Cpe's Set 2

Front 1

Saline Lock Step One

Back 1

Verify Orders; Check for Accuracy; Look up in Drug Ref. Book (side effects, time to infuse medication, & incompatibilities); pt. weight; allergies.

Front 2

Saline Lock Step Two

Back 2

Perform Calculations

Front 3

Saline Lock Step Three

Back 3

Gather equiptment: 3 needless syringes, blunt cannulas, NS vial, Alcohol pads, labels, and medication.

Front 4

Saline Lock Step Four

Back 4

Hand Hygiene, Don Clean Gloves, Open supplies (do not contaminate).

Front 5

Saline Lock Step Five

Back 5

Check Medication again; draw up calculated amount of medication with needless system and label the syringe; Draw up two saline flush syringes and label these syringes. (Use the needless system for all three syringes).

Front 6

Saline Lock Step Six

Back 6

Enter pt.'s room with MAR; and three labeled syringes; confirm identity with two identifiers; Into. self; Explain medication; ask pt. about medication; Ask pt. if have any questions; Confirm allergies; and Provide for Privacy.

Front 7

Saline Lock Step Seven

Back 7

Hand Hygiene & Don Clean Gloves.

Front 8

Saline Lock Step Eight

Back 8

Assess the IV site for: phlebitis (swelling); warm to touch; redness; infiltration; drainage; and pain.

Front 9

Saline Lock Step Nine

Back 9

Open clamp located between the catheter and the port on the extension set; clean the port with an alcohol wipe; and allow to dry.

Front 10

Saline Lock Step Ten

Back 10

Connect the saline flush syringe with the IV port; ASPIRATE FOR BLOOD (if present and no other signs of infiltration are present continue with flush); Withdrawl and dispose of syringe.

Front 11

Saline Lock Step Eleven

Back 11

Again clean the IV port with an alcohol wipe and allow to dry; Connect medication syringe with IV port; infuse medication over appropriate time period; Again clean IV port with an alcohol wipe and allow to dry.

Front 12

Saline Lock Step Twelve

Back 12

Connect the second saline flush to IV port; administer flush; withdraw the needless system and dispose of properly; & re-clamp saline lock.

Front 13

Saline Lock Step Thirteen

Back 13

Reposition pt, provide for safety; remove gloves, & perform hand hygiene.