IV Hydration Infusion Procedure - Patient Stuart Russo

Verification and Order Details

  • Date/time not explicitly stated, but session is for IV hydration.
  • Patient: Stuart Russo
  • Patient ID: 99,251
  • Date of birth: '47
  • Allergies: None
  • Order: Normal saline, 1000 mL, to be administered over 12 hours
  • Expires on bag: November 22
  • Clinician(s): Laura and Claire

Roles and Communication

  • Team-based care: two clinicians (Laura and Claire) collaborating
  • Open invitation for questions: "If you've got any questions, please don't hesitate to let us know"
  • Verifying patient identity and order before proceeding

IV Line Priming and Setup

  • Prepare to prime the IV line and connect to patient via infusion pump
  • Steps to prime the line:
    • Remove the blue cap from the IV set
    • Spike the IV bag and allow fluid to fill the chamber
    • Slowly open the roller clamp to prime the line, watching for bubbles
    • Ensure line is kept clean and not dropped on the floor
  • Observations during priming:
    • Fluid returning through the line confirms proper priming
  • After priming:
    • Close the roller clamp and hang the IV bag

Verification of Order and Materials

  • Re-check the order against patient and bag:
    • Saline: 1000 mL
    • Schedule: 12 hours (twelve hourly rate)
    • Patient: Stuart Russo
    • Confirm patient identity and DOB as listed
  • Check bag integrity and expiry: Expires November 22
  • Confirm no known allergies

Preparing and Administering Normal Saline Flush

  • Hand hygiene: Clean hands prior to handling cannula and IV lines
  • Expiry check: Ensure saline expiry is appropriate
  • Draw up normal saline for flushing cannula
  • Remove any air bubbles from syringe
  • Re-check that there are no air bubbles in the syringe prior to connection

IV Pump Setup and Fluid Calculation

  • Connect IV line to the IV pump
  • Program the pump for the total volume: 1000 mL
  • Program the programmed rate according to the order: 12 hours
  • Pump interpretation in the transcript: set to administer over 12 hours
  • Basic drug/flow calculation (if applicable):
    • If calculating rate for a continuous infusion: the rate is given by
    • ext{Rate} = rac{V}{t}
    • For this order: $$ ext{Rate} = rac{1000 ext{ mL}}{12 ext{ h}} \