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This document outlines a training course designed for Emergency Medical Technicians (EMTs) to learn the skills and knowledge necessary to maintain peripheral intravenous therapy during patient transport.
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How to fill out maintenance of peripheral intravenous

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How to fill out Maintenance of Peripheral Intravenous Therapy for Emergency Medical Technicians

01
Gather necessary supplies, including IV catheters, sterile gloves, alcohol wipes, saline flush, and a waste container.
02
Ensure the patient is in a comfortable position and explain the procedure to them.
03
Assess the current IV site for signs of phlebitis, infiltration, or infection.
04
If the site is intact, wash your hands and put on sterile gloves.
05
Clean the access port of the IV tubing with an alcohol wipe.
06
Flush the IV with saline to ensure patency.
07
Change the IV dressing if it appears soiled or is no longer intact.
08
Monitor the IV site during the therapy for any adverse reactions.
09
Document the procedure, including the date, time, and any observations regarding the IV site.

Who needs Maintenance of Peripheral Intravenous Therapy for Emergency Medical Technicians?

01
Emergency Medical Technicians (EMTs) who are tasked with managing intravenous therapy in emergency situations.
02
Patients requiring IV therapy during emergency medical interventions.
03
Healthcare providers aiming to maintain proficiency in IV maintenance for patient safety.
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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. Flush the PIVC using a pulsatile flushing technique (push pause motion). Flush catheters: Immediately after placement.
Rinsing the peripheral intravenous catheter (PIVC) (with 0.9% sodium chloride) is thought to maintain catheter patency by preventing internal luminal (inner surface) occlusion.
The standard approach at our institution is to flush the catheter twice daily with a solution containing heparin.
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. The most commonly used primary IV fluid bag contains 1,000 mL.
The patient's IV site should be checked for patency before initiating IV therapy and throughout the course of treatment. The IV site should be free of redness, swelling, coolness, or warmth to the touch. The IV infusion should flow freely.
Patency can be evaluated by assessing response to infusing medication, ease of flushing, and by performing a TLC assessment. If a kink in the external portion of the catheter is visible, consider re-dressing the midline/PIVC. If catheter patency is not restored, the midline/PIVC will need to be removed.
Rinsing the peripheral intravenous catheter (PIVC) (with 0.9% sodium chloride) is thought to maintain catheter patency by preventing internal luminal (inner surface) occlusion.
Maintenance of an intravenous site includes continuous assessment, regulation of the rate of flow, changing IV fluid intravenous tubing, and changing the peripheral IV dressing.

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Maintenance of Peripheral Intravenous Therapy (PIV) refers to the procedures and practices that Emergency Medical Technicians (EMTs) follow to ensure that IV lines remain patent, clean, and free of complications during patient transport and care.
Emergency Medical Technicians (EMTs) who are certified and authorized to administer IV therapy in their region or healthcare facility are required to file Maintenance of Peripheral Intravenous Therapy.
To fill out the Maintenance of Peripheral Intravenous Therapy form, EMTs should include patient identification, details of the IV insertion, medication or fluids administered, time intervals for checks, and any complications or observations during the therapy.
The purpose of Maintenance of Peripheral Intravenous Therapy is to ensure safe and effective intravenous access for fluid and medication administration, monitor patient response, and prevent complications during emergency medical treatment.
Information that must be reported includes the patient's name, IV site location, date and time of insertion, type of fluid or medication administered, dosage, and any adverse reactions or complications noted during therapy.
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