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Intervene Camera Injection Orders (rev 1/2018) Please fax this form along with a copy of insurance cards and clinical documentation to: (434)4555531 or call (434)9473900 ext. 2172 PATIENT INFORMATION
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How to fill out intravene - infusion orders

01
Gather all the necessary supplies, including the appropriate medication, IV fluids, syringe, needle, alcohol swabs, and gloves.
02
Wash your hands thoroughly with soap and water.
03
Choose the appropriate site for the IV infusion, typically a vein in the patient's arm.
04
Cleanse the chosen site with an alcohol swab and allow it to dry.
05
Put on a pair of gloves to maintain a sterile environment.
06
Prepare the medication according to the prescribed dosage and instructions.
07
Attach the syringe to the needle and draw the medication into the syringe.
08
Remove any air bubbles from the syringe by tapping it gently and pushing the plunger slightly.
09
Locate the chosen vein and secure it by gently applying pressure above and below the site.
10
Insert the needle into the vein at a 15 to 30-degree angle with a quick, smooth motion.
11
Confirm proper needle placement by seeing the blood return into the syringe.
12
Slowly push the medication into the vein, ensuring a steady, controlled flow.
13
Withdraw the needle smoothly once the medication has been administered.
14
Apply pressure to the site with a clean gauze pad to prevent bleeding.
15
Dispose of all used materials appropriately and document the procedure in the patient's medical records.

Who needs intravene - infusion orders?

01
Intravenous infusion orders are needed for patients who require medications or fluids to be delivered directly into their bloodstream.
02
This may include individuals with severe dehydration, severe infections, cancer patients receiving chemotherapy, patients in critical care units, or those who cannot take medications orally.
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Intravenous infusion orders are formal instructions issued by a healthcare provider detailing the administration of fluids and medications directly into the bloodstream through an IV.
Healthcare providers, particularly physicians and nurse practitioners, are required to file intravenous infusion orders when they administer IV therapies to patients.
To fill out intravenous infusion orders, ensure to include patient information, the type of infusion, dosage, administration rate, duration, and any specific instructions or medications.
The purpose of intravenous infusion orders is to ensure safe and effective delivery of fluids and medications to patients, facilitating accurate treatment protocols.
Information that must be reported includes patient identification, medication names, dosages, infusion rates, frequency, and medical justification for treatment.
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