13.4: Sample Documentation

Nursing Skills · LibreTexts

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    Sample Documentation of Expected Findings

    Initiated IV infusion of normal saline at 125 mL/hr using existing 22 gauge IV catheter located in the right hand. The IV site is free from pain, coolness, redness, or swelling.

    Sample Documentation of Unexpected Findings

    Attempted to initiate IV infusion in right hand using existing 22 gauge IV catheter. The IV site was free from pain, redness, or signs of infiltration. It infused freely with the normal saline flush. IV fluids were connected to run the normal saline infusion at 200 mL/hr. The infusion was started, but immediate leaking around the infusion site was noted. Swelling was noted superior to the infusion site and the fluids were immediately stopped.

    This page titled 13.4: Sample Documentation was last modified on Wed, 31 May 2023 13:14:32 GMT and is shared under a CC BY-SA 4.0 license and was authored, remixed, and/or curated by Ernstmeyer & Christman (Eds.) (OpenRN) via source content that was edited to the style and standards of the LibreTexts platform.