What the standard says
A patient with a PIVC will have documentation of its insertion, maintenance and removal, and regular review of the insertion site.
What this means for you
Support clinicians to maintain accurate and complete healthcare records about a patient’s infusion therapy by ensuring that organisational policies and procedures describe the complete requirements for documentation, where to document and how often documentation should occur.
At a minimum, documentation should include information about inserting, maintaining and removing PIVCs, and reviewing the insertion site.
If an electronic system is used for records, ensure that it captures the date and time of insertion, and confirms that the PIVC has been removed before the patient is discharged from hospital. Details about any adverse events such as infection, infiltration or extravasation, and the actions taken to deal with them, should also be documented.
Ensure that complete and accurate healthcare records are available at the point of care so that all clinicians involved in the patient’s care are aware of the plan for the patient’s infusion therapy. Monitor documentation procedures to ensure that they adhere to the organisational process, and provide feedback to clinicians as part of ongoing quality improvement.