Infusion Therapy Standards of Practice 2016

Author: Lisa Gorski, MS, RN, HHCNS-BC, CRNI®, FAAN, Lynn Hadaway, MEd, RN-BC, CRNI®, Mary Hagle, PhD, RN-BC, FAAN, Mary McGoldrick, MS, RN, CRNI®, Marsha Orr, MS, RN, Darcy Doellman, MSN, RN, CRNI®, VA-BC
Affiliation:
Publisher: Infusion Nurses Society
Publication Date: 2016
ISBN 10: 000016612X
ISBN 13: 9780000166128
eISBN: 9780000166142
Edition: 1st

Description:

INS’ most recognized publication, the Infusion Therapy Standards of Practice has long provided the framework that guides clinical practice. The Standards is used to define and develop organizational infusion-based policies and procedures for all practice settings. The 2016 edition is an invaluable guide with many uses in all ­practice settings. A must-have resource for anyone involved in infusion therapy.

Table of Contents

Front Matter

  • ABOUT
  • Seamless Patient Care, with an IV Catheter that Lasts
  • Infusion Therapy Standards of Practice Reviewers
  • preface
  • FOREWORD
  • ABOUT THE STANDARDS OF PRACTICE COMMITTEE
  • PREFACE
  • A MESSAGE FROM BD MEDICAL
  • ACKNOWLEDGMENTS
  • METHODOLOGY FOR DEVELOPING THE STANDARDS OF PRACTICE
  • STRENGTH OF THE BODY OF EVIDENCE

Section One: Infusion Therapy Practice

  • 1. PATIENT CARE
  • 2. SPECIAL PATIENT POPULATIONS
  • 3. SCOPE OF PRACTICE
  • 4. INFUSION TEAM
  • 5. COMPETENCY ASSESSMENT AND VALIDATION
  • 6. QUALITY IMPROVEMENT
  • 7. EVIDENCE-BASED PRACTICE AND RESEARCH
  • 8. PATIENT EDUCATION
  • 9. INFORMED CONSENT
  • 10. DOCUMENTATION IN THE MEDICAL RECORD

Section Two: Patient and Clinician Safety

  • 11. ADVERSE AND SERIOUS ADVERSE EVENTS
  • 12. PRODUCT EVALUATION, INTEGRITY, AND DEFECT REPORTING
  • 13. MEDICATION VERIFICATION
  • 14. LATEX SENSITIVITY OR ALLERGY
  • 15. HAZARDOUS DRUGS AND WASTE

Section Three: Infection Prevention and Control

  • 16. HAND HYGIENE
  • 17. COMPOUNDING AND PREPARATION OF PARENTERAL SOLUTIONS AND MEDICATIONS
  • 18. MEDICAL WASTE AND SHARPS SAFETY
  • 19. STANDARD PRECAUTIONS
  • 20. TRANSMISSION-BASED PRECAUTIONS
  • 21. DISINFECTION OF DURABLE MEDICAL EQUIPMENT

Section Four: Infusion Equipment

  • Section Standards
  • 22. VASCULAR VISUALIZATION
  • 23. CENTRAL VASCULAR ACCESS DEVICE (CVAD) TIP LOCATION
  • 24. FLOW-CONTROL DEVICES
  • 25. BLOOD AND FLUID WARMING

Section Five: Vascular Access Device (VAD) Selection and Placement

  • Section Standards
  • 26. VASCULAR ACCESS DEVICE (VAD) PLANNING
  • 27. SITE SELECTION
  • 28. IMPLANTED VASCULAR ACCESS PORTS
  • 29. HEMODIALYSIS VASCULAR ACCESS DEVICES (VADs)
  • 30. UMBILICAL CATHETERS
  • 31. APHERESIS CATHETERS
  • 32. LOCAL ANESTHESIA FOR VASCULAR ACCESS DEVICE (VAD) PLACEMENT AND ACCESS
  • 33. VASCULAR ACCESS SITE PREPARATION AND DEVICE PLACEMENT

Section Six: Vascular Access Device (VAD) Management

  • Section Standards
  • 34. NEEDLELESS CONNECTORS
  • 35. FILTRATION
  • 36. ADD-ON DEVICES
  • 37. VASCULAR ACCESS DEVICE (VAD) STABILIZATION
  • 38. JOINT STABILIZATION
  • 39. SITE PROTECTION
  • 40. FLUSHING AND LOCKING
  • 41. VASCULAR ACCESS DEVICE (VAD) ASSESSMENT, CARE, AND DRESSING CHANGES
  • 42. ADMINISTRATION SET CHANGE
  • 43. PHLEBOTOMY
  • 44. VASCULAR ACCESS DEVICE (VAD) REMOVAL

Section Seven: Vascular Access Device (VAD)-Related Complications

  • Section Standards
  • 45. PHLEBITIS
  • 46. INFILTRATION AND EXTRAVASATION
  • 47. NERVE INJURIES
  • 48. CENTRAL VASCULAR ACCESS DEVICE (CVAD) OCCLUSION
  • 49. INFECTION
  • 50. AIR EMBOLISM
  • 51. CATHETER DAMAGE (EMBOLISM, REPAIR, EXCHANGE)
  • 52. CENTRAL VASCULAR ACCESS DEVICE (CVAD)-ASSOCIATED VENOUS THROMBOSIS
  • 53. CENTRAL VASCULAR ACCESS DEVICE (CVAD) MALPOSITION

Section Eight: Other Infusion Devices

  • Section Standards
  • 54. INTRASPINAL ACCESS DEVICES
  • 55. INTRAOSSEOUS (IO) ACCESS DEVICES
  • 56. CONTINUOUS SUBCUTANEOUS INFUSION AND ACCESS DEVICES

Section Nine: Infusion Therapies

  • Section Standards
  • 57. PARENTERAL MEDICATION AND SOLUTION ADMINISTRATION
  • 58. ANTINEOPLASTIC THERAPY
  • 59. BIOLOGIC THERAPY
  • 60. PATIENT-CONTROLLED ANALGESIA
  • 61. PARENTERAL NUTRITION
  • 62. TRANSFUSION THERAPY
  • 63. MODERATE SEDATION/ANALGESIA USING INTRAVENOUS INFUSION
  • 64. THERAPEUTIC PHLEBOTOMY

Appendix A. Infusion Team Definition

Appendix B. Illustrations

Glossary

Performance Under Pressure