INSTALLATION PREPARATION STEP INFUSION

PREPARATION
1. Health workers
Wash your hands: to prevent nosocomial infections following proper hand washing
examples:

Wear PPE (Personal Protective Equipment)

- Gloves
- Mask
- Glasses google (for a particular patient) to protect the eyes officer

2. Patients
Problems in patients:
- Fear, anxiety
- Tense-step
Measures to encourage patients to cooperate:
a. Show an attitude of confidence
b. Greet the patient by name
c. Introduce yourself
d. Validation identification of such patients
e. Explain the procedure in a manner that is easily understood by patients /
families
f. Involve parents (especially in children and infants)

3. Tools and environment

a. Tools for infusion in general, namely:
- Intravenous fluids
The things that must be known Officer:

- The infusion set (Macro / Micro)

- The catheter infusion (provide 3 sizes)
The things that must be known Officer:

catheter size and usability

major surgery or
trauma
transfusion
SELECTION OF INTRAVENOUS CATHETERS
Most
adultwall
patients
Catheter
thickness
most patients are
needle sharpness
children
and the
elderly
pediatric and
Softness properties of catheterneonatal
patients
Safe design to prevent injury punctured
Alcohol

swab
- Wrap infusion, plaster
- Basis
- Hedge Rope (Tourniquet)
- Pole infusion
- Crooked / trash
- Troley
- Spalk (if necessary)
b. Environment
- Comfortable
- Put skerm (for patient privacy)
- Space action (for certain patients, such as children)

INSTALLATION PROCEDURES INFUSION

1.
2.
3.
4.
5.
6.

Tell patient
Prepare tool
Officers wash hands, wear PPE
Install skerm / curtains
Attach the pedestal
Attach the infusion set to the infusion bottles as follows:

open packaging
infusion set / blood
set

close the roller clamp on

the infusion hose
guard sterilization spike
end of infusion

HOW TO OPEN BOTTLE FOR

CLOSING CONTAINERS
(CLOSED RUBBER)
Open the cover ring
bottle with aseptic
technique or
antiseptic

Attention the direction

of pull bottle cover

HOW TO OPEN CLOSING

BOTTLES OGB (CLOSE
UNICAP)
Open Top Cap with
swivel system on /
screw as threaded on
the bottle
Disinfection of the
puncture hole with
alcohol 70%

SPIKE stabbing

Open the cover

spike
Hold the bottle neck
and stab spike
infusion. Pricking
should be straight
in the direction of
the position of the
bottle by applying
aseptic techniques.
Bottle position 45
degrees

How to fill the water

chamber
Press chamber at the
infusion set so that the
water down into the
chamber.

Fill the water until the

liquid fills half or outline
on the chamber

How to fill the water in the

hose

Raise the end of the

infusion set (no needle) is
made parallel to the
chamber.
Open the roller clamp
gently until the liquid
meets the hose.

Only done on the bottle cap

rubber.
Disinfection of the
puncture site.
Make sure the drugs are
well blended
Use the syringe size 20G or
23G.
Bolus administration can
be done via the "Y Injection Site" on the
infusion set.

7. Choose a good vein

8. Install torniquet 4-6 inches above the stabbing

9. Disinfection pricking the skin with a circular motion from the center out with an
alcohol swab

10.Pegang hands / wrists of patients with left hand while fixation vein, place your
thumb over the vein to prevent movement and to stretch the skin against pricking
direction.
11.Stab vein with the needle bevel facing upwards (with angle of 30-40 degrees),
the direction of the flow of venous puncture catheter (visible blood will fill venous
catheter tube).

12. The right hand pressing / holding the IV needle, left hand push the catheter to
the catheter entry all.

13. Remove the needle infusion catheter and a relationship with the infusion set
that has been prepared.
14. Remove torniquet
15. Flush intravenous fluids, check smoothly / not, is there any sign of swelling 16.
Fixation, set the droplet according to the instructions and set the infusion bottle
height 85 cm from the patient's heart.

MINIMAL HEIGHT LIMIT

Bottle with a
stabbing distance of
at least 80 cm

17. Labelling, tidy up tools.

Documentation and Evaluation

The date and time of replacement of IV lines, write down all the extra hose
The date, time and content of intravenous fluids

 infusion flow rate, including changes to the next speed

Electronic equipment used to regulate the flow
Assessment of stabbing a regular infusion
Complications and actions taken to correct the problem backing
The time when infusion therapy is stopped and if the catheter is intact when
removed
Observe the condition of catheters 2 times per shift (for adults) and every hour for
children