ORIENTATION TO THE COURSE STATUS OF IV THERAPY IN THE PHILIPPINES HISTORY OF IV THERAPY IN THE PHILIPPINES
* Envisions itself to be a cohesive, pro-active, professional association, committed to excellence in nursing. * Believes that safe and quality nursing care to patients is the primary responsibility of nurses. * Believes that those who practice I.V. therapy nursing are only those R.N.s who are adequately trained and have completed the training requirements prescribed by ANSAP. * RA 7164 – The Philippine Act of 1991 Sec. 27 (a) Art. V states that I.V. injection is within the scope of nursing practice. * 1993 – Nursing Standards on Intravenous Practice was established. * October 1993 – Training for Trainers for ANSAP Board Members and Advisers. * February 4, 1994 – PRC-BON Resolution No. 08
* June 9-11, 1994 – Training for Trainers at Cagayan de Oro City. * May 17, 1995 – Protocol Governing Special Training on the Administration of I.V. Injections for RNs adopted ANSAP's I.V. Nursing Standards of Practice. * 2002 – Special Committee by ANSAP in collaboration with PRC-BON was founded. * RA 9173 – Philippine Nursing Law of 2002.
* August 25, 2006 – Nursing Standards on Intravenous Practice 7th ed was released.
Why do we need to be updated regarding I.V. therapy?
* More medications are being administered intravenously now than before. * Nurses are assuming greater responsibilities related to I.V. medication administration. * Many technical improvements have been made in equipment, and innovative as well as time-saving measures have been developed to increase the efficacy of the therapy.
STANDARDS ON IV THERAPY
1. Initiation Technique
2. Drug Administration
6. Infection Control and Complications
DEFINITION OF IV THERAPY
* Intravenous (IV) Therapy – insertion of a needle into a vein, based on the physician's written prescription. The needle is attached to a sterile tubing and a fluid container to provide medication and fluids. Objectives of the IV Therapy Standards
* Serves as a guide for nurses in providing safe and quality nursing care to patients relative to I.V. therapy. * Promotes the application of principles underlying the administration of I.V. therapy. * Recognizes the ethico-legal implications of I.V. therapy.
THE ETHICO – LEGAL ASPECTS OF BASIC IV THERAPY
DUTIES AND RESPONSIBILITIES OF IV THERAPISTS
1. Interpret and carry out the physician’s prescriptions for IV therapy. 2. Prepare, initiate and terminate IV therapy based on physician’s written prescription. 3. Perform peripheral venipuncture (all types of needles and cannulas) excluding the insertion of subclavian and cut down catheter. 4. Determine solution and medication incompatibilities.
5. Administer computed medications, chemotherapeutic drugs, flow rates of solutions, compatible blood/blood components and parenteral nutrition as prescribed by the physician. 6. Assess all adverse reactions related to IV therapy and initiate appropriate nursing interventions. 7. Establish nursing care plan related to IV Therapy.
8. Adhere to established infection control practices.
9. Maintain proper care of IV equipments.
10. Document relevant data in the preparation, administration and termination of all forms of IV therapy.
IV THERAPY AND LEGAL IMPLICATIONS
* R.A. 7164 – The Philippine Nursing Act of 1991 Section 28 states that in administration of IV injections, special training shall be required. * IV Nursing Standards of Practice developed by the ANSAP should be used. * In giving IV injections, nurses should follow the policies of their agencies. * Board of Nursing Resolution No.8 Sec.30 (c) Art.VII or administratively under Sec.21 Art.III – states that any registered nurse without training and who administers IV injections to patients shall be held...