Collaborative Intravenous Nursing Service (CINS) Guidelines

49Peripheral Midline –Administration of antibiotics/infusion/additives (PM3)Administer drugs or IV therapy as prescribed using correct diluent and rate of infusion.ActionEquipment RequiredDressing pack containing sterile towel and glovesGauze swabs x 3,10ml syringes x 4Chlorhexidine Gluconate 2% in 70% Isopropyl alcohol or Chlorhexidine Gluconate 2%in 70% Isopropyl alcohol impregnated wipe2 x 10ml 0.9% Sodium Chloride for injectionNEVER USE LESS THAN A 10ML SYRINGE5ml Heparin 10units/ml in 0.9%Sodium ChlorideOne green needle/ filter straw. Sharps containerSurgical tapeAlcohol hand rub/ gel,Antibiotics/additives/infusion as prescribedPlastic apron Before the procedure begins make sure that your hands are washed and driedthoroughly and that they continue to be decontaminated during the procedure. A plasticapron should be worn.• Maintain aseptic technique at all times.• Explain the procedure to the patient. Ensure that valid consent is gained.• Inspect the catheter exit site for signs of skin discolouration or signs of infection e.g.exudates from exit site. If you suspect infection please contact the hospital team whoplaced the catheter for advice. Refer to trouble-shooting guide.• Ensure working area is as clean as possible.• Ensure all equipment is gathered before commencing the procedure and all packaging isintact and in date.RationaleReduce the risk of infection andcontaminationEnsures patient compliance andreduces anxietyMaintain asepsis.Reduce the risk of infection andcontamination.The CINs group hereby assert their moral rights tothe works herein in accordance with the Data Protection Act 1988.Policy review date 01/10/10