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Prior Authorization Form/ Prescription Date: Date Medication Required: Ship to: Physician Patients Home Other Phone: (855) 3045580 Fax: (855) 5211728 Patient Information Last Name: First Name: Middle:
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How to fill out iv

How to fill out IV:
01
Gather the necessary information: Before filling out an IV, make sure you have all the relevant information at hand. This may include personal details of the patient, medical history, and any specific instructions from the healthcare provider.
02
Prepare the IV equipment: Ensure that you have the required IV equipment ready. This typically includes an IV catheter, tubing, saline or medication bags, gloves, alcohol swabs, and adhesive tape.
03
Wash hands and wear gloves: Prior to starting the procedure, wash your hands thoroughly with soap and water. Afterward, put on a pair of sterile gloves to maintain a clean and aseptic environment.
04
Assess the patient and select an appropriate site: Evaluate the patient's veins to determine the best site for inserting the IV catheter. Common insertion sites include the forearm, hand, or upper arm. Choose a vein that is visible, palpable, and suitable for infusion.
05
Cleanse the insertion site: Use an alcohol swab to clean the selected insertion site. This helps in reducing the risk of contamination and infection.
06
Insert the IV catheter: Holding the catheter at a slight angle, carefully insert it into the vein with a swift motion. Ensure that the catheter is correctly placed within the vein and blood return is observed.
07
Secure the catheter: Once the catheter is successfully inserted, secure it in place using adhesive tape or a transparent dressing. Make sure the catheter is stabilized to prevent accidental dislodgement.
08
Connect the IV tubing and begin infusion: Attach the IV tubing to the catheter and connect it to the saline or medication bag. Open the relevant valves or clamp to initiate infusion according to the prescribed rate.
09
Observe and monitor: Stay vigilant and monitor the patient's response to the IV therapy. Keep an eye on the infusion rate, potential complications, and any adverse reactions. Make sure the IV site remains clean and undisturbed.
Who needs IV:
01
Hospitalized patients: IVs are commonly used for patients admitted to hospitals for various medical conditions. They may require IV fluids, medications, or nutrition to support their treatment and recovery.
02
Surgery patients: Individuals undergoing surgical procedures often receive IV fluids and medications during the perioperative period. IVs help maintain hydration, regulate blood pressure, and administer anesthesia and pain management medications.
03
Dehydrated individuals: In cases of severe dehydration, IV fluids are administered to rapidly rehydrate the body. Dehydration can occur due to excessive vomiting, diarrhea, or insufficient intake of fluids.
04
Patients with certain medical conditions: Some medical conditions, such as cancer, kidney disease, or autoimmune disorders, may require long-term IV therapy. This helps deliver medications or specialized treatments that cannot be administered orally.
05
Emergency situations: IVs are vital in emergency situations where an immediate delivery of medications, fluids, or blood products is necessary to stabilize the patient's condition.
Remember, when filling out an IV, it is crucial to follow proper protocols, maintain aseptic technique, and closely monitor the patient's response for a safe and effective administration.
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