NORTH CAROLINA BOARD OF NURSING
NURSE AIDE II TRAINING MODULE
SKILL MODULE 7: PERIPHERAL IV FLUIDS
Preparing for Administration of IV Fluids
IV Fluid Monitoring Flow Rate
IV Fluids Site Care and Client Activities
Discontinuing Peripheral Intravenous Infusions
Part A:
Part B:
Part C:
Part D:
Revised: 7/12/1999, 7/19/2002, 8/11/2005, 10/2010, 6/2015, 5/2020
Page 1 of 9
PART A: PREPARING FOR ADMINISTRATION OF IV FLUIDS
SPECIAL DIRECTIONS OR NOTATIONS:
▪
Successful completion of the “Sterile Technique” module is required prior to this module.
▪
All four parts of this module, including skills checklists must be successfully completed in order to complete this training module.
▪
This activity is a non-direct client care activity which is done in preparation for the licensed nurse (RN or LPN) to initiate or continue the administration of IV
fluids. The NAII does not connect any tubing or IV fluids directly to the client. If the IV needs to be disconnected for client activity, then the licensed
nurse must do this and then reconnect the IV to the client.
▪
NAIIs may not adjust flow rate. Only licensed nurses (RN or LPN) may perform this activity.
▪
Competency validation should occur in the clinical area whenever possible; however, in those limited situations where this is not possible, laboratory
simulation of the clinical setting is permissible.
▪
Only the RN may provide nurse aide training and competency validation. The LPN may provide subsequent delegation and supervision when working with
a nurse aide.
TIME FRAME
LEARNING OBJECTIVES
LEARNING ACTIVITIES
EVALUATION
7 hours
(Parts A, B, C,
& D)
PART A: PREPARING FOR
ADMINISTRATION OF IV FLUIDS
State two (2) purposes for
administering IV fluids
Lecture/discussion
Written test
List four (4) classes of IV solutions
and their major components
Identify information needed as a part
of preparing for IV fluid administration
Skills Checklist
Competency
Evaluation in the
Clinical Setting (Part
A)
Discuss the delivery devices for IV
fluid administration
Laboratory demonstration and
return demonstration of the
steps in assembling equipment
necessary to set up IV fluids
Identify equipment necessary to set
NORTH CAROLINA BOARD OF NURSING
NURSE AIDE II TRAINING MODULE
SKILL MODULE 7: PERIPHERAL IV FLUIDS
Preparing for Administration of IV Fluids
IV Fluid Monitoring Flow Rate
IV Fluids Site Care and Client Activities
Discontinuing Peripheral Intravenous Infusions
Part A:
Part B:
Part C:
Part D:
Revised: 7/12/1999, 7/19/2002, 8/11/2005, 10/2010, 6/2015, 5/2020
Page 2 of 9
TIME FRAME
LEARNING OBJECTIVES
LEARNING ACTIVITIES
EVALUATION
up intravenous fluids
NORTH CAROLINA BOARD OF NURSING
NURSE AIDE II TRAINING MODULE
SKILL MODULE 7: PERIPHERAL IV FLUIDS
Preparing for Administration of IV Fluids
IV Fluid Monitoring Flow Rate
IV Fluids Site Care and Client Activities
Discontinuing Peripheral Intravenous Infusions
Part A:
Part B:
Part C:
Part D:
Revised: 7/12/1999, 7/19/2002, 8/11/2005, 10/2010, 6/2015, 5/2020
Page 3 of 9
PART B: IV FLUID MONITORING FLOW RATE
SPECIAL DIRECTIONS OR NOTATIONS:
▪
Successful completion of the “Sterile Technique” module is required prior to this module.
▪
All four parts of this module, including skills checklists must be successfully completed in order to complete this training module.
▪
This activity is a non-direct client care activity which is done in preparation for the licensed nurse (RN or LPN) to initiate or continue the administration of IV
fluids. The NAII does not connect any tubing or IV fluids directly to the client. If the IV needs to be disconnected for client activity, then the licensed
nurse must do this and then reconnect the IV to the client.
▪
NAIIs may not adjust flow rate. Only licensed nurses (RN or LPN) may perform this activity.
▪
Competency validation should occur in the clinical area whenever possible; however, in those limited situations where this is not possible, laboratory
simulation of the clinical setting is permissible.
▪
Only the RN may provide nurse aide training and competency validation. The LPN may provide subsequent delegation and supervision when working with
a nurse aide.
TIME FRAME
LEARNING OBJECTIVES
LEARNING ACTIVITIES
EVALUATION
PART B: IV FLUID MONITORING
FLOW RATE
Lecture/discussion
Laboratory demonstration and
return demonstration for the
following:
a.
determining flow rate
b.
inspecting equipment to
determine patency
c.
determining volume of
solution remaining in
container
State two (2) observations necessary
to insure appropriate IV flow
Written test
Identify one cause of an obstructed IV
Discuss the significance of a slowing
in the IV rate
Skills Checklist
Competency
Evaluation in the
clinical setting (Part B)
Describe additional important
observation in the client receiving IV
fluids
Identify special considerations related
to client age
NORTH CAROLINA BOARD OF NURSING
NURSE AIDE II TRAINING MODULE
SKILL MODULE 7: PERIPHERAL IV FLUIDS
Part A:
Part B:
Part C:
Part D:
Preparing for Administration of IV Fluids
IV Fluid Monitoring Flow Rate
IV Fluids Site Care and Patient Activities
Discontinuing Peripheral Intravenous Infusions
Revised: 7/12/1999, 7/19/2002, 8/11/2005, 10/2010, 6/2015, 5/2020
Page 4 of 9
PART C: IV FLUID SITE CARE AND CLIENT ACTIVITIES
SPECIAL DIRECTIONS OR NOTATIONS:
▪
Successful completion of the “Sterile Technique” module is required prior to this module.
▪
All four parts of this module, including skills checklists must be successfully completed in order to complete this training module.
▪
This activity is a non-direct client care activity which is done in preparation for the licensed nurse (RN or LPN) to initiate or continue the administration of IV fluids.
The NAII does not connect any tubing or IV fluids directly to the client. If the IV needs to be disconnected for client activity, then the licensed nurse must do
this and then reconnect the IV to the client.
▪
NAIIs may not adjust flow rate. Only licensed nurses (RN or LPN) may perform this activity.
▪
Competency validation should occur in the clinical area whenever possible; however, in those limited situations where this is not possible, laboratory simulation of
the clinical setting is permissible.
▪
Only the RN may provide nurse aide training and competency validation. The LPN may provide subsequent delegation and supervision when working with a
nurse aide.
TIME FRAME
LEARNING OBJECTIVES
RELATED CONTENT (OUTLINE)
LEARNING ACTIVITIES
EVALUTION
PART C: IV FLUID SITE CARE
AND CLIENT ACTIVITIES
A.
Caring for the venipuncture site
1.
Common sites
2.
Normal appearance
3.
Abnormal appearance
a.
phlebitis (redness)
b.
infiltration (swelling)
c.
infection
B.
Related client care activities
1.
Dressing change
a.
equipment
b.
procedure
2.
Removing/replacing a client’s
gown
3.
Ambulation of client with an IV
a.
client education
b.
sudden movement
c.
tension on tubing
d.
notifying licensed nurse
Lecture/discussion
Laboratory demonstration
and return demonstration of
procedures for the following:
a.
redressing an IV site
b.
changing gown of a
client with an IV in
place
c.
assisting in ambulation
of a client with an IV
Identify the most common sites for
venipuncture
Written test
Describe the appearance of a
normal venipuncture site
Define phlebitis and infiltration
Recognize and Report two (2) signs
each of phlebitis and infiltration
Skills Checklist
Competency
Evaluation in the
clinical setting
(Part C)
Discuss the care activities for the
client with an IV
NORTH CAROLINA BOARD OF NURSING
NURSE AIDE II TRAINING MODULE
SKILL MODULE 7: PERIPHERAL IV FLUIDS
Part A:
Part B:
Part C:
Part D:
Preparing for Administration of IV Fluids
IV Fluid Monitoring Flow Rate
IV Fluids Site Care and Patient Activities
Discontinuing Peripheral Intravenous Infusions
Revised: 7/12/1999, 7/19/2002, 8/11/2005, 10/2010, 6/2015, 5/2020
Page 5 of 9
PART D: DISCONTINUING PERIPHERAL INTRAVENOUS INFUSIONS
SPECIAL DIRECTIONS OR NOTATIONS:
▪
Successful completion of the “Sterile Technique” module is required prior to this module.
▪
All four parts of this module, including skills checklists must be successfully completed in order to complete this training module.
▪
This activity is a non-direct client care activity which is done in preparation for the licensed nurse (RN or LPN) to initiate or continue the administration of IV fluids.
The NAII does not connect any tubing or IV fluids directly to the client. If the IV needs to be disconnected for client activity, then the licensed nurse must do
this and then reconnect the IV to the client.
▪
NAIIs may not adjust flow rate. Only licensed nurses (RN or LPN) may perform this activity.
▪
Competency validation should occur in the clinical area whenever possible; however, in those limited situations where this is not possible, laboratory simulation of
the clinical setting is permissible.
▪
Only the RN may provide nurse aide training and competency validation. The LPN may provide subsequent delegation and supervision when working with a
nurse aide.
TIME FRAME
LEARNING OBJECTIVES
RELATED CONTENT (OUTLINE)
LEARNING ACTIVITIES
EVALUATION
PART D: DISCONTINUING
PERIPHERAL INTRAVENOUS
INFUSIONS
Describe the process for
discontinuing a peripheral IV
A.
Discontinuing a peripheral IV
1.
Rationale
2.
Nurse’s instructions
3.
Equipment
4.
Procedure
5.
Site dressing
6.
Site description
7.
Report to licensed nurse
Lecture/discussion
Laboratory demonstration
and return demonstration of
procedures for the following:
a.
assembling equipment
needed to discontinue IV
b.
discontinuing IV
c.
dressing site
d.
documenting appropriate
information
Written test
Skills Checklist
Competency Evaluation
in the clinical setting
(Part D)
NORTH CAROLINA BOARD OF NURSING
NURSE AIDE II TRAINING MODULE
SKILL MODULE 7: PERIPHERAL IV FLUIDS
Preparing for Administration of IV Fluids
IV Fluid Monitoring Flow Rate
IV Fluids Site Care and Patient Activities
Discontinuing Peripheral Intravenous Infusions
Part A:
Part B:
Part C:
Part D:
Revised: 7/12/1999, 7/19/2002, 8/11/2005, 10/2010, 6/2015, 5/2020
Page 6 of 9
SKILLS CHECKLIST COMPETENCY EVALUATION
PERIPHERAL IV FLUIDS PART A: ASSEMBLING AND FLUSHING TUBING DURING SET-UP
SPECIAL DIRECTIONS OR NOTATIONS:
▪
Successful completion of the “Sterile Technique” module is required prior to this module.
▪
All four parts of this module, including skills checklists must be successfully completed in order to complete this training
module.
▪
This activity is a non-direct client care activity which is done in preparation for the licensed nurse (RN or LPN) to initiate
or continue the administration of IV fluids. The NAII does not connect any tubing or IV fluids directly to the client.
If the IV needs to be disconnected for client activity, then the licensed nurse must do this and then reconnect the IV to
the client.
▪
NAIIs may not adjust flow rate. Only licensed nurses (RN or LPN) may perform this activity.
▪
Competency validation should occur in the clinical area whenever possible; however, in those limited situations where
this is not possible, laboratory simulation of the clinical setting is permissible.
▪
Only the RN may provide nurse aide training and competency validation. The LPN may provide subsequent delegation
and supervision when working with a nurse aide.
COMPETENCY STATEMENT: Demonstrate ability to assemble and flush IV tubing during set-up
CRITERIA:
1.
Obtains directions from licensed nurse
2.
Gathers necessary equipment
3.
Washes hands
4.
Removes protective coverings from solution container and tubing
5.
Closes roller clamp
6.
Connects tubing to solution container
7.
Partially fills drip chamber
8.
Opens clamp and flushes air from tubing
9.
Closes clamp and recaps tubing
10.
Reports information to licensed nurse
This entire activity has been properly performed, without prompting and without assistance, by
_ _.
(Name of student)
RN INSTRUCTOR:
Name/Date
Select One
□ Clinical Setting
□
Laboratory
□
Simulation
Name/Date
Select One
□ Clinical Setting
□
Laboratory
□
Simulation
I agree that I have performed this skill without prompting and without assistance on the above dates.
Student Signature: _ _ Date
NORTH CAROLINA BOARD OF NURSING
NURSE AIDE II TRAINING MODULE
SKILL MODULE 7: PERIPHERAL IV FLUIDS
Preparing for Administration of IV Fluids
IV Fluid Monitoring Flow Rate
IV Fluids Site Care and Patient Activities
Discontinuing Peripheral Intravenous Infusions
Part A:
Part B:
Part C:
Part D:
Revised: 7/12/1999, 7/19/2002, 8/11/2005, 10/2010, 6/2015, 5/2020
Page 7 of 9
SKILLS CHECKLIST COMPETENCY EVALUATION
PERIPHERAL IV FLUIDS: PART B – IV FLUID MONITORING
SPECIAL DIRECTIONS OR NOTATIONS:
▪
Successful completion of the “Sterile Technique” module is required prior to this module.
▪
All four parts of this module must be successfully completed in order to complete this training module.
▪
This activity is a non-direct client care activity which is done in preparation for the licensed nurse (RN or LPN) to initiate
or continue the administration of IV fluids. The NAII does not connect any tubing or IV fluids directly to the client.
If the IV needs to be disconnected for client activity, then the licensed nurse must do this and then reconnect the IV to
the client.
▪
NAIIs may not adjust flow rate. Only licensed nurses (RN or LPN) may perform this activity.
▪
Competency validation should occur in the clinical area whenever possible; however, in those limited situations where
this is not possible, laboratory simulation of the clinical setting is permissible.
▪
Only the RN may provide nurse aide training and competency validation. The LPN may provide subsequent delegation
and supervision when working with a nurse aide.
COMPETENCY STATEMENT: Demonstrate ability to properly monitor IV fluid flow rate
CRITERIA:
1.
Obtains IV fluid flow rate from licensed nurse
2.
Counts number of drops per minute being administered to client or observes IV pump to verify correct rate
of flow.
3.
Identifies volume remaining in IV fluid bag
4.
Inspects IV equipment for patency
5.
Observes client’s position related to IV flow
6.
Reports information to licensed nurse
This entire activity has been properly performed, without prompting and without assistance, by
_ _.
(Name of student)
RN INSTRUCTOR:
Name/Date
Select One
□ Clinical Setting
□
Laboratory
□
Simulation
Name/Date
Select One
□ Clinical Setting
□
Laboratory
□
Simulation
I agree that I have performed this skill without prompting and without assistance on the above dates.
Student Signature: _ _ Date _
NORTH CAROLINA BOARD OF NURSING
NURSE AIDE II TRAINING MODULE
SKILL MODULE 7: PERIPHERAL IV FLUIDS
Preparing for Administration of IV Fluids
IV Fluid Monitoring Flow Rate
IV Fluids Site Care and Patient Activities
Discontinuing Peripheral Intravenous Infusions
Part A:
Part B:
Part C:
Part D:
Revised: 7/12/1999, 7/19/2002, 8/11/2005, 10/2010, 6/2015, 5/2020
Page 8 of 9
PERIPHERAL IV FLUIDS: PART C – IV FLUIDS SITE CARE AND CLIENT ACTIVITIES
SPECIAL DIRECTIONS OR NOTATIONS:
▪
Successful completion of the “Sterile Technique” module is required prior to this module.
▪
All four parts of this module must be successfully completed in order to complete this training module.
▪
This activity is a non-direct client care activity which is done in preparation for the licensed nurse (RN or LPN) to initiate
or continue the administration of IV fluids. The NAII does not connect any tubing or IV fluids directly to the client.
If the IV needs to be disconnected for client activity, then the licensed nurse must do this and then reconnect the IV to
the client.
▪
NAIIs may not adjust flow rate. Only licensed nurses (RN or LPN) may perform this activity.
▪
Competency validation should occur in the clinical area whenever possible; however, in those limited situations where
this is not possible, laboratory simulation of the clinical setting is permissible.
▪
Only the RN may provide nurse aide training and competency validation. The LPN may provide subsequent delegation
and supervision when working with a nurse aide.
COMPETENCY STATEMENT: Demonstrate ability to properly redress a peripheral IV site and to perform client care
activities for client receiving IV fluids
CRITERIA:
1.
Receives directions from licensed nurse
2.
Explains procedure to client
3.
Washes hands
4.
Assembles dressing materials needed
5.
Puts on gloves
6.
Removes dressing with gloves
7.
Discards soiled dressing and gloves
8.
Washes hands
9.
Puts on sterile gloves (for teaching purposes, sterile gloves are used. However, some agencies may permit
the application of the dressing using clean gloves)
10.
Applies sterile dressing
11.
Secures dressing
12.
Removes gloves
13.
Disposes of contaminated dressing and gloves
14.
Washes hands
15.
Documents appearance of peripheral IV site
16.
Reports information to licensed nurse
17.
Changes client gown with IV in place
18.
Ambulates client who is receiving IV fluids
This entire activity has been properly performed, without prompting and without assistance, by _
(Name of student)
RN INSTRUCTOR:
Name/Date
Select One
□ Clinical Setting
□
Laboratory
□
Simulation
Name/Date
Select One
□ Clinical Setting
□
Laboratory
□ Simulation
I agree that I have performed this skill without prompting and without assistance on the above dates.
Student Signature: _ _ Date _
NORTH CAROLINA BOARD OF NURSING
NURSE AIDE II TRAINING MODULE
SKILL MODULE 7: PERIPHERAL IV FLUIDS
Preparing for Administration of IV Fluids
IV Fluid Monitoring Flow Rate
IV Fluids Site Care and Patient Activities
Discontinuing Peripheral Intravenous Infusions
Part A:
Part B:
Part C:
Part D:
Revised: 7/12/1999, 7/19/2002, 8/11/2005, 10/2010, 6/2015, 5/2020
Page 9 of 9
SKILLS CHECKLIST COMPETENCY EVALUATION
PERIPHERAL IV FLUIDS: PART D – DISCONTINUING PERIPHERAL INTRAVENOUS INFUSIONS
SPECIAL DIRECTIONS OR NOTATIONS:
▪
Successful completion of the “Sterile Technique” module is required prior to this module.
▪
All four parts of this module must be successfully completed in order to complete this training module.
▪
This activity is a non-direct client care activity which is done in preparation for the licensed nurse (RN or LPN) to initiate
or continue the administration of IV fluids. The NAII does not connect any tubing or IV fluids directly to the client.
If the IV needs to be disconnected for client activity, then the licensed nurse must do this and then reconnect the IV to
the client.
▪
NAIIs may not adjust flow rate. Only licensed nurses (RN or LPN) may perform this activity.
▪
Competency validation should occur in the clinical area whenever possible; however, in those limited situations where
this is not possible, laboratory simulation of the clinical setting is permissible.
▪
Only the RN may provide nurse aide training and competency validation. The LPN may provide subsequent delegation
and supervision when working with a nurse aide.
COMPETENCY STATEMENT: Demonstrate ability to properly discontinue a peripheral intravenous infusion
CRITERIA:
1.
Obtains directions from licensed nurse
2.
Explains procedure to client
3.
Washes hands
4.
Gathers necessary equipment and supplies
5.
Identifies the client
6.
Puts on gloves
7.
Confirms that tubing clamp is closed off
8.
Removes site dressing and peripheral intravenous device
9.
Applies direct pressure to site until bleeding is controlled
10.
Applies appropriate pressure dressing to site
11.
Removes and discards gloves
12.
Discards supplies and equipment
13.
Washes hands
14.
Documents information
15.
Reports client information to licensed nurse
This entire activity has been properly performed, without prompting and without assistance, by
_ _.
(Name of student)
RN INSTRUCTOR:
Name/Date
Select One
□ Clinical Setting
□
Laboratory
□
Simulation
Name/Date
Select One
□ Clinical Setting
□
Laboratory
□
Simulation
I agree that I have performed this skill without prompting and without assistance on the above dates.
Student Signature: _ _ Date _