changing IV solution container and tubing

• Gather equipment
• alchol, sticker and label it, fluid, and tubing primary, gloves

• Maintain strict aspetic technique when opening steile packages and the IV solution
• (close clamp on IV tubing)

Pull off seal on IV solution bag entry point to expose portal (clear)

Close the roller clamp on the IV tubing if not allready done so.

• Uncap the spike on the administration set and insert into the entry site on the IV bag.
• Hang the IV solution on the pole

Squeeze the drip chamber on the tubing and allow it to fill at least halfway (Dont want air bubbles)

• Remove the cap at the end of the IV tubing and while maintaing its sterility, open the IV tubing clamp, and alow fluid to move through the tubing.
• Allow fluid to flow until all air bubbles have disappeared and the entire length of the tubing is primed (FILLED) with IV solution

close the clamp and recap the end of the tubing, maintaing steriltiy of the setup

push TOTAL VOLUME KEY. Record total volume in ml's on the I&O record

close the manual clamp on the existing IV tubing and the short extension tubing connected to the IV catheter in the pt's arm

shut roller clamp (pump stops)

open lever fully. (push OPEN key if leve is locked)

release tubing above and below roller clamp

Hold set just below lever and pull foward and out

• Remove the current IV tubing from the resealable cap on the short extension tubing (on pt's arm).
• Using an antimicrobial wipe, swab the resealable cap and insert the new IV tubing into the cap

Load roller clamp into clamp holder

Load set fully into AIR/up OCCULSION sensor (2beeps). Pull set taut (no slack). Load set fuly into AIR/down OCCULSION sensor (2 beeps). Pull set taut (no slack)

Shut lever

• Open the manual clamp on the short extension tubing connected to the catheter in the pt's arm

PUSH CLEAR

Follow the manufacturer's instructions for setting the infusion rate and volume

Keep looking at the pump. confirm correct values

• label the solution and tubing with the date, time & initials
• bag is good for 24hrs
• tubing is good for 72hrs