One-day clinical nursing operation standard process-intravenous infusion

First, intravenous infusion ① See the doctor's advice first → Check the patient in the ward → Say xx to the patient, hello, I am your responsible nurse xx, and I am responsible for your treatment and nursing today.

Because of your diarrhea, the doctor told me to give you intravenous infusion to replenish the lost water and electrolyte. Please reach out and show me your vein → tell the patient that your vein is thin and elastic, so you don't have to worry.

Because the infusion time is long, you can go to the toilet first. I'll get ready and be right back.

② In the treatment room: wash your hands and wear a mask → prepare materials (put tourniquet, cotton swab, iodophor, adhesive tape and two curved plates in the treatment tray, liquid and medicine (large bottles and small bottles), disposable infusion set and syringe (choose the appropriate syringe according to the doctor's advice) → check materials (pay attention to closing the infusion valve through the bag when checking the infusion set) → copy the doctor's advice. Affix the infusion card → (add liquid medicine), cut the safety section with a grinding wheel, take two cotton swabs, sterilize the large medicine bottle first (put it away after disinfection to prevent it from crossing the sterile area), then sterilize the safety section → cut open the valve, and pump the liquid medicine into the syringe (the inclined surface of the syringe needle faces away from the scale, tighten the needle and nipple, and pull the piston to blow). Pay attention to technology when extracting liquid medicine. After the liquid medicine is pumped into the syringe, air is pumped vertically downwards.

In the ward: check the patient → (talking while doing) My things are ready, and now I'm ready to give you an infusion. Put the treatment tray on the bedside table, put the arc tray on the lower right corner of the bedside table, prepare three tapes → hang the medicine bottle → exhaust (cause Murphy's dropper, and squeeze its lower end reversely to make it full 1/3- 1/. Check the light (there is no bubble in the channel) → Hold the needle wing with vascular clamp and hang it on the infusion stand → Select the vein and tie a tourniquet → Sterilize the patient's skin with cotton swabs (2 pieces), and sterilize it more than 5cm around the venipuncture point → Check the infusion card → Exhaust the air for the second time (turn on the regulator, drop 1-2 drops, and don't waste the liquid medicine) → Ask the patient to make a fist and tighten the patient's skin by hand. 15-30 Insert the needle → fix the needle wing with one hand, loosen the tourniquet, fist and regulator 3, and observe whether the drip is smooth → fix it with adhesive tape (fix the needle wing first, then fold it back and fix it, and finally cover the eye of the needle) → adjust the dropping speed (usually 30 seconds) → adjust it to the dropper with a watch → record the patrol card (time, dropping speed and signature).

Check the patient's bed number, name and infusion bottle again. → organize materials → withdraw.

④ Pull out the needle (in the ward) and tell the patient that your infusion has been completed and the symptoms of diarrhea have been alleviated. Now pull out the needle for you → prepare a dry cotton swab → tear the tape → pull out the needle → press it with a cotton swab for 3-5 minutes → load something → remove it. Please look forward to the next issue: standardized process of clinical nursing operation-catheterization