Title Page

  • Prepared by

  • Hospital/Clinic

  • Conducted on

  • Location

PVC Read-do Checklist

  • Check physician's order, verify patient's identity, and gather the appropriate supplies for PVC administration

  • Perform hand hygiene and check if patient has already been tested for allergies (Latex, tape, antiseptics)

  • Confirm client's dominant hand (perform venipuncture on the non-dominant hand later)

  • Apply clean gloves and clean venipuncture site

  • Minimize insertion pain as much as possible by using ice, transdermal analgesic creams, or intradermal injection

  • Perform venipuncture then dress insertion site

  • Apply an IV site protector if available then loop tubing and secure with tape

  • Label the dressing with date, time of insertion, type, gauge of catheter used, and nurse's initials

  • Discard all used disposable items and appropriate receptacles

  • Full name of nurse/medical practitioner who administered the PVC

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