To recognize the concepts and skills required to manage IV therapy, including the patient’s subjective data and individual preferences that will achieve patient-centered care.

QUESTION

Learning Objective

To recognize the concepts and skills required to manage IV therapy, including the patient’s subjective data and individual preferences that will achieve patient-centered care.

Explain rationales for interventions required in management of IV therapy. {knowledge}

Explain the steps required to provide safe care of patients receiving IV therapy. State the concepts to be included in patient teaching. {skill}

Discuss the concept of accountability which is necessary to provide care for patients receiving IV therapy. Include an explanation of your role and responsibilities as a nursing student versus the Registered Nurse. {attitude}

ANSWER

Managing IV Therapy: Concepts, Skills, and Accountability for Patient-Centered Care

Introduction

Managing intravenous (IV) therapy is a crucial aspect of nursing care that requires a comprehensive understanding of the concepts, skills, and accountability necessary to provide safe and patient-centered care. In this essay, we will explore the rationales for interventions in IV therapy management, outline the steps required to ensure patient safety, discuss essential concepts for patient teaching, and delve into the concept of accountability for both nursing students and Registered Nurses (RNs).

Rationales for Interventions in IV Therapy Management

The management of IV therapy necessitates the application of evidence-based interventions to ensure optimal patient outcomes. Some rationales for these interventions include:

Site selection: Selecting an appropriate IV site is crucial to prevent complications such as infiltration or phlebitis. Factors like vein condition, patient mobility, and therapy requirements inform site selection decisions.

Proper aseptic technique: Maintaining strict aseptic technique during IV therapy reduces the risk of infection (Clare & Rowley, 2018). Thorough hand hygiene, disinfecting the insertion site, and using sterile equipment are essential to prevent microbial contamination.

Compatibility checks: Prior to administering IV medications or fluids, compatibility checks are essential to prevent adverse drug reactions or precipitate formation. Verifying compatibility ensures the safety and efficacy of therapy.

Regular assessment: Continuous monitoring and assessment of the IV site, infusion rate, and patient response are vital to identify any signs of complications promptly. This allows for timely interventions and prevents adverse events.

Steps to Provide Safe Care for Patients Receiving IV Therapy

To ensure the safety of patients receiving IV therapy, the following steps should be followed:

Verification of orders: Always verify the accuracy of the physician’s orders for IV therapy, including the prescribed fluids, medications, dosages, and infusion rates. Double-checking helps prevent medication errors.

Preparation and administration: Prepare IV solutions and medications accurately, adhering to the principles of aseptic technique (Suvikas-Peltonen et al., 2017). Administer them at the prescribed rate, ensuring compatibility and verifying the patient’s identity and allergies.

Monitoring and assessment: Continuously monitor the IV site for signs of complications, such as redness, swelling, or pain. Observe the patient for adverse reactions or changes in vital signs. Document all findings accurately.

Patient education: Educate the patient about the purpose of IV therapy, potential side effects, and signs of complications to report. Teach proper hygiene and care for the IV site, emphasizing the importance of not tampering with the infusion.

Concepts to Include in Patient Teaching

Patient teaching plays a vital role in promoting successful IV therapy outcomes. Important concepts to include in patient education are:

Purpose and benefits: Explain why IV therapy is necessary, the specific goals it aims to achieve, and how it will improve the patient’s condition or alleviate symptoms.

Self-care measures: Teach patients about proper hygiene, including handwashing before and after touching the IV site. Instruct them to avoid dislodging or manipulating the IV line and report any concerns promptly.

Recognizing complications: Educate patients on the signs and symptoms of potential complications, such as infection, infiltration, or allergic reactions. Emphasize the importance of notifying healthcare providers immediately if any issues arise.

Follow-up care: Inform patients about the need for regular follow-up appointments to monitor their progress and ensure the ongoing effectiveness and safety of IV therapy. Discuss any necessary lifestyle modifications or medication adjustments.

Accountability in IV Therapy Management

Accountability is a fundamental principle in nursing practice, ensuring safe and high-quality care. As a nursing student, your role and responsibilities in IV therapy management will differ from those of an RN:

Nursing student: As a nursing student, you are accountable for learning and demonstrating competence in the theoretical knowledge and practical skills related to IV therapy. You should follow the guidance of your instructors and adhere to the established protocols and policies.

Registered Nurse: As an RN, you hold greater accountability in IV therapy management. Your responsibilities include assessing patient needs, planning and implementing appropriate interventions, and evaluating patient outcomes (Vaismoradi et al., 2020). Additionally, you are accountable for maintaining accurate documentation, advocating for patient safety, and collaborating with the healthcare team.

Conclusion

Managing IV therapy requires a comprehensive understanding of concepts, skills, and accountability to provide patient-centered care. By understanding the rationales for interventions, following the steps for safe care, incorporating essential concepts in patient teaching, and embracing the concept of accountability, healthcare professionals can ensure optimal outcomes for patients receiving IV therapy. Whether as a nursing student or a Registered Nurse, upholding these principles is crucial for maintaining patient safety and delivering effective IV therapy management.

References

Clare, S., & Rowley, S. (2018). Implementing the Aseptic Non Touch Technique (ANTT®) clinical practice framework for aseptic technique: a pragmatic evaluation using a mixed methods approach in two London hospitals. Journal of Infection Prevention, 19(1), 6–15. https://doi.org/10.1177/1757177417720996 

Suvikas-Peltonen, E., Hakoinen, S., Celikkayalar, E., Laaksonen, R., & Airaksinen, M. (2017). Incorrect aseptic techniques in medicine preparation and recommendations for safer practices: a systematic review. European Journal of Hospital Pharmacy, 24(3), 175–181. https://doi.org/10.1136/ejhpharm-2016-001015 

Vaismoradi, M., Tella, S., Logan, P., Khakurel, J., & Vizcaya-Moreno, M. F. (2020). Nurses’ Adherence to Patient Safety Principles: A Systematic Review. International Journal of Environmental Research and Public Health, 17(6), 2028. https://doi.org/10.3390/ijerph17062028