Procedure IV-A: Total Parenteral Nutrition; Utilizing the Peripheral Acess

1. Verifies doctor’s Prescription
2. Explains the procedure to re assure pat. and significant others.
3. Secures consent from pt. or and authorized member of the family
4. Prepares parenteral solution and all other devices needed for the parenteral administration taking into consideration to mode of administration such as * Peripheral Access * Central Access
5. Assesses pt. and choose suitable vein, location. and get baseline vital signs.
6. Checks the integrity and functionality of the parenteral of the parenteral solution and devices.
7. Observes the 10 R’s in safe administration of drugs
8. Do hand hygiene and maintain asepsis throughout the procedure.
9. Prepare TPN solution (Follow Procedure Setting Up.
10. Inserts the IV catheter aseptically (large bore catheter. follow procedure 1 in IV insertion)
11. Connects the tubing to prepared parenteral solution and regulate flow rate as prescribed.
12. Dresses IV site and solution and regulate flow rate as prescribe.
13. Labels IV site and solution as per IV standard.
14. Continue to reassure patient and do pertinent health education.
15. Dispose waste materials according to Health Care Waste Management Program (DOH/DENR)
16. Documents procedure and observations with corresponding nursing intervention in the patient’s chart like I and O, wt daily.
17. Monitor patient periodically and reports unusual findings if any: such as signs of infection, hyper and hypoglycemia, change of color and consistency of solution.
18. Document observation and intervention as necessary.
19. Reassure patient..