Which technique by the nurse accurately maintains asepsis of a peripheral IV access device?
a. Wear gloves when hanging all IV solutions.
b. Apply a topical antibiotic ointment to the insertion site.
c. Change fluid administration sets according to institutional policy.
d. Flush with heparin before use.
ANS: C
Generally all IV solution bag and bottles should be changed every 24 hours to minimize the development of new infections. IV administration sets used to deliver blood and blood products are changed after each unit is administered. Administration sets to deliver lipids and TPN are often changed every 4 hours, whereas administration sets for maintenance fluids may be changed every 72 hours. It is important to follow institutional policies. All IV bags, bottles, and administration sets should be labeled with the date, time, and nurse's initials of the set change. Wearing gloves is not required for maintenance of routine infusion. Topical antibiotics may promote fungal infections and antimicrobial resistance. A peripheral line that is infusing should not need an anticoagulant to maintain patency.
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