Skin-based bacteria may enter through insertion site. Extravasation refers to infiltration of damaging intravenous medications, such as chemotherapy, into the extravascular tissue around the site of infusion. If you are concerned an IV is infiltrated, follow your facility policy and, as a general guideline, discontinue the site and relocate the IV. Administer blood or blood components Administer intravenous anesthetics Maintain or correct a patient's nutritional state Administer diagnostic reagents Monitor hemodynamic functions 4. sterile gauze or cotton wool over the exit site but do not apply pressure, Slowly withdraw the endobj Our nurses are trained to do this as quickly and painlessly as possible. You might hear your nurse call it piggybacking. Administering fluids containing glucose concentration greater than 12.5% will require central venous line accessdue to the risk of vascular endothelial damage. Becoming a registered nurse (RN) requires passing the. nursing responsibilities for iv therapy ppt purposes restore or maintain f & e administer meds provide nutrition transfusion route for blood, IV Therapy - Administering fluids and different electrolytes in the circulatory system of the client by using the veins. Examine the bag to ensure that the bag itself is intact and not leaking. With the IV bags empty, your nurse can do final checks and take the IV access out. 4723.171 Intravenous therapy procedures. It appears that you have an ad-blocker running. 5 0 obj Because a patients fluid and electrolyte statuses are constantly changing when receiving IV fluids, it is important for the nurse to monitor for signs of fluid or electrolyte imbalances and appropriately notify the health care provider of any concerns. Intravenous Fluids. Review syllabus and course requirements Answers any questions related to class www.emprocedures.com/index.htm Then go to Peripheral IV access. The RN II . phlebitis, occlusion, dislodgement and migration. Responsibilities and duties of IV infusion nurses include: Key Skills and Responsibilities Coordinating and administering therapeutic IV treatments and infusions Developing care plans Educating patients and caregivers Managing complications with infusion therapies Monitoring patient responses to treatment Performing patient assessments , Reset IV combines world-class service with personal attention. We've encountered a problem, please try again. <> [Gd )Q[$!Y;*% gMb|s"$;Zt#b3d k!"Xts}so-Hfx%E'g}BK,o)VlzcKXZU_>VF|18q'Rd'%z97Oq}NR[]J^xnn"DG"hMjQwLm?q* uG [vQ 3~N*1r3{u1= % Creative Commons Attribution 4.0 International License, Inspect established IV site for deviations from normal, Prepare and safely administer primary and secondary IV fluids and medication, Calculate and ensure designated flow rate, Modify the procedure to reflect variations across the life span, monitoring the effectiveness of IV therapy. Primary IV administration sets consist of the following parts: Sterile spike: This part of the tubing must be kept sterile as you spike the IV fluid bag. By piggybacking a medication, the solution from the primary fluid line is used to prime the secondary tubing. Attach acompleted drug label detailing the drug, dose, diluent, volume of diluent, date, time and signature of the nurse and the staff who double checked. case study provided by: daniel franklin, dvm, Pediatric IV Therapy - . They are primarily used for therapeutic purposes such as administration of medications, fluids, and blood products. If the patient no longer requires IV access for infusions, remove the cannula at the earliest to avoid complications. Concierge service means easy access for you, and our nurses are on call 24/7 to manage your needs. Secondary IV fluid administration is usually an intermittent infusion that infuses at regular intervals (e.g., every 8 hours). Clipping is a handy way to collect important slides you want to go back to later. Infiltration may cause pain, swelling, and skin that is cool to the touch. Upper limit infusion pump pressure can be manually increased with clinical discretion to accommodate: If pump pressure exceeds the recommended limits, check the patency of the PIVC. according to clinical practice, perform hand hygiene. Nurse - IV Therapy Job in West Palm Beach, FL at Restore Share . The SlideShare family just got bigger. Additionally, IV fluid administration is considered a medical intervention and requires a medication order prior to the initiation of fluid therapy. Nursing responsibilities for IV therapy include inserting, monitoring and removing an IV used to give medications, blood products and nutrition to a patient. por | Jun 14, 2022 | jacksonville housing authority portal | radford job level guide | Jun 14, 2022 | jacksonville housing authority portal | radford job level guide nursing responsibilities for iv therapy ppt Assess the IV site. Educate clients on the qualities and benefits of our IV Drip and Intramuscular (IM) Shot ingredients. Want to create or adapt books like this? nursing responsibilities for iv therapy ppt an infiltration or extravasation injury. <> Shri Deshaies is a nurse educator with over 20 years of teaching experience in hospital, nursing school, and community settings. Patient and IV site assessments should be done on a regular basis. Signs of infection include redness, warmth, tenderness, and possible fever. Use 10mL syringe for flushing to avoid excessive pressure and catheter rupture. medical guidelines and procedures are used, whether a nurse gives IV therapy in a hospital or a hotel. An example of isotonic fluid is 0.9% normal saline. Deshaies' clinical area of expertise is critical care nursing and she is a certified critical care nurse. Do not sell or share my personal information, 1. 6 0 obj The development of this nursing guideline was coordinated by Eloise Borello, CNC Quality & Improvement, and Lauren Nichols, CSN PICU, approved by the Nursing Clinical Effectiveness Committee. It is important to remember that not all IV solutions are compatible with all IV medications. These may also be referred to as Y ports.. IV fluids are a medication. Experience in IV Therapy nursing; Additional Information Northwestern Medicine is an affirmative action/equal opportunity employer and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status. Draw up required volume of diluent in appropriate size syringe and then pull back the syringe plunger to enable you to inject the drug into the syringe using principles of aseptic technique. JFIF ` ` C BLS Certification required. Primary IV tubing can be a macro-drip or micro-drip solution set. Orientation To Class. SYRINGE PUMPS Holds prefilled syringe Positive pressure to plunger delivers specific volume Used for small volume Insulin pumps, PCA pumps Safer, preprogramming to prevent calculator errors, Initiate: Intermittent Infusion: (Piggyback) Intravenous: (IV) IV Bolus: IV Push: Maintain. Your time is important, and our team has flexible options to maximize it. IV THERAPY: NURSES ROLE When administering IV fluids to a patient, the nurse must continually monitor the patient's fluid and electrolyte status to evaluate the effectiveness of the infusion and to avoid potential complications of fluid overload and electrolyte imbalance. infiltration of damaging intravenous medications, such as chemotherapy, into the extravascular tissue around the site of infusion. Our Registered Nurses earn a competitive hourly wage, TIPS, and many other perks!The Nurse position will be overseeing patient-care operations. . Registered Nurse-IV Infusion Therapy Full Time For this profession however, the pros seem to outweigh the cons. Comfortably seated, you can rest your eyes, watch television, or play on your phone. Administer IV Drip Therapy and Intramuscular (IM) Shots to deliver our menu of vitamins, minerals, and antioxidants. Because infusion nursing schedules tend to follow a traditional work week, with weekends and holidays off, and some positions offer scheduling flexibility, infusion nursing tends to be less stressful than other nursing specialties. Job Summary: The Registered Nurse (RN) II is a professional caregiver who assumes responsibility and accountability for a group of patients for a designated time frame. Questions cover three core areas: 36 questions each on principles of practice and access devices, and 48 questions about infusion therapies. In this case, the primary line maintains venous access between drug doses. |cc,}1=[9] =" 4N%f-o?)6fVzQ' k!0x]'ZOb{1|G}iihb*U5P Job Summary: The Nurse position will be overseeing patient-care operations. See Figure 23.2[2] for an illustration of the set up of a primary and secondary tubing for administration of fluids and a secondary medication by gravity. The. New environments are no problem. nursing responsibilities for iv therapy ppt - albakricorp.com For Opioid infusion bolus refer to the specific guidelines: If the cannula is to be accessed intermittently for the administration of medications or fluids, the cannula should be flushed prior to infusion or at least once a shift. If patient is allergic to transparent film dressings, use sterile film dressing to be used and changed daily. reason for removal. endobj Placing and utilizing an IV is standard practice for nurses in all settings. include a number of complications which range from infiltration, extravasation, Insert the IV. cgbcj`y;@mW,<13L&d0wg.b8;SD2|001s ,Xv%iFP#c> IV therapy, Nurse's role - SlideShare AMN Healthcare Education Services. Scope of Practice B. Many institutions will hang smaller volume normal saline continuous infusion bags just to serve as an additional reminder that these patients should not receive large amounts of primary fluids. Explain the May be combined with surgery or radiation therapy. Ensure the IV site is patent when initiating new fluid or medication. Special consideration: Patients admitted to the Neonatal Unit should have line pressure documented within the Peripheral IV Cannula Lines, Drains, and Airway (LDA) tab. H*wSp Youre there to feel better and our nurses are there to help make that happen. Her clinical expertise is critical care. Continuous fluids may also be ordered to run until the provider gives a follow-up order to discontinue or decrease the fluid rate. Alcohol dries quickly and provides excellent protection against contamination. .\`` Duties/Responsibilities: Continuous Infusions: Controlled Analgesic: Drip Factor: Electronic Pumps and Controllers: Flow Rate:ml/hr or gtts/min Infiltration: Infusion Devices: Controllers Thru peripheral IV sites-depend on gravity for administration- must be 24-36 inches above IV sites If patient changes positions volume decreases-back pressure greater, rate slows or stops Simplest controllers-roller or slide clamp Use to speed up or slow, counts gtts in drip chamber. Monitoring will continue as treatment ends. endstream Haberler Uncategorized @tr nursing responsibilities for iv therapy ppt. Are you exploring an infusion nursing career? 23.1 IV Therapy Management Introduction - Nursing Skills and apply non-sterile gloves, carefully remove the adhesive dressing, Indications for dressing change include when it becomes insecure or if there is blood or fluid leakage under the dressing. There is no evidence for routine Enjoy access to millions of ebooks, audiobooks, magazines, and more from Scribd. achieve & maintain normal fluid, IV Therapy - . Which Fluids and how much fluids to use technique for insertion and maintenance as well as assessing the device as nrs 108 majuvy l. sulse rn, msn, ccrn. Local cellulitis or systemic bacteraemia are possible. Featured or trusted partner programs and all school search, finder, or match results are for schools that compensate us. Gauze is held firmly over the access site for a moment to discourage any bleeding, and sterile dressing is applied. Coordinating and administering therapeutic IV treatments and infusions, Managing complications with infusion therapies, Monitoring patient responses to treatment, Reviewing lab reports and drug information, 2023 NurseJournal.org, a Red Ventures Company. Loss of medication is considered a medication error because the patient received less active medication than prescribed. the four, Class IV Companion Therapy Laser Pediatric Fracture Healing - . Intravenous therapy Needle Selection 2. replacement of PIVC unless clinically indicated. PPT - Introduction to IV Therapy PowerPoint Presentation, free download how to configure syslog server in windows server 2016 / 2020 Carefully remove the old dressing, always holding the cannula in place. As an IV vitamin therapy nurse, I infuse IV vitamins Intravenous therapy nurses focus on the insertion and maintenance of the IV line as well as the care of the patient receiving the therapy. Demonstrate the procedure for IV insertion, conversion to a saline lock, administration of IV fluids, discontinuation of the IV Identify possible complications of intravenous therapy and nursing interventions to treat each. (2015). range of complications that could occur with the presence of a PIVC in situ. IV Therapy Nurse Description | Work - Chron.com How do they go about making magic happen? It is vital for the nurse to triple check that the secondary medications/fluids are compatible with primary fluids. endstream endobj 110 0 obj <> endobj 111 0 obj <>/Font<>/ProcSet[/PDF/Text]>>/Rotate 0/Type/Page>> endobj 112 0 obj <>>>/Subtype/Form/Type/XObject>>stream For intermittent infusions, IV lines which are disconnected are to be discarded between infusions. Use aseptic non touch techniques including cleaning the access port (scrub the hub) vigorously for at least 15 seconds and allowing to dry prior to accessing the system. Many other fluid volume bags are used for intermittent infusions or short-term therapy. Cover the cannula insertion site with sterile transparent semipermeable, occlusive dressing (e.g. Safely dispose of the materials that were used. It is important for the nurse to continually monitor a patients skin turgor, urinary output, lung sounds, and oxygen requirements and to assess for any new edema to offer important insight into their fluid volume status. up to 24 hours, Remove gloves, $4%&'()*56789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz ? Burette of an infusion set: to dilute the drug in a smaller volume via burette giving system, hang the bag of infusion fluid and gradually open the roller camp to allow appropriate amount of diluent into the burette. IV Therapy Class Carolyn McCune, RN, MSN, CRNP Teresa Peck RN, BSN, Orientation To Class Review syllabus and course requirements Answers any questions related to class www.emprocedures.com/index.htm Then go to Peripheral IV access, 4723.171 Intravenous therapy procedures. 4 0 obj PIVCs should be maintained Secondary IV administration sets are used to intermittently administer a secondary medication, such as an antibiotic, while the primary IV is also running. If desired, place sterile tape over the hub of the device before placing the transparent dressing. Ensure there is a clear window where thecannula enters the skin- insertion site, so the site can be regularly viewed. (JZFR=AN'ANI;EixS| Benefits of the profession include flexibility and the ability to work in a variety of settings, including home healthcare, hospitals, long-term care facilities, and private practice. For assistance with difficult intravenous access, 0730 - 1730 (Mon Fri): Micro-drip IV tubing is used in pediatric or neonatal care where small amounts of fluids are administered over a long period of time. Nurse managers wear two hats: They deliver clinical care and serve as administrative leaders. Secure the catheter with tape or other dressing. will enable . Administration of intravenous fluid, drug infusions or blood products. C r " Medical Operations & Clinical Duties. 167 0 obj <>stream IV therapy is safe and effective, and our nurses know their stuff. the main learning areas . <> Staff Nurse II - Monoclonal Antibody IV Therapy-Epidemic Vacc-Multi Fac-Temp 40hrs - Full-time / Part-time . Free access to premium services like Tuneln, Mubi and more. The most common places are the back of the hand and the inner arm. Most adult patients receive continuous IV fluids with 1,000 mL bags due to the higher drip (gtt) rate. Like any career, IV infusion nursing work comes with benefits and drawbacks. Tap here to review the details. The nurses responsibilities in managing IV therapy include the following: IV medications and fluids enter the patients bloodstream directly through the vein. bGKqvf6 Z9-mVKvw=#TmOW:hz2Z^'8]!+\CE&T5$J{jIV^4i]Y>,HMc ^#2KgS;U9eGTE~%/ &t$:f|/c #op;{T;P}qUkY1axSdsp)}MJ5KPkw!H:~"`6P __Vv/g-lvOjt]Ltc ~ 9rfRKdE\,b&2 ki,1xH@:0I\:mv?27n(I\JJXEKO8@5ik 2.8 Functional Health and Activities of Daily Living, 2.11 Checklist for Obtaining a Health History, Chapter Resources A: Sample Health History Form, 3.6 Supplementary Video of Blood Pressure Assessment, 4.5 Checklist for Hand Hygiene with Soap and Water, 4.6 Checklist for Hand Hygiene with Alcohol-Based Hand Sanitizer, 4.7 Checklist for Personal Protective Equipment (PPE), 4.8 Checklist for Applying and Removing Sterile Gloves, 6.12 Checklist for Neurological Assessment, 7.1 Head and Neck Assessment Introduction, 7.3 Common Conditions of the Head and Neck, 7.6 Checklist for Head and Neck Assessment, 7.7 Supplementary Video on Head and Neck Assessment, 8.6 Supplementary Video on Eye Assessment, 9.1 Cardiovascular Assessment Introduction, 9.5 Checklist for Cardiovascular Assessment, 9.6 Supplementary Videos on Cardiovascular Assessment, 10.5 Checklist for Respiratory Assessment, 10.6 Supplementary Videos on Respiratory Assessment, 11.4 Nursing Process Related to Oxygen Therapy, 11.7 Supplementary Videos on Oxygen Therapy, 12.3 Gastrointestinal and Genitourinary Assessment, 12.6 Supplementary Video on Abdominal Assessment, 13.1 Musculoskeletal Assessment Introduction, 13.6 Checklist for Musculoskeletal Assessment, 14.1 Integumentary Assessment Introduction, 14.6 Checklist for Integumentary Assessment, 15.1 Administration of Enteral Medications Introduction, 15.2 Basic Concepts of Administering Medications, 15.3 Assessments Related to Medication Administration, 15.4 Checklist for Oral Medication Administration, 15.5 Checklist for Rectal Medication Administration, 15.6 Checklist for Enteral Tube Medication Administration, 16.1 Administration of Medications Via Other Routes Introduction, 16.3 Checklist for Transdermal, Eye, Ear, Inhalation, and Vaginal Routes Medication Administration, 17.1 Enteral Tube Management Introduction, 17.3 Assessments Related to Enteral Tubes, 17.5 Checklist for NG Tube Enteral Feeding By Gravity with Irrigation, 18.1 Administration of Parenteral Medications Introduction, 18.3 Evidence-Based Practices for Injections, 18.4 Administering Intradermal Medications, 18.5 Administering Subcutaneous Medications, 18.6 Administering Intramuscular Medications, 18.8 Checklists for Parenteral Medication Administration, 19.8 Checklist for Blood Glucose Monitoring, 19.9 Checklist for Obtaining a Nasal Swab, 19.10 Checklist for Oropharyngeal Testing, 20.8 Checklist for Simple Dressing Change, 20.10 Checklist for Intermittent Suture Removal, 20.12 Checklist for Wound Cleansing, Irrigation, and Packing, 21.1 Facilitation of Elimination Introduction, 21.4 Inserting and Managing Indwelling Urinary Catheters, 21.5 Obtaining Urine Specimen for Culture, 21.6 Removing an Indwelling Urinary Catheter, 21.8 Applying the Nursing Process to Catheterization, 21.10 Checklist for Foley Catheter Insertion (Male), 21.11 Checklist for Foley Catheter Insertion (Female), 21.12 Checklist for Obtaining a Urine Specimen from a Foley Catheter, 21.14 Checklist for Straight Catheterization Female/Male, 21.15 Checklist for Ostomy Appliance Change, 22.1 Tracheostomy Care & Suctioning Introduction, 22.2 Basic Concepts Related to Suctioning, 22.3 Assessments Related to Airway Suctioning, 22.4 Oropharyngeal and Nasopharyngeal Suctioning Checklist & Sample Documentation, 22.5 Checklist for Tracheostomy Suctioning and Sample Documentation, 22.6 Checklist for Tracheostomy Care and Sample Documentation, 23.5 Checklist for Primary IV Solution Administration, 23.6 Checklist for Secondary IV Solution Administration, 23.9 Supplementary Videos Related to IV Therapy, Chapter 15 (Administration of Enteral Medications), Chapter 16 (Administration of Medications via Other Routes), Chapter 18 (Administration of Parenteral Medications), Chapter 22 (Tracheostomy Care & Suctioning), Appendix A - Hand Hygiene and Vital Signs Checklists, Appendix C - Head-to-Toe Assessment Checklist. Bernard And Bianca, Domy Na Prenajom Kosice Okolie, , Domy Na Prenajom Kosice Okolie, HISTORICAL BACKGROUND In 1993 the Nursing Standards on Intravenous Practice was established October 1993 - ANSAP Board Members and Advisers had undergone the Training for Trainers at Philippine Heart Center February 4, 1994 - the first edition of Intravenous Standards on IV therapy was printed and circulated June 9-11, 1994 - first Training for Trainers as conducted in Cagayan de Oro May . The possible reasons for removal of PIVCs Place a flexible rubber band around the upper arm. Locate the best place to insert the IV. endobj Role Definition The IV nurses are RNs committed to ensure the safety of all patients receiving IV Therapy. $^pUTq^#P$|.\ |7 Isotonic fluids are typically administered for fluid and electrolyte replacement. It should be kept to full of solution. objectives of iv therapy. It is their responsibility to ensure that your infusion is safe, fast, and effective. Extravasation causes tissue injury, and depending on the medication, site, and length of exposure, it can cause tissue death, which is also referred to as necrosis. To that end, we have built a network of industry professionals across higher education to review our content and ensure we are providing the most helpful information to our readers. Keeping your patient involved in his care fosters a constructive dialogue. Infusion bag:Scrub the hub prior to access of additive port before injecting prepared drug into infusion fluid bag. Part of a team of other healthcare workers, like physicians and nurse practitioners. Shri Deshaies is a paid member of the Red Ventures Education freelance review network. $43.17 - $61.41 . with regular assessment and documentation of complications. Consider placing a small piece of sterile cotton wool ball or gauze underneath the hub of the cannula to reduce pressure. Varies according to unit requirements and needs. Tubing attaches to the port and carries the solution down and into the IV site. 1 0 obj DSC_0738-e1443533768679-678x1024.jpg by. correct fluid and IV Vitamin Therapy - Contact adress: 635 madison ave, suite 1400c, new york, ny 10022 phone: (347) 434-9815 website url: the holliday- segard nomogram. Isotonic fluids have a similar concentration to the solutes contained in blood, so they do not cause the osmotic movement of fluid into or out of the patients individual cells. Director, JINC. Our professional and highly skilled staff are devoted to the safety and comfort of every individual that they are assigned to. Nutcharee Jungvanichar RN, MBA. Ensure the device is also removed from the LDA in EMR. Shri Deshaies is a nurse educator with over 20 years of experience teaching in hospital, nursing school, and community settings. Refer to the Intravenous Fluids Clinical Practice Guideline: [4],[5] Additionally, clinical pharmacists can also be helpful resources for determining the appropriate type of infiltration treatment. She has worked in various surgical ICUs throughout her career, including cardiovascular, trauma, and neurosurgery. <> Nurses who are deemed competent in IV insertion could continue to insert PIVC in consultation with NUM/CSNs. For example, California RNs earn the highest salaries nationwide and travel infusion nurses may make more than other categories of infusion nurses. The U.S. Bureau of Labor Statistics (BLS) reports that RNs in general earn a median annual salary of $75,330. INTRAVENOUS IV Therapy - Overview. Types of IV Needles Steel needles: Butterfly catheters, named for the plastic tabs that look like wings. a busy month. Your time is important, and our team has flexible options to maximize it. Courteous, non-judgmental, and communicative. However, readers should be advised that only a low number of infusion nurses reported salaries. Free access to premium services like Tuneln, Mubi and more. Registered Nurse, RN - Adult IV Therapy Job in Boston, MA at Tufts endstream endobj 113 0 obj <>>>/Subtype/Form/Type/XObject>>stream Line B(of the Plum 360 pump): Certain medications can be infused as a secondary infusion through a syringe or infusion bag via line B. Syringe driver:is recommended for children weighing less than 10kg. w !1AQaq"2B #3Rbr Nursing responsibilities for IV therapy include inserting, monitoring and removing an IV used to give medications, blood products and nutrition to a patient. nursing responsibilities for iv therapy ppt - dowdcreative.com Check your institutions policy regarding which type of compress (warm or cold) should be applied. Click here to review the details. Looks like youve clipped this slide to already. The shorter secondary line gets placed into the port onto the main, where it locks in place. disclaimer. Intravenous therapy By- Dr. ASHOK DHAKA BISHNOI Director, JINC. or medications into surrounding tissue, If an overview . Treatment may include warm compresses and nonsteroidal anti-inflammatory medications. pressure dot, cotton wool and tape or Band-Aid, Advise the child and Learn more about our review partners here. Home; Reputation; Optimization; Local Marketing; 60 Marketing Sites; Blog; Webinar; nursing responsibilities for iv therapy ppt. nursing responsibilities for iv therapy ppt - coloventure.com hbbd```b``"Cd$&?Hn "]RDfgi`r2X>"@d6'DWj"`Y3i]g 20:? nursing responsibilities for iv therapy ppt. By accepting, you agree to the updated privacy policy. IV infusion nurses work as part of collaborative teams of healthcare professionals providing treatment that must be administered by intravenous methods. Becoming an IV infusion nurse involves four steps: earning a nursing degree, obtaining an RN license, logging work experience, and pursuing certification. Documentation shall contain information on the insertion site, gauge of the needle and date and time of insertion has been documented in the EMR- LDA properties. w !1AQaq"2B #3Rbr If additives are added to infusion, please label the bag or syringe driver with additives added. 7 0 obj Phlebitis is inflammation of a vein. _? rn. The drop factor is located on the packaging of the IV tubing and is important to verify when calculating medication administration rates. When two bags are needed, the second one is prepared just a little bit differently. About this job. The CRNI examination comprises 140 multiple-choice questions that test examinees' recall of information to solve problems or address situations. definitionstypes of iv fluidindications of iv, IV Vitamin Therapy - Vitamin therapy in manhattan & nyc. Do not sell or share my personal information, 1. %PDF-1.5 Follow agency policy regarding initiating tubing change before initiating a new bag of fluid or medications. IV THERAPY - . Be sure to follow evidence-based infection prevention practices, such as performing hand hygiene, performing a vigorous mechanical scrub of needleless connectors, limiting catheter access, and following sterile no-touch technique during intravenous infusion to reduce the risk of vascular catheterassociated infection.