviews how to calculate the dosages for parenteral and non-parenteral medications, and IV fluids. It also includes metric conversions and IV drop rate calculations.\r\n\r\n3. <a href=\"https:\/\/www.scribd.com\/document\/135309431\/CentralVenousCatheters-pdf\">Fraser Health: Central Venous Catheters\u00a0in Adult Patients<\/a>. This self-learning online module is designed for health care professionals and covers central venous catheter (CVC) care and maintenance.\r\n\r\n4. <a href=\"https:\/\/www.yumpu.com\/en\/document\/view\/7942615\/peripheral-intravenous-initiation-fraser-health-authority\">Fraser Health: Peripheral Intravenous Initiation<\/a>. This self-study online module covers initiating intravenous (IV) therapy.\r\n\r\n5. <a href=\"http:\/\/catalogue.pearsoned.co.uk\/samplechapter\/0131186116.pdf\" target=\"_blank\" rel=\"noopener\">Intravenous Fluid Selection<\/a>. This sample chapter from a textbook describes the selection of IV fluids and solutions, and includes study questions as well.\r\n\r\n6. <a href=\"http:\/\/journals.lww.com\/nursingmadeincrediblyeasy\/Fulltext\/2013\/03000\/The_nurse_s_quick_guide_to_I_V__drug_calculations.1.aspx\" target=\"_blank\" rel=\"noopener\">Nursing Made Incredibly Easy: The Nurse's Quick Guide to IV Drug Calculations<\/a>. This article provides a simple and concise way to perform accurate IV drug calculations.\r\n<h2>References<\/h2>\r\nAlberta Health Services. (2015a). <em>Transfusion of blood and blood components<\/em>. Retrieved from <a href=\"https:\/\/extranet.ahsnet.ca\/teams\/policydocuments\/1\/clp-prov-transfusion-blood-product-policy-ps-59.pdf\">https:\/\/extranet.ahsnet.ca\/teams\/policydocuments\/1\/clp-prov-transfusion-blood-product-policy-ps-59.pdf<\/a>.\r\n\r\nAlberta Health Services. (2015b) (2017) . <em>Transfusion of blood and blood components\u2014Acute adult<\/em>. Retrieved from\u00a0<a href=\"https:\/\/extranet.ahsnet.ca\/teams\/policydocuments\/1\/clp-prov-transfusion-blood-product-adult-acute-procedure-ps-59-01.pdf\">https:\/\/extranet.ahsnet.ca\/teams\/policydocuments\/1\/clp-prov-transfusion-blood-product-adult-acute-procedure-ps-59-01.pdf<\/a>.\r\n\r\nBaskin, J. L., Pui, C. H., Reiss, U., Wilimas, J. A., Metzger, L. M., Ribeiro, R. C., &amp; Howard, S. C. (2009). Management of occlusion and thrombosis associated with long-term indwelling central venous catheters.<em> Lancet,<\/em> <em>374<\/em>(9684), 159. doi: 10.1016\/S0140-6736(09)60220-8.\r\n\r\nBritish Columbia College of Nursing Professionals (BCCNP). (2018). <em>Scope of practice for registered nurses<\/em>. Retrieved from\u00a0<a href=\"https:\/\/www.bccnp.ca\/Standards\/RN_NP\/RNScopePractice\/Pages\/Default.aspx\">https:\/\/www.crnbc.ca\/Standards\/Lists\/StandardResources\/433ScopeforRegisteredNurses.pdf<\/a>.\r\n\r\nBritish Columbia Institute of Technology (BCIT). (2015a).\u00a0CVC complications worksheet. In, <em>NURS 3020. BCIT BSN program<\/em>. Vancouver, BC: BCIT.\r\n\r\nBritish Columbia Institute of Technology (BCIT). (2015b).\u00a0Checklist: IV tubing administration set and IV solution change. In, <em>NURS 2020. BCIT BSN program<\/em>. Vancouver, BC: BCIT.\r\n\r\nBrunce, M. (2003). Troubleshooting central lines. <em>ModernMedicine Network<\/em>. Retrieved from <a href=\"http:\/\/www.modernmedicine.com\/modern-medicine\/content\/troubleshooting-central-lines\">http:\/\/www.modernmedicine.com\/modern-medicine\/content\/troubleshooting-central-lines<\/a>.\r\n\r\nCanadian Blood Services (2017a). <em>Blood administration<\/em>. Retrieved from\u00a0<a href=\"https:\/\/professionaleducation.blood.ca\/en\/transfusion\/clinical-guide\/blood-administration\">https:\/\/professionaleducation.blood.ca\/en\/transfusion\/clinical-guide\/blood-administration<\/a>.\r\n\r\nCanadian Blood Services. (2017b). <em>Clinical guide to transfusions. Adverse reactions<\/em>. Retrieved from\u00a0<a href=\"https:\/\/professionaleducation.blood.ca\/en\/transfusion\/clinical-guide\/adverse-reactions\">https:\/\/professionaleducation.blood.ca\/en\/transfusion\/clinical-guide\/adverse-reactions<\/a>.\r\n\r\nCanadian Blood Services. (2017c). <em>Clinical guide to transfusions. Blood components<\/em>. Retrieved from\u00a0<a href=\"https:\/\/professionaleducation.blood.ca\/en\/transfusion\/clinical-guide\/blood-components\">https:\/\/professionaleducation.blood.ca\/en\/transfusion\/clinical-guide\/blood-components<\/a>.\r\n\r\nCenter for Disease Control (2017). <em>Guidelines for the prevention of intravascular catheter-related infections: Summary of recommendations<\/em>. Retrieved from\u00a0<a href=\"https:\/\/www.cdc.gov\/infectioncontrol\/guidelines\/bsi\/recommendations.html\">https:\/\/www.cdc.gov\/infectioncontrol\/guidelines\/bsi\/recommendations.html<\/a>.\r\n\r\nChowdary, K. V. R., &amp; Reddy, P. N. (2010). Parenteral nutrition: Revisited. <em>Indian Journal of Anaethestic<\/em>, <em>54<\/em>(2), 95-103.\u00a0doi: 10.4103\/0019-5049.63637.\r\n\r\nCrawford, A., &amp; Harris, H. (2011). IV fluids: What nurses need to know. <em>Nursing 2018<\/em>, <em>41<\/em>(5), 30-38. Retrieved from\u00a0<a href=\"http:\/\/journals.lww.com\/nursing\/Fulltext\/2011\/05000\/I_V__fluids_What_nurses_need_to_know.10.aspx?WT.mc_id=HPxADx20100319xMP\">http:\/\/journals.lww.com\/nursing\/Fulltext\/2011\/05000\/I_V__fluids_What_nurses_need_to_know.10.aspx?WT.mc_id=HPxADx20100319xMP<\/a>.\r\n\r\nEarhart, A. \u00a0(2013). \u00a0Central lines: Recognizing, preventing, and troubleshooting complications. American Nurse Today, 8(11). <a href=\"https:\/\/www.americannursetoday.com\/central-lines-recognizingpreventing-and-troubleshooting-complications\/\">https:\/\/www.americannursetoday.com\/central-lines-recognizingpreventing-and-troubleshooting-complications\/<\/a>\r\n\r\nFerroni, A., Gaudin, F., Guiffant, G., Flauad, P., Durussel, J., Descamps, P., ... Merckx, J. (2014). Pulsative flushing as a strategy to prevent bacterial colonization of vascular access devices. <em>Medical Devices (AUCKL)<\/em>, <em>7,\u00a0<\/em>379-383.\u00a0<a href=\"https:\/\/doi.org\/10.2147\/MDER.S71217\" target=\"_blank\" rel=\"noopener\">https:\/\/doi.org\/10.2147\/MDER.S71217<\/a>\r\n\r\nFraser Health Authority. (2014). <em>Clinical practice guidelines: Intravenous therapy<\/em>. Retrieved from\u00a0<a href=\"http:\/\/physicians.fraserhealth.ca\/media\/2014%2005%2015%20IV%20Therapy%20CPG%20FINAL.pdf\">http:\/\/physicians.fraserhealth.ca\/media\/2014%2005%2015%20IV%20Therapy%20CPG%20FINAL.pdf<\/a>.\r\n\r\nFraser Health Authority. (2007).\u00a0<em>Central venous catheters in adult patients. A self-learning module<\/em>. Retrieved from\u00a0<a href=\"https:\/\/www.fraserhealth.ca\/media\/CentralVenousCatheters.pdf\">https:\/\/www.fraserhealth.ca\/media\/CentralVenousCatheters.pdf<\/a>.\r\n\r\nFulcher, E. M., &amp; Frazier, M. S. (2007). <em>Introduction to intravenous therapy for health professionals<\/em>. St. Louis, MO: Elsevier.\r\n\r\nGoossens, G. (2015). Flushing and locking of venous catheters: Available evidence and evidence deficit [article ID 985686]. <em>Nursing Research and Practice, 2015, <\/em>1-12.\u00a0<a href=\"http:\/\/dx.doi.org\/10.1155\/2015\/985686\">http:\/\/dx.doi.org\/10.1155\/2015\/985686<\/a>.\r\n\r\n<span style=\"color: #333333\">Gorski, L.,\u00a0Hadaway, L.\u00a0Hagle, M. E.,\u00a0McGoldrick, M.,\u00a0Orr, M., &amp; Doellman, D. (2016). Infusion therapy standards of practice.\u00a0<em>Journal of Infusion Nursing<\/em>,\u00a0<em>39<\/em>(1S). Retrieved from\u00a0<\/span><span style=\"color: red\"><a href=\"http:\/\/source.yiboshi.com\/20170417\/1492425631944540325.pdf\">http:\/\/source.yiboshi.com\/20170417\/1492425631944540325.pdf<\/a><\/span><span style=\"color: #333333\">.<\/span>\r\n\r\n<span style=\"color: #333333\">Gorski, L., Hallock, D., Kuehn, S., Morris, P., Russell, J., &amp; Skala, L. (2012). <\/span><em><span style=\"color: #333333\">INS<\/span><\/em><em><span style=\"color: #333333\"> position paper: Recommendations for frequency of assessment of the short peripheral catheter site<\/span><\/em><span style=\"color: #333333\">. Retrieved from\u00a0<a href=\"https:\/\/e58f7f8fa122555ac87a-8a1d6df4618501341882ba7daeabdf40.ssl.cf2.rackcdn.com\/ins_913b61c0470f3e329882c67480b6fb4f.pdf\" target=\"_blank\" rel=\"noopener\">https:\/\/e58f7f8fa122555ac87a-8a1d6df4618501341882ba7daeabdf40.ssl.cf2.rackcdn.com\/ins_913b61c0470f3e329882c67480b6fb4f.pdf<\/a>.\u00a0<\/span>\r\n\r\nHo, C. &amp; Spry, C. (2017). Central venous access devices (CVADs) and peripherally inserted central catheters (PICCs) for adult and pediatric patients: A review of clinical effectiveness and safety. <em>Canadian Agency for Drugs and Technologies in Health<\/em>. Retrieved from\u00a0<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK470804\/\">https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK470804\/<\/a>.\r\n\r\nInfusion Nurses Society. (2011). Infusion nursing standards of practice. <em>Journal of Infusion Nursing<\/em>, <em>34<\/em>(1S). Retrieved from\u00a0<a href=\"http:\/\/piccteam.se\/onewebmedia\/DownloadDocumentFile.pdf\">http:\/\/piccteam.se\/onewebmedia\/DownloadDocumentFile.pdf<\/a>.\r\n\r\n<span style=\"color: #333333\">Infusion Nurses Society. (2012). <\/span><span style=\"color: #333333\">INS<\/span><span style=\"color: #333333\"> position paper: Recommendations for frequency of assessment of the short peripheral catheter site. <em>Journal of Infusion Nursing,<\/em> <em>35<\/em>(5), 290 -292. <a href=\"https:\/\/doi.org\/10.1097\/NAN.0b013e318267f636\" target=\"_blank\" rel=\"noopener\">https:\/\/doi.org\/10.1097\/NAN.0b013e318267f636<\/a>.<\/span>\r\n\r\nInterior Health. (2012). <em>Parenteral practices manual<\/em>. Retrieved from\u00a0<a href=\"http:\/\/insidenet.interiorhealth.ca\/Clinical\/parenteralccr\/Pages\/Manual.aspx\">http:\/\/insidenet.interiorhealth.ca\/Clinical\/parenteralccr\/Pages\/Manual.aspx<\/a>.\r\n\r\nInterior Health. (2018). <em>Transfusion practices manual<\/em>. Retrieved from\u00a0<a href=\"http:\/\/insidenet.interiorhealth.ca\/Clinical\/transfusionccr\/Pages\/manual.aspx\">http:\/\/insidenet.interiorhealth.ca\/Clinical\/transfusionccr\/Pages\/manual.aspx<\/a>.\r\n\r\nMcCallum L., &amp; Higgins, D. (2012). Care of peripheral venous cannula sites. <em>Nursing Times<\/em>, <em>108<\/em>(34-35), 12-15.\r\n\r\nMehanna, H., Nankivell, P. C., Moledina, J., &amp; Travis, J. (2009). Refeeding syndrome -- awareness, prevention and management. <em>Head and Neck Oncology<\/em>, <em>1<\/em>(4). <a href=\"https:\/\/doi.org\/10.1186\/1758-3284-1-4\" target=\"_blank\" rel=\"noopener\">https:\/\/doi.org\/10.1186\/1758-3284-1-4<\/a>.\r\n\r\nNorth York General Hospital. (2013). <em>Care of the patient receiving total parenteral nutrition (<\/em><em>TPN<\/em><em>)<\/em>. Retrieved from\r\n<a href=\"http:\/\/www.nygh.on.ca\/cernercbt\/files%5CCONTENT_Day_2%5CTPN%202013%5CTPN%20learning%20pkg%20revised%20July%202013.pdf\">http:\/\/www.nygh.on.ca\/cernercbt\/files%5CCONTENT_Day_2%5CTPN%202013%5CTPN%20learning%20pkg%20revised%20July%202013.pdf<\/a>.\r\n\r\nO'Connor, A., Hanly, A. M., Francis, E., Keane, N., &amp; McNamara, D. (2013). Catheter associated blood stream infections in patient receiving parenteral nutrition: A prospective study of 850 patients. <em>Journal of Clinical Medical Research,<\/em> <em>5<\/em>(1),18-21.\u00a0<a href=\"https:\/\/dx.doi.org\/10.4021%2Fjocmr1032w\" target=\"_blank\" rel=\"noopener\">https:\/\/dx.doi.org\/10.4021%2Fjocmr1032w<\/a>.\r\n\r\nPerry, A. G., Potter, P. A., &amp; Ostendorf, W. R. (2018). <em>Clinical nursing skills and techniques<\/em> (9<sup>th<\/sup> ed). St. Louis, MO: Elsevier-Mosby.\r\n\r\nPhillips, L. D. (2005). <em>Manual of IV therapies<\/em>. Philadelphia, PA: F.A. Davis Company.\r\n\r\nPrabaharan, B., &amp; Thomas, S. (2014). Spontaneous migration of central venous catheter tip following extubation. <em>Saudi Journal of Anaesthesia,<\/em>\u00a0<em>8<\/em>(1), 131\u2013133. doi: 10.4103\/1658-354X.125975.\r\n\r\nRegistered Nurses' Association of Ontario (RNAO). (2005) <em>Nursing best practice guideline: <\/em><em>Care and maintenance to reduce vascular access complications <\/em>[Revised 2008 supplement]. Retrieved from\u00a0<a href=\"http:\/\/rnao.ca\/sites\/rnao-ca\/files\/Care_and_Maintenance_to_Reduce_Vascular_Access_Complications.pdf\">http:\/\/rnao.ca\/sites\/rnao-ca\/files\/Care_and_Maintenance_to_Reduce_Vascular_Access_Complications.pdf<\/a>.\r\n\r\nRosenthal, K. (2007). Bridging the I.V. access gap with midline catheters. <em>Nursing Made Incredibly Easy,<\/em>\u00a0pp.18-20.\u00a0 Retrieved from\u00a0<a href=\"https:\/\/www.rch.org.au\/uploadedFiles\/Main\/Content\/anaes\/bridging_the_IV_access_gap_with_midline_catheters.pdf\">https:\/\/www.rch.org.au\/uploadedFiles\/Main\/Content\/anaes\/bridging_the_IV_access_gap_with_midline_catheters.pdf<\/a>.\r\n\r\nRoyal Children\u2019s Hospital Melbourne (RCH). (n.d.). <em>Peripheral intravenous (IV) device management<\/em>. Retrieved from\u00a0<a href=\"https:\/\/www.rch.org.au\/rchcpg\/hospital_clinical_guideline_index\/Peripheral_Intravenous_IV_Device_Management\/\">https:\/\/www.rch.org.au\/rchcpg\/hospital_clinical_guideline_index\/Peripheral_Intravenous_IV_Device_Management\/<\/a>.\r\n\r\nSafer Healthcare Now. (2012). <em>Interventions<\/em>. Retrieved from\u00a0<a href=\"http:\/\/www.patientsafetyinstitute.ca\/en\/toolsResources\/pages\/interventions-default.aspx\">http:\/\/www.patientsafetyinstitute.ca\/en\/toolsResources\/pages\/interventions-default.aspx<\/a>.\r\n\r\nSingh, A., Kaur, A., Singh, M., &amp; Kaur, S. (2015). CT guided removal of iatrogenic foreign body: a broken intravenous cannula. <em>Journal of Clinical &amp; Diagnostic Research<\/em>, <em>9<\/em>(9), PD28-PD29.\u00a0<a href=\"https:\/\/dx.doi.org\/10.7860%2FJCDR%2F2015%2F14344.6549\" target=\"_blank\" rel=\"noopener\">https:\/\/dx.doi.org\/10.7860%2FJCDR%2F2015%2F14344.6549<\/a>.\r\n\r\nTriantafillidis, J. K., &amp; Papalois, A. E. (2014). The role of total parenteral nutrition in inflammatory bowel disease: Current aspects. <em>Scandinavian Journal of Gastroenterology<\/em>, <em>49<\/em>(1), 3-14.\u00a0<a href=\"https:\/\/doi.org\/10.3109\/00365521.2013.860557\" target=\"_blank\" rel=\"noopener\">https:\/\/doi.org\/10.3109\/00365521.2013.860557<\/a>.\r\n\r\nVancouver Coastal Health. (2008). <em>Administration of blood components and blood products<\/em>. Vancouver, BC: Vancouver Health Authority.\r\n\r\nVancouver Coastal Heath. (2012). <em>Saline locks: Care and maintenance<\/em>. Vancouver, BC: Vancouver Health Authority.\r\n\r\nWaitt, C., Waitt, P., &amp; Pirmohamed, M. (2004). Intravenous therapy. <em>Postgraduate Medicine<\/em>, <em>80<\/em>(939), 1-6.\u00a0<a href=\"http:\/\/dx.doi.org\/10.1136\/pmj.2003.010421\" target=\"_blank\" rel=\"noopener\">http:\/\/dx.doi.org\/10.1136\/pmj.2003.010421<\/a>.","rendered":"<p>Infusion therapy is a common treatment in the hospital setting, and vital for patient recovery. The safe management of IV equipment and procedures related to IV therapy is an essential skill for safe patient care. This chapter reviewed the skills necessary to care for a patient receiving IV therapy, and the benefits and complications related to peripheral intravenous therapy, central venous catheters, blood and blood products, and PN.<\/p>\n<div class=\"bcc-box bcc-success\">\n<h3 style=\"text-align: center\">Key Takeaways<\/h3>\n<ul>\n<li>Use strict aseptic technique when preparing and maintaining all IV solutions and equipment. Most complications related to IV therapy can be prevented.<\/li>\n<li>Be alert and vigilant, and assess for complications as per agency policy.<\/li>\n<li>Keep up to date with recommendations for safe care with IV therapy from the Centers for Disease Control and Canadian Patient Safety Institute.<\/li>\n<li>There are many types of equipment and procedures related to IV therapy. Educate yourself on the various types of equipment and devices to care for your patient safely.<\/li>\n<li>Receive the appropriate training for initiating IVs, CVC care and maintenance, and blood and blood product transfusions.<\/li>\n<li>Remember that patients on IV therapy are at an increased risk for fluid overload. These patients include the elderly, young, and those with cardiac and\/or renal disease.<\/li>\n<li>Follow all transfusion policies to avoid transfusion errors. Be alert to the potential complications of blood and blood product transfusions.<\/li>\n<li>Complete all daily assessments related to a patient receiving PN. These patients are generally quite ill and have a diminished ability to tolerate complications.<\/li>\n<\/ul>\n<\/div>\n<h2>Suggested Online Resources<\/h2>\n<p>1. <a href=\"http:\/\/www.transfusionmedicine.ca\/resources\/clinical-guide-transfusion\" target=\"_blank\" rel=\"noopener\">Canadian Blood Services: Clinical Guide to Transfusion<\/a>. These educational materials provide guidelines for the care of patients receiving blood or blood products. This information includes blood administration, adverse reactions, blood components, emergency transfusions, pediatric and neonatal transfusions, and more.<\/p>\n<p>2. <a href=\"http:\/\/testandcalc.com\/quiz\/index.asp\" target=\"_blank\" rel=\"noopener\">Drug Calculations<\/a>. This medication calculation website reviews how to calculate the dosages for parenteral and non-parenteral medications, and IV fluids. It also includes metric conversions and IV drop rate calculations.<\/p>\n<p>3. <a href=\"https:\/\/www.scribd.com\/document\/135309431\/CentralVenousCatheters-pdf\">Fraser Health: Central Venous Catheters\u00a0in Adult Patients<\/a>. This self-learning online module is designed for health care professionals and covers central venous catheter (CVC) care and maintenance.<\/p>\n<p>4. <a href=\"https:\/\/www.yumpu.com\/en\/document\/view\/7942615\/peripheral-intravenous-initiation-fraser-health-authority\">Fraser Health: Peripheral Intravenous Initiation<\/a>. This self-study online module covers initiating intravenous (IV) therapy.<\/p>\n<p>5. <a href=\"http:\/\/catalogue.pearsoned.co.uk\/samplechapter\/0131186116.pdf\" target=\"_blank\" rel=\"noopener\">Intravenous Fluid Selection<\/a>. This sample chapter from a textbook describes the selection of IV fluids and solutions, and includes study questions as well.<\/p>\n<p>6. <a href=\"http:\/\/journals.lww.com\/nursingmadeincrediblyeasy\/Fulltext\/2013\/03000\/The_nurse_s_quick_guide_to_I_V__drug_calculations.1.aspx\" target=\"_blank\" rel=\"noopener\">Nursing Made Incredibly Easy: The Nurse&#8217;s Quick Guide to IV Drug Calculations<\/a>. This article provides a simple and concise way to perform accurate IV drug calculations.<\/p>\n<h2>References<\/h2>\n<p>Alberta Health Services. (2015a). <em>Transfusion of blood and blood components<\/em>. Retrieved from <a href=\"https:\/\/extranet.ahsnet.ca\/teams\/policydocuments\/1\/clp-prov-transfusion-blood-product-policy-ps-59.pdf\">https:\/\/extranet.ahsnet.ca\/teams\/policydocuments\/1\/clp-prov-transfusion-blood-product-policy-ps-59.pdf<\/a>.<\/p>\n<p>Alberta Health Services. (2015b) (2017) . <em>Transfusion of blood and blood components\u2014Acute adult<\/em>. Retrieved from\u00a0<a href=\"https:\/\/extranet.ahsnet.ca\/teams\/policydocuments\/1\/clp-prov-transfusion-blood-product-adult-acute-procedure-ps-59-01.pdf\">https:\/\/extranet.ahsnet.ca\/teams\/policydocuments\/1\/clp-prov-transfusion-blood-product-adult-acute-procedure-ps-59-01.pdf<\/a>.<\/p>\n<p>Baskin, J. L., Pui, C. H., Reiss, U., Wilimas, J. A., Metzger, L. M., Ribeiro, R. C., &amp; Howard, S. C. (2009). Management of occlusion and thrombosis associated with long-term indwelling central venous catheters.<em> Lancet,<\/em> <em>374<\/em>(9684), 159. doi: 10.1016\/S0140-6736(09)60220-8.<\/p>\n<p>British Columbia College of Nursing Professionals (BCCNP). (2018). <em>Scope of practice for registered nurses<\/em>. Retrieved from\u00a0<a href=\"https:\/\/www.bccnp.ca\/Standards\/RN_NP\/RNScopePractice\/Pages\/Default.aspx\">https:\/\/www.crnbc.ca\/Standards\/Lists\/StandardResources\/433ScopeforRegisteredNurses.pdf<\/a>.<\/p>\n<p>British Columbia Institute of Technology (BCIT). (2015a).\u00a0CVC complications worksheet. In, <em>NURS 3020. BCIT BSN program<\/em>. Vancouver, BC: BCIT.<\/p>\n<p>British Columbia Institute of Technology (BCIT). (2015b).\u00a0Checklist: IV tubing administration set and IV solution change. In, <em>NURS 2020. BCIT BSN program<\/em>. Vancouver, BC: BCIT.<\/p>\n<p>Brunce, M. (2003). Troubleshooting central lines. <em>ModernMedicine Network<\/em>. Retrieved from <a href=\"http:\/\/www.modernmedicine.com\/modern-medicine\/content\/troubleshooting-central-lines\">http:\/\/www.modernmedicine.com\/modern-medicine\/content\/troubleshooting-central-lines<\/a>.<\/p>\n<p>Canadian Blood Services (2017a). <em>Blood administration<\/em>. Retrieved from\u00a0<a href=\"https:\/\/professionaleducation.blood.ca\/en\/transfusion\/clinical-guide\/blood-administration\">https:\/\/professionaleducation.blood.ca\/en\/transfusion\/clinical-guide\/blood-administration<\/a>.<\/p>\n<p>Canadian Blood Services. (2017b). <em>Clinical guide to transfusions. Adverse reactions<\/em>. Retrieved from\u00a0<a href=\"https:\/\/professionaleducation.blood.ca\/en\/transfusion\/clinical-guide\/adverse-reactions\">https:\/\/professionaleducation.blood.ca\/en\/transfusion\/clinical-guide\/adverse-reactions<\/a>.<\/p>\n<p>Canadian Blood Services. (2017c). <em>Clinical guide to transfusions. Blood components<\/em>. Retrieved from\u00a0<a href=\"https:\/\/professionaleducation.blood.ca\/en\/transfusion\/clinical-guide\/blood-components\">https:\/\/professionaleducation.blood.ca\/en\/transfusion\/clinical-guide\/blood-components<\/a>.<\/p>\n<p>Center for Disease Control (2017). <em>Guidelines for the prevention of intravascular catheter-related infections: Summary of recommendations<\/em>. Retrieved from\u00a0<a href=\"https:\/\/www.cdc.gov\/infectioncontrol\/guidelines\/bsi\/recommendations.html\">https:\/\/www.cdc.gov\/infectioncontrol\/guidelines\/bsi\/recommendations.html<\/a>.<\/p>\n<p>Chowdary, K. V. R., &amp; Reddy, P. N. (2010). Parenteral nutrition: Revisited. <em>Indian Journal of Anaethestic<\/em>, <em>54<\/em>(2), 95-103.\u00a0doi: 10.4103\/0019-5049.63637.<\/p>\n<p>Crawford, A., &amp; Harris, H. (2011). IV fluids: What nurses need to know. <em>Nursing 2018<\/em>, <em>41<\/em>(5), 30-38. Retrieved from\u00a0<a href=\"http:\/\/journals.lww.com\/nursing\/Fulltext\/2011\/05000\/I_V__fluids_What_nurses_need_to_know.10.aspx?WT.mc_id=HPxADx20100319xMP\">http:\/\/journals.lww.com\/nursing\/Fulltext\/2011\/05000\/I_V__fluids_What_nurses_need_to_know.10.aspx?WT.mc_id=HPxADx20100319xMP<\/a>.<\/p>\n<p>Earhart, A. \u00a0(2013). \u00a0Central lines: Recognizing, preventing, and troubleshooting complications. American Nurse Today, 8(11). <a href=\"https:\/\/www.americannursetoday.com\/central-lines-recognizingpreventing-and-troubleshooting-complications\/\">https:\/\/www.americannursetoday.com\/central-lines-recognizingpreventing-and-troubleshooting-complications\/<\/a><\/p>\n<p>Ferroni, A., Gaudin, F., Guiffant, G., Flauad, P., Durussel, J., Descamps, P., &#8230; Merckx, J. (2014). Pulsative flushing as a strategy to prevent bacterial colonization of vascular access devices. <em>Medical Devices (AUCKL)<\/em>, <em>7,\u00a0<\/em>379-383.\u00a0<a href=\"https:\/\/doi.org\/10.2147\/MDER.S71217\" target=\"_blank\" rel=\"noopener\">https:\/\/doi.org\/10.2147\/MDER.S71217<\/a><\/p>\n<p>Fraser Health Authority. (2014). <em>Clinical practice guidelines: Intravenous therapy<\/em>. Retrieved from\u00a0<a href=\"http:\/\/physicians.fraserhealth.ca\/media\/2014%2005%2015%20IV%20Therapy%20CPG%20FINAL.pdf\">http:\/\/physicians.fraserhealth.ca\/media\/2014%2005%2015%20IV%20Therapy%20CPG%20FINAL.pdf<\/a>.<\/p>\n<p>Fraser Health Authority. (2007).\u00a0<em>Central venous catheters in adult patients. A self-learning module<\/em>. Retrieved from\u00a0<a href=\"https:\/\/www.fraserhealth.ca\/media\/CentralVenousCatheters.pdf\">https:\/\/www.fraserhealth.ca\/media\/CentralVenousCatheters.pdf<\/a>.<\/p>\n<p>Fulcher, E. M., &amp; Frazier, M. S. (2007). <em>Introduction to intravenous therapy for health professionals<\/em>. St. Louis, MO: Elsevier.<\/p>\n<p>Goossens, G. (2015). Flushing and locking of venous catheters: Available evidence and evidence deficit [article ID 985686]. <em>Nursing Research and Practice, 2015, <\/em>1-12.\u00a0<a href=\"http:\/\/dx.doi.org\/10.1155\/2015\/985686\">http:\/\/dx.doi.org\/10.1155\/2015\/985686<\/a>.<\/p>\n<p><span style=\"color: #333333\">Gorski, L.,\u00a0Hadaway, L.\u00a0Hagle, M. E.,\u00a0McGoldrick, M.,\u00a0Orr, M., &amp; Doellman, D. (2016). Infusion therapy standards of practice.\u00a0<em>Journal of Infusion Nursing<\/em>,\u00a0<em>39<\/em>(1S). Retrieved from\u00a0<\/span><span style=\"color: red\"><a href=\"http:\/\/source.yiboshi.com\/20170417\/1492425631944540325.pdf\">http:\/\/source.yiboshi.com\/20170417\/1492425631944540325.pdf<\/a><\/span><span style=\"color: #333333\">.<\/span><\/p>\n<p><span style=\"color: #333333\">Gorski, L., Hallock, D., Kuehn, S., Morris, P., Russell, J., &amp; Skala, L. (2012). <\/span><em><span style=\"color: #333333\">INS<\/span><\/em><em><span style=\"color: #333333\"> position paper: Recommendations for frequency of assessment of the short peripheral catheter site<\/span><\/em><span style=\"color: #333333\">. Retrieved from\u00a0<a href=\"https:\/\/e58f7f8fa122555ac87a-8a1d6df4618501341882ba7daeabdf40.ssl.cf2.rackcdn.com\/ins_913b61c0470f3e329882c67480b6fb4f.pdf\" target=\"_blank\" rel=\"noopener\">https:\/\/e58f7f8fa122555ac87a-8a1d6df4618501341882ba7daeabdf40.ssl.cf2.rackcdn.com\/ins_913b61c0470f3e329882c67480b6fb4f.pdf<\/a>.\u00a0<\/span><\/p>\n<p>Ho, C. &amp; Spry, C. (2017). Central venous access devices (CVADs) and peripherally inserted central catheters (PICCs) for adult and pediatric patients: A review of clinical effectiveness and safety. <em>Canadian Agency for Drugs and Technologies in Health<\/em>. Retrieved from\u00a0<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK470804\/\">https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK470804\/<\/a>.<\/p>\n<p>Infusion Nurses Society. (2011). Infusion nursing standards of practice. <em>Journal of Infusion Nursing<\/em>, <em>34<\/em>(1S). Retrieved from\u00a0<a href=\"http:\/\/piccteam.se\/onewebmedia\/DownloadDocumentFile.pdf\">http:\/\/piccteam.se\/onewebmedia\/DownloadDocumentFile.pdf<\/a>.<\/p>\n<p><span style=\"color: #333333\">Infusion Nurses Society. (2012). <\/span><span style=\"color: #333333\">INS<\/span><span style=\"color: #333333\"> position paper: Recommendations for frequency of assessment of the short peripheral catheter site. <em>Journal of Infusion Nursing,<\/em> <em>35<\/em>(5), 290 -292. <a href=\"https:\/\/doi.org\/10.1097\/NAN.0b013e318267f636\" target=\"_blank\" rel=\"noopener\">https:\/\/doi.org\/10.1097\/NAN.0b013e318267f636<\/a>.<\/span><\/p>\n<p>Interior Health. (2012). <em>Parenteral practices manual<\/em>. Retrieved from\u00a0<a href=\"http:\/\/insidenet.interiorhealth.ca\/Clinical\/parenteralccr\/Pages\/Manual.aspx\">http:\/\/insidenet.interiorhealth.ca\/Clinical\/parenteralccr\/Pages\/Manual.aspx<\/a>.<\/p>\n<p>Interior Health. (2018). <em>Transfusion practices manual<\/em>. 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Davis Company.<\/p>\n<p>Prabaharan, B., &amp; Thomas, S. (2014). Spontaneous migration of central venous catheter tip following extubation. <em>Saudi Journal of Anaesthesia,<\/em>\u00a0<em>8<\/em>(1), 131\u2013133. doi: 10.4103\/1658-354X.125975.<\/p>\n<p>Registered Nurses&#8217; Association of Ontario (RNAO). (2005) <em>Nursing best practice guideline: <\/em><em>Care and maintenance to reduce vascular access complications <\/em>[Revised 2008 supplement]. Retrieved from\u00a0<a href=\"http:\/\/rnao.ca\/sites\/rnao-ca\/files\/Care_and_Maintenance_to_Reduce_Vascular_Access_Complications.pdf\">http:\/\/rnao.ca\/sites\/rnao-ca\/files\/Care_and_Maintenance_to_Reduce_Vascular_Access_Complications.pdf<\/a>.<\/p>\n<p>Rosenthal, K. (2007). Bridging the I.V. access gap with midline catheters. <em>Nursing Made Incredibly Easy,<\/em>\u00a0pp.18-20.\u00a0 Retrieved from\u00a0<a href=\"https:\/\/www.rch.org.au\/uploadedFiles\/Main\/Content\/anaes\/bridging_the_IV_access_gap_with_midline_catheters.pdf\">https:\/\/www.rch.org.au\/uploadedFiles\/Main\/Content\/anaes\/bridging_the_IV_access_gap_with_midline_catheters.pdf<\/a>.<\/p>\n<p>Royal Children\u2019s Hospital Melbourne (RCH). (n.d.). <em>Peripheral intravenous (IV) device management<\/em>. Retrieved from\u00a0<a href=\"https:\/\/www.rch.org.au\/rchcpg\/hospital_clinical_guideline_index\/Peripheral_Intravenous_IV_Device_Management\/\">https:\/\/www.rch.org.au\/rchcpg\/hospital_clinical_guideline_index\/Peripheral_Intravenous_IV_Device_Management\/<\/a>.<\/p>\n<p>Safer Healthcare Now. (2012). <em>Interventions<\/em>. 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The role of total parenteral nutrition in inflammatory bowel disease: Current aspects. <em>Scandinavian Journal of Gastroenterology<\/em>, <em>49<\/em>(1), 3-14.\u00a0<a href=\"https:\/\/doi.org\/10.3109\/00365521.2013.860557\" target=\"_blank\" rel=\"noopener\">https:\/\/doi.org\/10.3109\/00365521.2013.860557<\/a>.<\/p>\n<p>Vancouver Coastal Health. (2008). <em>Administration of blood components and blood products<\/em>. Vancouver, BC: Vancouver Health Authority.<\/p>\n<p>Vancouver Coastal Heath. (2012). <em>Saline locks: Care and maintenance<\/em>. Vancouver, BC: Vancouver Health Authority.<\/p>\n<p>Waitt, C., Waitt, P., &amp; Pirmohamed, M. (2004). Intravenous therapy. <em>Postgraduate Medicine<\/em>, <em>80<\/em>(939), 1-6.\u00a0<a href=\"http:\/\/dx.doi.org\/10.1136\/pmj.2003.010421\" target=\"_blank\" rel=\"noopener\">http:\/\/dx.doi.org\/10.1136\/pmj.2003.010421<\/a>.<\/p>\n","protected":false},"author":397,"menu_order":13,"template":"","meta":{"pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":"cc-by"},"chapter-type":[],"contributor":[],"license":[50],"class_list":["post-991","chapter","type-chapter","status-publish","hentry","license-cc-by"],"part":912,"_links":{"self":[{"href":"https:\/\/pressbooks.bccampus.ca\/clinicalproceduresforsaferpatientcaretrubscn\/wp-json\/pressbooks\/v2\/chapters\/991","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pressbooks.bccampus.ca\/clinicalproceduresforsaferpatientcaretrubscn\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/pressbooks.bccampus.ca\/clinicalproceduresforsaferpatientcaretrubscn\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/pressbooks.bccampus.ca\/clinicalproceduresforsaferpatientcaretrubscn\/wp-json\/wp\/v2\/users\/397"}],"version-history":[{"count":25,"href":"https:\/\/pressbooks.bccampus.ca\/clinicalproceduresforsaferpatientcaretrubscn\/wp-json\/pressbooks\/v2\/chapters\/991\/revisions"}],"predecessor-version":[{"id":5077,"href":"https:\/\/pressbooks.bccampus.ca\/clinicalproceduresforsaferpatientcaretrubscn\/wp-json\/pressbooks\/v2\/chapters\/991\/revisions\/5077"}],"part":[{"href":"https:\/\/pressbooks.bccampus.ca\/clinicalproceduresforsaferpatientcaretrubscn\/wp-json\/pressbooks\/v2\/parts\/912"}],"metadata":[{"href":"https:\/\/pressbooks.bccampus.ca\/clinicalproceduresforsaferpatientcaretrubscn\/wp-json\/pressbooks\/v2\/chapters\/991\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/pressbooks.bccampus.ca\/clinicalproceduresforsaferpatientcaretrubscn\/wp-json\/wp\/v2\/media?parent=991"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/pressbooks.bccampus.ca\/clinicalproceduresforsaferpatientcaretrubscn\/wp-json\/pressbooks\/v2\/chapter-type?post=991"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/pressbooks.bccampus.ca\/clinicalproceduresforsaferpatientcaretrubscn\/wp-json\/wp\/v2\/contributor?post=991"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/pressbooks.bccampus.ca\/clinicalproceduresforsaferpatientcaretrubscn\/wp-json\/wp\/v2\/license?post=991"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}