(CVC) Management Guidance - the Royal Cornwall Hospitals Trust ...

Individual Matrons, Clinical Managers, Professional and Clinical Leads are responsible
for ensuring staff are working to the guidance of the policy and monitoring its
implementation.
Clinical staff are responsible for ensuring they work within the guidance of the policy.
Peninsula Community Health are responsible in partnership with the medical physics
teams to ensure that all intravenous pumps are appropriately serviced annually and an audit
trail is available.
Peninsula Community Health are responsible for providing and ensuring that all staff using
medical devices are appropriately trained (MDA 2006).
All staff have a responsibility to prevent and manage healthcare acquired infection as part
of The Health Act Code of Practice for the Prevention and Control of Health Care Associated
Infections (Department of Health, 2006).
All Healthcare Professionals have a duty of care to their patients. This is a legal and
professional requirement of state registration that cannot be delegated. It is the responsibility
of the healthcare professional to ensure any IV access or therapy (including delegation to
another Practitioner) is performed as per PCH policy and procedures.
Pharmacists are responsible for monitoring both the prescribing and the administration of
Medicine therapies and alerting prescribers and other health care professionals to potential
problems.
Responsibilities of Registered Nurses
All Registered Nursing Staff administering intravenous drugs must have current Nursing
and Midwifery Council registration.
Nurses are accountable for their own professional practice and must work within this
policy and respective professional codes and any associated legislation.
All Registered Nursing Staff are personally responsible and accountable to ensure they
receive training in the safe use and observation of any medical devices they need to use
(MDA2006).
Nurses who have undertaken the PCH training (or satisfy the criteria for employees
originating from outside the PCH). and competency may manage Central and midline
catheters
Nurses can administer IV medication to adult patients only, unless they have undertaken
additional training and assessment.
Cytotoxic IV drugs are NOT to be administered by nurses unless they have undertaken
additional training and assessment.
Controlled drugs must not be administered Intravenously by nursing staff in any
circumstance.
IV drugs can only be administered by a nurse if the procedure is within that individual’s
knowledge and scope of practice.
All administrations must comply with the Community Health Services Policy for the Safe
Ordering Prescribing and Administration of Drugs in Community Hospitals and Minor
Injury Units, (April 2010) and the NMC (2008) Standards for Medicines Management.
Healthcare Assistants who have completed appropriate PCH training and been assessed
as competent can undertake Venepuncture. Healthcare Assistants must not administer IV
medication or cannulate a patient. Healthcare Assistants are not authorised to manage any
aspect of Central or midline catheters
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