This document outlines the requirements for Janice S. Domingo's 3-day basic intravenous therapy training program. It includes tables documenting her initiation and maintenance of peripheral IV infusions on three patients, administration of intravenous drugs to three patients, and administration and maintenance of blood and blood components to one patient. All procedures were performed under the supervision of certified trainer Zenaida Riboroso and took place at Baguio General Hospital and Medical Center from December 3-5, 2011. The document was submitted by Janice S. Domingo on February 22, 2011 and received and approved by the named nurses.
This document outlines the requirements for Janice S. Domingo's 3-day basic intravenous therapy training program. It includes tables documenting her initiation and maintenance of peripheral IV infusions on three patients, administration of intravenous drugs to three patients, and administration and maintenance of blood and blood components to one patient. All procedures were performed under the supervision of certified trainer Zenaida Riboroso and took place at Baguio General Hospital and Medical Center from December 3-5, 2011. The document was submitted by Janice S. Domingo on February 22, 2011 and received and approved by the named nurses.
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This document outlines the requirements for Janice S. Domingo's 3-day basic intravenous therapy training program. It includes tables documenting her initiation and maintenance of peripheral IV infusions on three patients, administration of intravenous drugs to three patients, and administration and maintenance of blood and blood components to one patient. All procedures were performed under the supervision of certified trainer Zenaida Riboroso and took place at Baguio General Hospital and Medical Center from December 3-5, 2011. The document was submitted by Janice S. Domingo on February 22, 2011 and received and approved by the named nurses.
Direitos autorais:
Attribution Non-Commercial (BY-NC)
Formatos disponíveis
Baixe no formato PDF, TXT ou leia online no Scribd
3-DAY BASIC INTRAVENOUS THERAPY TRAINING PROGRAM for NURSES Name of Registered Nurse: DOMINGO, 1ANICE S. PRC Number: 0696478 Name of Hospital Offering IV Training: BAGUIO GENERAL HOSPITAL and MEDICAL CENTER Provider No.: 028 Date of IV Training Program Attended: December 3-5 2011 Venue: BGHMC Auditorium
I. Initiating Maintaining Peripheral IV Infusion Patient No. Name of Patient Age Date Time Kind of Infusion Site Type of Cannula Dose Rate Signature over Printed name of Certified Trainer/Preceptor License No. 55473 Torres,1esie 48 December 28, 2011 10am 0.9 Sodium Chloride Solution Left Metacarpal Vein Introcan G20 1LiterX 16 Hours 16 drops/minute Zenaida Riboroso RN,MAN 62560 445235 Agpawan,Samuel 79 December 28, 2011 1pm Dextrose 5 in Water Left Metacarpal Vein Introcan G22 500LiterX KVO 10 drops/minute Zenaida Riboroso RN,MAN 62560 043903 Banawan,Francis 54 December 28, 2011 5pm 0.9 Sodium Chloride Solution Left Metacarpal Vein Introcan G22 1LiterX KVO 10 drops/minute Zenaida Riboroso RN,MAN 62560
II. Administering Intravenous Drugs Patient No. Name of Patient Age Date Time Kind of Infusion Site Type of Cannula Dose Rate Signature over Printed name of Certified Trainer/Preceptor License No. 327324 Tachado,Editha 68 December 28, 2011 8am Sulbactam- Ampicillin Left Metacarpal Vein Introcan G20 1.5gm/ml every 8 hours 20 drops/minute Zenaida Riboroso RN,MAN 62560 558412 Cirineo,Desiree 39 December 28, 2011 12pm Mannitol Right Metacarpal Vein Introcan G24 200ml every 4 hours 31 drops/minute Zenaida Riboroso RN,MAN 62560 593007 Hermenora,Petra 76 December 28, 2011 12pm Piperacillin+ Tazobactam Right Metacarpal Vein Introcan G22 2.25gm/ml every 6 hours 20 drops/minute Zenaida Riboroso RN,MAN 62560 III. Administering and Maintaining Blood and Blood Components Patient No. Name of Patient Age Date Time Kind of Infusion Site Type of Cannula Dose Rate Signature over Printed name of Certified Trainer/Preceptor License No. 485857 Andres, Decela 27 December 28,2011 2pm Type ~O(+) Fresh Frozen Plasma Left Metacarpal Vein Introcan G18 250ml 30 drops/minute Zenaida Riboroso RN,MAN 62560 Submitted by: DOMINGO,1ANICE S. Date Submitted: February 22, 2011 Received by: 1ovita E. Pajarillo RN, MAN Approved by: Elena Tampican RN,MAN IVT Form 3+3+1 ACCOMPLISMENT REQUIREMENTS 3-DAY BASIC INTRAVENOUS THERAPY TRAINING PROGRAM for NURSES Name of Registered Nurse: DOMINGO, 1ANICE S. PRC Number:0696478 Name of Hospital Offering IV Training: BAGUIO GENERAL HOSPITAL and MEDICAL CENTER Provider No.: 028 Date of IV Training Program Attended: December 3-5 2011 Venue: BGHMC Auditorium
I. Initiating Maintaining Peripheral IV Infusion Patient No. Name of Patient Age Date Time Kind of Infusion Site Type of Cannula Dose Rate Signature over Printed name of Certified Trainer/Preceptor 55473 Torres,1esie 48 December 28, 2011 10am 0.9 Sodium Chloride Solution Left Metacarpal Vein Introcan G20 1LiterX 16 Hours 16 drops/minute Zenaida Riboroso RN,MAN 62560 445235 Agpawan,Samuel 79 December 28, 2011 1pm Dextrose 5 in Water Left Metacarpal Vein Introcan G22 500LiterX KVO 10 drops/minute Zenaida Riboroso RN,MAN 62560 043903 Banawan,Francis 54 December 28, 2011 5pm 0.9 Sodium Chloride Solution Left Metacarpal Vein Introcan G22 1LiterX KVO 10 drops/minute Zenaida Riboroso RN,MAN 62560
II. Administering Intravenous Drugs Patient No. Name of Patient Age Date Time Kind of Infusion Site Type of Cannula Dose Rate Signature over Printed name of Certified Trainer/Preceptor 327324 Tachado,Editha 68 December 28, 2011 8am Sulbactam- Ampicillin Left Metacarpal Vein Introcan G20 1.5gm/ml every 8 hours 20 drops/minute Zenaida Riboroso RN,MAN 62560 558412 Cirineo,Desiree 39 December 28, 2011 12pm Mannitol Right Metacarpal Vein Introcan G24 200ml every 4 hours 31 drops/minute Zenaida Riboroso RN,MAN 62560 593007 Hermenora,Petra 76 December 28, 2011 12pm Piperacillin+ Tazobactam Right Metacarpal Vein Introcan G22 2.25gm/ml every 6 hours 20 drops/minute Zenaida Riboroso RN,MAN 62560 III. Administering and Maintaining Blood and Blood Components Patient No. Name of Patient Age Date Time Kind of Infusion Site Type of Cannula Dose Rate Signature over Printed name of Certified Trainer/Preceptor 485857 Andres, Decela 27 December 28,2011 2pm Type ~O(+) Fresh Frozen Plasma Left Metacarpal Vein Introcan G18 250ml 30 drops/minute Zenaida Riboroso RN,MAN 62560 Submitted by: DOMINGO,1ANICE S. Date Submitted: February 22, 2011 Received by: 1ovita E. Pajarillo RN, MAN Approved by: Elena Tampican RN,MAN