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CHANGING AN IV SOLUTION

1. Verify doctor’s prescription in doctor’s order sheet; countercheck IV label,

IV card, infusate sequence, type, amount, additives (if any), duration of
infusion.

Name of Patient: ___________ Rm #: ___

IVF Fluids: ________________________
Bottle #: __________ Flow Rate: _______
Drug Incorporation: __________________
Date & Time Started: _________________
Date & Time to consume: _____________
NOD: _____________________________

2. Observe ten (10) Rs.

3. Explain procedure to reassure patient &
significant others & assess IV site for
redness, swelling, pain, etc.

4. Change IV tubings and cannula if 48-72

hours lapsed after IV insertion.
5. Wash hands before and after the procedure.

6. Prepare necessary materials; place on IV tray.

7. Check sterility and integrity of IV solution.
8. Place IV label on the IV bottle.
9. Calibrate new IV bottle according to duration of
infusion as per prescription.

10. Open and disinfect rubber port of IV solution to

follow.

This copy of the procedures from the 7th edition of the Nursing Standards on Intravenous Practice by ANSAP 1
was reproduced for educational purposes of Filipino student nurses and registered nurses
who need to review and study the procedures prior to actual IVT training and practicum.
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11. Close the roller clamp and spike the

container aseptically.

12. Regulate the flow rate based on the

prescribed infusion rate of infusion.
Expel air bubbles (if any).

13. Reiterate assurance to patient and significant others.

14. Discard all waste materials according to Health Care Waste Management.

15. Document and endorse accordingly.

This copy of the procedures from the 7th edition of the Nursing Standards on Intravenous Practice by ANSAP 2
was reproduced for educational purposes of Filipino student nurses and registered nurses
who need to review and study the procedures prior to actual IVT training and practicum.