Policy Manual sample

MDT Home Health Care Agency, Inc. i. Kinking or obstruction. ii. Flow rate (Note whether solution is infusing at prescribed rate.) 4. Documentation a. Document clearly all observations of IV in the residents/patients record. b. Record routine observations in the residents/patients medical record. Include the following: i. IV site appearance, condition and location ii. Signs and symptoms of complications and appropriate actions iii. Residents/patients tolerance and response to therapy iv. IV restarts v. Date and time vi. Nurse's signature Peripheral IV: Removal 1. Purpose: to safely remove a peripheral IV catheter or needle. 2. Guidelines a. IV peripheral catheters shall be removed routinely after 72 hours. (A physician's order is required to leave an IV in longer than 72 hours.) b. IV catheters shall be removed if there is pain, redness, tenderness, or swelling noted at the insertion site. (1) The Nursing Board recognizes that through appropriate education and training, a Licensed Practical Nurse is capable of performing intravenous therapy via central lines under the direction of a registered professional nurse. Appropriate education and training requires a minimum of four (4) hours of instruction. The requisite four ( 4) hours of instruction may be included as part of the thirty (30) hours required for intravenous therapy education. (4) Educational Alternatives. The cognitive training shall include one or more of the following: Post-graduate Level Course, in recognition that the curriculum requirements, for practical nursing programs are extensive and that every licensed practical nurse will not administer IV Therapy, the course necessary to qualify a licensed practical nurse or graduate practical nurse to administer IV therapy shall be not less than a thirty (30) hour post-graduate level course teaching aspects of IV therapy containing the required components. Home Health Agency Nursing Manual J-33