DISCUSS THE ROLE OF NURSE AIDE II ON HEALTHCARE TEAM *The licensed nurse maintains accountability and responsibility for delivering safe and competent care. Decisions regarding the delegation of any activities are made by the licensed nurse on a client-by-client basis. NA II’s are an important part of the healthcare team. One of their roles includes I.V. FLUID – ASSISTIVE ACTIVITIES - Assemble/flush tubing during set-up - Monitoring flow rate - Site care/dressing change - Discontinuing peripheral intravenous infusions. This presentation discussed NORTH CAROLINA BOARD OF NURSING NURSE AIDE II TRAINING MODULE SKILL MODULE 7: PERIPHERAL IV FLUIDS Part A: Preparing for Administration of IV Fluids Part B: IV Fluid Monitoring Flow Rate I Part C: V Fluids Site Care and Client Activities Part D: Discontinuing Peripheral Intravenous Infusions
PART A: PREPARING FOR ADMINISTRATION OF IV FLUIDS A. Introduction 1. Purposes 2. Classes of IV solutions 3. Common names of solutions B. Information 1. Identification of client 2. Nurse’s instructions 3. Body weight 4. Vital signs 5. Intake and output record 6. Verification of the correct solution C. Delivery devices 1. Types 2. Equipment D. Set up of 1. IV fluids Equipment 2. Sterile technique 3. Correct solution 4. Flushing tubes
PART B: IV FLUID MONITORING FLOW RATE A. Monitoring IV fluids 1. Flow rate per nurse’s instruction 2. Equipment function checks a. tubing (1) kinks (2) position (3) bubbles b. drip chamber c. clamp d. pump/controller B. Other observations 1. Position of client extremity 2. Volume in container 3. Client complaints C. Special considerations 1. Children 2. Elderly
PART C: IV FLUID SITE CARE AND CLIENT ACTIVITIES A. Caring for the venipuncture site 1. Common sites 2. Normal appearance 3. Abnormal appearance a. phlebitis (redness) b. infiltration (swelling) c. infection B. Related client care activities 1. Dressing change a. equipment b. procedure 2. Removing/replacing a client’s gown 3. Ambulation of the client with an IV a. client education b. sudden movement c. tension on tubing d. notifying licensed nurse PART D: DISCONTINUING PERIPHERAL INTRAVENOUS INFUSIONS A. Discontinuing a peripheral IV 1. Rationale 2. Nurse’s instructions 3. Equipment 4. Procedure 5. Site dressing 6. Site description 7. Report to the licensed nurse
