Let's say patient has no fluids running but has IVAD maintenance with 3 mL's flush. When would you check site? I know you check it right before flushing, but does it have to be during 20 minute check or anytime during PCS? If ou do have to check site during 20 min checks or anytime during PCS? If you do have to check site during 20 minutes, can you leave the flush for later?
Video 20-Min 1 thru 4 in the CPNE Online Workshop goes into great detail regarding this...
During the first 20 min checks, you will have to check for edema/no edema and document that on the PCS recording form.
Later when you bring your meds and the flush back to the patient room, you will do IGI... ID against the MAR before meds, Glove up IV site - check IV site again. Think about the PCS as your entire shift. Even though at the start of your shift, you checked the IV site, anything could have happened when it's time to flush or give meds through IV. So always IGI right before accessing IV even though you checked the IVAD site as a part of the 20-min checks. You don't have to chart again... but you can if you want to in other observations. IV site assessed before flush.
After you flush, don't forget to take gloves off, wash hands, sign your MAR Then turn to the PCS Recording form and adding under IVAD 3 ml 0.9% Sodium Chloride given at 0910. Line remains patent.