Nursing Component Task
Nursing procedures & clinical learning

Paediatric Nursing (PAED)

ASSESSMENT OF INTRAVENOUS LINE

This is the regular evaluation of an existing intravenous line for proper function and absence of complications.

Purpose

  • Ensure line patency
  • Detect complications early
  • Prevent infection
  • Verify appropriate therapy

Indications

  • Routine assessment
  • Before medication administration
  • When malfunction suspected
  • Per protocol

Equipment

  • Gloves
  • Antiseptic swabs
  • Saline flush
  • Transparent dressing supplies
  • Assessment checklist

Preparation

  • Review insertion details
  • Gather assessment supplies
  • Know assessment criteria

Procedure steps

  • Perform hand hygiene
  • Don gloves
  • Inspect insertion site
  • Check for redness/swelling
  • Assess for warmth/tenderness
  • Palpate vein
  • Check dressing integrity
  • Verify securement
  • Test patency with saline flush
  • Observe flow rate
  • Check tubing for kinks
  • Document findings

Precautions

  • Use aseptic technique
  • Assess every shift minimum
  • Document findings accurately
  • Act on abnormalities promptly

Aftercare

  • Address any issues found
  • Redress if needed
  • Continue monitoring schedule

Nursing considerations

  • Compare to previous assessments
  • Consider patient age
  • Assess need for continuation

Patient education

  • Explain importance of monitoring
  • Teach signs to report
  • Encourage communication

Documentation

  • Site appearance
  • Presence of complications
  • Patency status
  • Dressing condition
  • Actions taken

References and further reading

Educational resource only. Follow current Nursing and Midwifery Council guidance, local institutional protocols, scope of practice, and clinical supervision.

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