INTRAVENOUS THERAPY HISTORICAL BACKGROUND 1993- The Nursing Standards on Intravenous Practice was established.

October, 1993- ANSAP Board Members and Advisers had undergone training for Train ers at Philippine Heart Center. February 04, 1994- the first edition of Intravenous Standards on IV therapy was printed and circulated. June 09-11, 1994- first training for Trainers as conducted in Cagayan de Oro. May 17, 1995- another revision was made to incorporate the PRC-BON protocol. 2002- To ensure safe and quality nursing practice in IV therapy, more revisions were made by the special committee of the Association of Nursing Administrators of the Philippines, Inc., (ANSAP) in collaboration with the PRC-BON due to the n ew concept and evolving technology. IVT Training Program (ANSAP) is primarily designed to comply with PRC, B oard of Nursing Resolution No. 08 of 1994, with the provision of the Philippine Nursing Act of 1991, RA 7194 (Article V section 37) and to ensure safe practice in IV therapy. PHILOSOPHY The Association of the Nursing Service Administrators of the Philippines, Inc. ( ANSAP) envisions itself to be a cohesive, pro-active, professional association, committed to excellence in nursing. It believes that safe and quality nursing care to patients is the primary respon sibility of nurses. It believes that those who practice Intravenous Therapy nursing are only those r egistered nurses who are adequately trained and have completed the training requ irements in the Intravenous Therapy Training program for nurses as prescribed by ANSAP, based on PRC-BON Res No. 08 series of 1994, in compliance with 1991 RA 7 164, otherwise known as Philippine Nursing Act of 1991, Art V Sec 27. DEFINITION Intravenous (IV) Therapy -It is the insertion of a needle or a catheter/ cannula into a vein, bas ed on the physicians written prescription. The needle or catheter/ cannula is att ached to a sterile tubing and a fluid container to provide medication and fluids . OBJECTIVES OF THE IV STANDARDS 1. Serve as guide for nurses in providing safe and quality nursing care to patients relative to IV therapy. 2. Promote the application of principles underlying the administration of I V therapy. 3. Recognize the ethico-legal implications of IV therapy. SCOPE OF PRACTICE A. Role Definition The IV nurses are RNs committed to ensure the safety of all patients rec eiving IV therapy. B. Description of Practice 1. Ethico-legal Implications ANSAP, Inc upholds quality nursing practice and is going to continue with the IV Training for the following reasons. 1.1 Nursing curriculum does not provide in-depth training in parenteral IV d rug administration. 1.1.1 An in-depth IV training may be included in the BSN curriculum but withou t actual IV insertion to patients. 1.1.2 ANSAP believes that parenteral IV drug administration is an invasive pro cedure. 1.2 The Nurse Administrator has the command responsibility for the whole nur sing practice in the Health Care Facility. 1.3 Globally, the IV therapy certification is a mandatory requirement for th e nurse practitioner. 1.4 IVT is voluntary, only those nurses who are adequately trained and have completed the training requirements in the IVT program for nurses as prescribed

by ANSAP will be issued and IV Certificate of Training and the IVT Card of ANSAP . The IV nurse also upholds the Nurses Code of Ethics and the established N ursing Standards on IV practice of ANSAP and the Standards of Nursing Service 2. Basis of Practice 2.1 Legal therapeutic prescription of a licensed physician 2.2 Thorough knowledge of the vascular system, interrelatedness of the body system with proficiency in the skill of the IV Therapy. 2.3 Recognition of the holistic approach to patient care 2.4 Collaboration with the members of the health care team 2.5 Net working and linkages with the external environment 2.6 Individual professional accountability 2.7 The utilization of the nursing process, through: I. Assessment- collection of pertinent data to arrive a nursing diagnosis. II. Planning- formulation of nursing care plan relevant to IV therapy. III. Implementation of Planned Care- nursing activities for IV management of patients IV. Evaluation- assessment of the effectiveness of care, based on predetermi ned objectives. V. 3. Clinical Skills The IV therapy nurse shall be proficient and competent in all as pects of the IV therapy. 4. Procedures The IV therapy nurses shall perform procedures that include but not limited to t he following, according to established ANSAP hospital policies: a. Carry out physicians prescription for IVT. b. Perform peripheral venipuncture (all types of needles and cannulas) excl uding the insertion of the subclavian and cut-down catheter. c. Based on the physicians written prescription, prepare, initiate, monitor, and terminate IVT. d. Administer blood and blood components as prescribed by the physician. e. Determine solution and medication incompatibilities. f. Change IV site, tubing and dressings, according to IVT standards. g. Establish flow rates of solutions, medications, blood and blood componen ts as prescribed by the physician. h. Proficient technical ability in the use, care, maintenance and evaluatio n of IV equipment. i. Nursing management of patients receiving IV therapy and peripheral/ cent ral/ parenteral nutrition in various set-ups (hospital, home, and others) j. Adherence to establish infection control practices. k. Observation and assessment of all adverse reactions related to IVT and i nitiation of appropriate nursing interventions. l. Appropriate documentation relevant to the preparation, administration, t ermination of all forms of IVT. STANDARDS OF NURSING PRACTICE FOR IVT Structure Criteria: Entrance Requirements: 1) BSN graduate, registered professional nurse with current license from PR C. 2) Demonstrate behavioral characteristics such as honesty, reliability, ini tiative, and judgment. 3) Demonstrate communication and technical skills.