3M ™ Tegaderm ™ I.V. Dressings ● Tegaderm 1633 Peripheral I.V. Dressing ● Tegaderm 1635 Central Line Dressing ● Tegaderm 1610 Paediatric I.V. Dressing ● Tegaderm 1650 PICC and Midline Dressing V. I. P. Score (Visual Infusion Phlebitis Score) I.V. site appears healthy One of the following is evident: ● Slight pain near I.V. site or slight redness near I.V. site Two of the following is evident: ● Pain near I.V. site ● Erythema ● Swelling ALL of the following is evident: ● Pain along path of cannula ● Erythema ● Induration ALL of the following is evident & extensive: ● Pain along path of cannula ● Erythema ● Induration ● Palpable venous cord ALL of the following is evident & extensive: ● Pain along path of cannula ● Erythema ● Induration ● Palpable venous cord ● Pyrexia No signs of phlebitis ■ OBSERVE CANNULA Possible first signs of phlebitis ■ OBSERVE CANNULA Early stage of phlebitis ■ RESITE CANNULA Medium stage of phlebitis ■ RESITE CANNULA ■ CONSIDER TREATMENT Advanced stage of phlebitis or start of thrombophlebitis ■ RESITE CANNULA ■ CONSIDER TREATMENT Advanced stage of thrombophlebitis ■ INITIATE TREATMENT ■ RESITE CANNULA 3Health Care 0 1 2 3 4 5 Developed by Andrew Jackson, Consultant Nurse Intravenous Therapy and Care, Rotherham General Hospitals, NHS Trust. Healthy Erythema Pain or Redness Induration Palpable Venous Cord Pyrexia
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
No signs of phlebitis� OBSERVE CANNULA
Possible first signs of phlebitis� OBSERVE CANNULA
Early syage of phlebitis� RESITE CANNULA
Advanced stage of thrombophlebitis
� RESITE CANNULA � CONSIDER
Advanced stage of phlebitis or start of thrombophlebitis
� RESITE CANNULA � CONSIDER
Advanced stage of thrombophlebitis
� INITIATE TREATMENT � RESITE CANNULA
3M™ Tegaderm™ I.V. Dressings� Tegaderm 1633 Peripheral I.V. Dressing � Tegaderm 1635 Central Line Dressing � Tegaderm 1610 Paediatric I.V. Dressing � Tegaderm 1650 PICC and Midline Dressing
V. I. P. Score (Visual Infusion Phlebitis Score)
I.V. site appears healthy
One of the following is evident:� Slight pain near I.V. site
or slight redness near I.V. site
Two of the following is evident:� Pain near I.V. site � Erythema � Swelling
ALL of the following is evident:� Pain along path of cannula � Erythema� Induration
ALL of the following is evident & extensive:� Pain along path of cannula � Erythema � Induration � Palpable venous cord
ALL of the following is evident & extensive:� Pain along path of cannula � Erythema� Induration � Palpable venous cord � Pyrexia
No signs of phlebitis
� OBSERVE CANNULA
Possible first signs of phlebitis
� OBSERVE CANNULA
Early stage of phlebitis
� RESITE CANNULA
Medium stage of phlebitis
� RESITE CANNULA � CONSIDER TREATMENT
Advanced stage of phlebitis or start of thrombophlebitis
� RESITE CANNULA � CONSIDER TREATMENT
Advanced stage of thrombophlebitis
� INITIATE TREATMENT � RESITE CANNULA
3Health Care
0
1
2
3
4
5
Developed by Andrew Jackson, Consultant Nurse Intravenous Therapy and Care, Rotherham General Hospitals, NHS Trust.
Healthy
Erythema
Pain or Redness
Induration
Palpable Venous Cord
Pyrexia
3M IV A4 Score Card 06 with bleed 22/12/06 15:11 Page 1
3. Place the tape strips over the cannulawings for added security.
4. Peel paper liner from framed dressing,exposing adhesive surface.
5. Place dressing over cannula so thattransparent film is over insertion site.Position the soft cloth tape section overthe cannula wings with the port at end of deep notch. Overlap each side of thesoft cloth tape underneath the port hub.
6. Remove paper frame. Smooth dressingedges to increase adhesion.
7. Place record label near to dressing fordocumenting dressing change.
3M IV A4 Score Card 06 with bleed 22/12/06 15:11 Page 2