Policies and Procedures for Infusion Therapy

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®, Britt Meyer, MSN, RN, CRNI®, VA-BC, NE-BC, Marsha Orr, MS, RN
Publisher: Infusion Nurses Society
Publication Date: 2016
ISBN 10: 0996594809
ISBN 13: 9780996594806
eISBN: 9780996594844
Edition: 5th


Policies and Procedures for Infusion Therapy

Table of Contents

Front Matter

  • preface
  • Preface

1: General Organizational Policies

  • Infusion Team
  • Competence and Competency Validation
  • Product Evaluation, Integrity, and Defect Reporting
  • Informed Consent
  • First Dose Administration in Alternative Care Settings
  • Latex Sensitivity or Allergy
  • Adverse and Serious Adverse Events

2: Infection Prevention and Safety Compliance

  • Hand Hygiene
  • Sharps Management
  • Medical Waste Disposal
  • Durable Medical Equipment Disinfection
  • Standard Precautions
  • Transmission-Based Precautions

3: Vascular Access Device Placement

  • Vascular Access Device (VAD) Planning
  • Local Anesthesia
  • Short Peripheral Catheter Placement
  • Ultrasound-Guided Short Peripheral Catheter Placement
  • Short Peripheral Catheter Insertion via the External Jugular (EJ) Vein
  • Ultrasound-Guided Midline Catheter Insertion
  • Ultrasound-Guided Peripherally Inserted Central Catheter (PICC) Insertion Using Modified Seldinger Technique (MST)
  • Ultrasound-Guided Nontunneled Central Vascular Access Device (CVAD) Insertion Using Modified Seldinger Technique (MST)
  • Ultrasound-Guided Nontunneled Central Vascular Access Device (CVAD) Insertion Using Seldinger Technique

4: Site Care and Maintenance

  • Administration Set Change
  • Maintaining Vascular Access Device (VAD) Patency: Flushing and Locking
  • Vascular Access Devices (VADs): Ongoing Assessment, Site Care, and Dressing Change
  • Vascular Access Device (VAD) Removal

5: Infusion-Related Complications: Identification & Intervention

  • Air Embolism
  • Allergic Reaction and Anaphylactic/Anaphylactoid Reactions
  • Catheter Damage
  • Central Vascular Access Device (CVAD) Malposition
  • Central Vascular Access Device (CVAD) Occlusion
  • Central Vascular Access Device (CVAD)-Associated Venous Thrombosis
  • Circulatory Overload
  • Infiltration/Extravasation
  • Nerve Injuries
  • Phlebitis
  • Vascular Access Device (VAD)-Associated Infection

6: Other Infusion-Related Procedures

  • Preparing Immediate-Use Parenteral Medications
  • Implanted Vascular Access Port: Accessing and Deaccessing
  • Phlebotomy: Blood Sampling from a Vascular Access Device (VAD)

7: Other Infusion Access

  • Intraspinal Access Device: Care and Management
  • Subcutaneous Access Device: Placement and Infusion Administration
  • Intraosseous Access Device: Placement, Care, and Maintenance

8: Infusion Therapies

  • IV (Intravenous) Administration: Continuous Infusion, IV Push, Intermittent Infusion
  • Transfusion
  • Parenteral Nutrition
  • Antineoplastic Therapy
  • Biologic Therapy
  • Patient-Controlled Analgesia (PCA)
  • Moderate Sedation
  • Therapeutic Phlebotomy