Page 1 of 4 DESCRIPTION/OVERVIEW Intravenous (IV) therapy will ...

2. Infusion pumps are used on all pediatric IVs. Volume control devices should be used forpediatric/neonatal IV infusions. No more than two (2) hours + 10ml of any IV solutionwill be placed in the volume control device at any one time.3. Pediatric/neonatal IV bottles/bags must be changed every 72 hours with IV tubing unlessfluids are admixture, TPN, Interlipids, or dextrose 10%.4. A physician’s order is not needed if the lower extremity is used for IV therapy in thepediatric/neonatal patient.5. There is no recommendation for the use of chlorhexadine/alcohol solution on infantsless than 2 months old.UNIT OR AREA SPECIFICS1. Neonatal patient in NBICU may have Dopamine, Dobutamine and PGE infuse through aperipheral IV if a central line is unavailable.2. In the case where electrolytes are added to IV fluid in a volume control device in aneonatal patient, a second volume control device will be placed distally so there will beno more than two (2) hours + 10ml of solution in the second volume control device.3. Dopamine, Dobutamine, Morphine and Fentanyl drips can hang for 48 hours in pediatrics.(Reference area specific pediatric guidelines for infusion and fluid line changes).SUMMARY OF CHANGESReplaces “Intravenous Therapy”, (5/2007)#1. Licensed Practical Nurse II (LPNII) added.#2. “Consider contacting Rapid Response Team to use their doppler to start a difficult IV”added.#3.2 “or into the same are which has an existing PICC” added.#7.4.1 “non-chemotherapy” added.RESOURCES/TRAININGResource/DeptClinical EducationInternet/LinkDOCUMENT APPROVAL & TRACKINGItem Contact Date ApprovalOwnerNursing Practice CouncilConsultant(s)Margaret Hurst, BSN, RN, OCN, Irene Zamora, MSN, RN, CNSCommittee(s)Clinical Operations PP&G Committee, Nurse Practice PP&G SubcommitteeYNursing Officer Sheena Ferguson, Chief Nursing Officer YOfficial Approver Sheena Ferguson, RN, MSN, CCRNr, CNS, CNO YOfficial Signature Date: 7/7/2010Effective Date 7/7/2010Origination Date 10/1997Issue Date Clinical Operations Policy Coordinator 7/8/2010ATTACHMENTSNone_________________________________________________________________________________________________________________Title: Intravenous TherapyOwner: Nursing Practice CouncilEffective Date: 7/7/2010Doc. # 2636Page 4 of 4