Clinical Assessment Preparation

CPNE Study Guide

   Patient name Date of birth Medical record number • Reassess insertion site for complications using both  Observe surrounding skin for changes in color  Palpate surrounding skin for edema • Administer new solution by:  Hang new solution  • Measure amount of parenteral fluid infused (informs CE) • Evaluate: 1. Patient response to parenteral intake • Document on Fluid Management Flow Sheet: 1. Within 20 minutes after beginning of implementation:  IV solution  IV flow rate  Condition of IV insertion site • If IV solution changed 1. New IV solution 2. Flow rate for new solution 3.

of the following methods:

Request CE set ICD for calculated mL per hour  Regulate drops per minute within +/- 5 drops per minute (regular or microdrops) of calculated drops per minute

Condition of IV insertion site prior to start of new IV solution • Volume (mL) of parenteral intake during PCS within +/- 10% of actual intake during planning and implementation • Indicate time of measurement • Place initials in appropriate box on Fluid Management Flow Sheet • Patient response to parenteral intake Intermittent intravenous access device, when assigned: • Assess: 1. Insertion site for complications using both of the following methods:  Observe surrounding skin for color changes  Palpate surrounding skin for edema • Implement: 1. Use correct syringe 2. Aspirate for blood return, unless contraindicated 3. Flush with prescribed solution • Evaluate: 1. Patient response to flush 2. Insertion site after flush for complications using the following methods 3. Observe surrounding skin for color changes, and 4. Palpate surrounding skin for edema • Document on Fluid Management Flow Sheet:

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