RETURN DEMONSTRATION SCRIPT & GUIDE

A. Setting Up IV Infusion
1.​ Verify doctor’s order and prepare IV label​

○​ 👉 Script: “Doctor’s order verified. I will now prepare and label the IV solution with the patient’s
name, date, time, and my signature for proper identification.”​

○​ ✅ Rationale: Ensures right patient, right fluid, right rate.​

2.​ Perform hand hygiene​

○​ 👉 Script: “I will wash my hands to prevent infection.”​

○​ ✅ Rationale: Reduces transmission of microorganisms.​
3.​ Gather supplies​

○​ 👉 Script: “I prepared the IV fluid, IV set, cotton balls, alcohol, tape, and gloves.”​
○​ ✅ Rationale: Promotes efficiency.​
4.​ Check IV solution and IV set​

○​ 👉 Script: “Solution is clear, not expired, no particles; IV set intact and not expired.”​
○​ ✅ Rationale: Patient safety.​
5.​ Label IV bottle​

○​ 👉 Script: “Label is attached for identification.”​

○​ ✅ Rationale: Avoids medication error.​
6–9. Prepare IV set aseptically, prime tubing, remove bubbles, recap tubing

●​ 👉 Script: “I will now spike the solution aseptically, fill the drip chamber halfway, prime the tubing to
remove air, and recap the sterile end.”​

●​ ✅ Rationale: Prevents air embolism and contamination.​

B. Inserting IV Cannula
1.​ Verify order and solution​

○​ 👉 Script: “Order for IV insertion verified, fluid is prepared.”​

2.​ Explain procedure to patient​
 ○​ 👉 Script: “Good morning, I will insert an IV line so your fluids and medications can be given
directly into your vein. This will help maintain hydration and deliver treatment quickly. It may
sting a little, but it will be brief. Do I have your consent to proceed?”​

○​ ✅ Rationale: Gains trust and cooperation.​

3.​ Hand hygiene and wear gloves.​

4.​ Select site and apply tourniquet​

○​ 👉 Script: “I will select the dorsal vein and apply the tourniquet above the site.”​
5.​ Clean site with antiseptic​

○​ 👉 Script: “Cleaning site in circular motion, allowing to dry for 30 seconds.”​

6.​ Insert cannula bevel up, 15–30°​

○​ 👉 Script: “Inserting the cannula at 20°, bevel up.”​

7.​ Advance catheter upon flashback, remove stylet, release tourniquet, apply gauze​

8.​ Connect tubing, start IV flow, check for infiltration​

○​ 👉 Script: “The IV fluid is flowing, no swelling or leakage observed. S ite is patent.”​

9.​ Secure catheter, apply dressing, label site with date/time/size​

10.​Adjust flow rate as prescribed​

○​ 👉 Script: “Flow rate adjusted to doctor’s order.”​

11.​Dispose sharps, hand hygiene, documentation​

○​ 👉 Script: “I will now document: A 22-gauge IV cannula inserted on left dorsal vein at 6:20 AM,
connected to 1L D5LR at 30 gtts/min, site intact, patient tolerated well.”​

C. Drug Incorporation into IV Bottle/Bag

1.​ Verify order and skin test result if required.​

2.​ Explain procedure to patient​

○​ 👉 Script: “I will now add your prescribed medication into your IV fluid. This will mix with the
solution and enter your bloodstream gradually. I will observe you closely for any reaction.”​

3.​ Prepare syringe and medication aseptically.​

4.​ Clean port and inject into IV port aseptically, swirl gently.​

5.​ Observe patient 5–10 min and monitor VS​

6.​ Dispose sharps properly.​

7.​ Document​
 ○​ 👉 Script: “Documenting: [Drug name, dose] incorporated into D5LR, patient observed 10 mins,
no adverse reaction noted.”​

D. IV Push Through IV Port

1.​ Verify doctor’s order & medication card.​

○​ 👉 Script: “Doctor’s order and medication card verified for IV push.”​

2.​ Check skin test result if applicable.​

3.​ Explain procedure to patient​

○​ 👉 Script: “Sir/Ma’am, I will now administer your medication directly into your IV line. This will
act quickly. Please tell me if you feel pain, swelling, or burning.”​

4.​ Check IV line patency, disinfect Y-port.​

5.​ Close clamp, inject drug slowly, flush with IV fluid.​

○​ 👉 Script: “Medication given slowly and flushed properly.”​

6.​ Regulate IV flow as prescribed.​

7.​ Reassure and observe for adverse reactions.​

○​ 👉 Script: “I will monitor you for any signs of dizziness, rash, or shortness of breath.”​
8.​ Dispose sharps, hand hygiene, and documentation.​

○​ 👉 Script: “Documenting: IV push medication [name, dose, time] given via Y-port, patient
tolerated well.”​

E. Blood Transfusion
1.​ Verify order & consent.​

○​ 👉 Script: “Order for blood transfusion verified. Consent checked.”​

2.​ Explain procedure​

○​ 👉 Script: “You will receive a blood transfusion to replace lost blood and improve oxygen
delivery. I will stay with you during the first part of the transfusion to monitor your response.”​

3.​ Obtain blood product and double-check with another nurse.​

○​ 👉 Script: “We will verify blood details: patient’s name, ID number, blood type, expiration date,
and check for clots.”​

4.​ Prepare NS and blood set with filter, prime tubing.​

 5.​ Start transfusion slowly (25–50 mL first 15 mins), stay with patient.​

6.​ Check vital signs q15 mins first 30 mins, then per protocol.​

7.​ Observe for reaction​

○​ 👉 Script: “Please report if you feel chills, fever, itching, or difficulty breathing.”​
8.​ If reaction occurs → stop blood, allow NS, call physician.​

9.​ If complete → flush with NS, document, return blood bag to bank.​

○​ 👉 Script: “Documenting: 1 unit PRBC transfused from 8:15–10:00 AM, no reaction noted, vital
signs stable.”​

F. Changing IV Infusion
1.​ Verify order.​

○​ 👉 Script: “Doctor’s order verified for IV fluid change.”​

2.​ Explain procedure​

○​ 👉 Script: “Sir/Ma’am, I will now change your IV fluid to continue your prescribed therapy.”​
3.​ Check new solution (expiry, clarity), label it.​

4.​ Close IV clamp, spike new bottle aseptically, prime, remove bubbles.​

5.​ Regulate flow rate per order.​

6.​ Dispose wastes, hand hygiene.​

7.​ Document​

○​ 👉 Script: “Documenting: IV fluid changed to 1L PNSS at 25 gtts/min, started at 2:00 PM,

patient tolerated well.”​

G. Discontinuing IV Infusion
1.​ Verify order to discontinue.​

2.​ Explain procedure​

○​ 👉 Script: “Sir/Ma’am, I will now remove your IV line since therapy is finished. Please keep your
arm still during removal.”​

3.​ Prepare tray (cotton, tape, forceps, basin).​

4.​ Hand hygiene, close IV clamp.​

 5.​ Remove tape, gently pull cannula, apply pressure with cotton.​

○​ 👉 Script: “IV cannula removed, applying pressure to stop bleeding.”​

6.​ Inspect catheter for completeness, apply dressing.​

7.​ Dispose sharps, hand hygiene.​

8.​ Document​

○​ 👉 Script: “Documenting: IV line discontinued at 9:30 AM, left dorsal site clean, catheter intact,
dressing applied, patient tolerated procedure.”​

👉
C–H–E–D​
Check → Hand hygiene → Explain → Do → Document.

Check → Hand hygiene → Explain → Do → Document