Editorial Acknowledgments Foreword Guide to Format INFUSION NURSING SPECIALTY PRACTICE Philosophy Certification Scope of Practice Competencies in Infusion Nursing Educational Requirements Role Delineation STANDARDS 1. Practice Setting 2. Neonatal and Pediatric Patients 3. Older Adult Patients 4. Infusion Nurse Registered Nurse Infusion Nurse Specialist Licensed Practical or Vocational Nurse 5. Clinical Competencies 6. Position Description 7. Ethics 8. Policies and Procedures PATIENT CARE 9. Physician’s or Authorized Prescriber’s Order and Initiation of Therapy 10. Informed Consent 11. Patient Education 12. Plan of Care DOCUMENTATION 13. Unusual Occurrence and Sentinel Event Reporting 14. Documentation 15. Product Evaluation, Integrity, and Defect Reporting 16. Product Labeling 17. Performance Improvement 18. Research INFECTION CONTROL and SAFETY COMPLIANCE 19. Infection Control 20. Hand Hygiene 21. Preparing Sterile Infusion Medications 22. Stability and Compatibility of Parenteral Products 23. Expiration and Beyond-Use Dates 24. Scissors 25. Disposal of Sharps, Hazardous Materials, and Hazardous Waste 26. Disinfection of Durable Medical Equipment 27. Isolation Precautions 28. Latex Allergy INFUSION EQUIPMENT 29. Add-on Devices and Junction Securement 30. Arm Boards 31. Restraints 32. Filters 33. Flow-Control Devices 34. Blood and Fluid Warmers 35. Injection and Access Caps 36. Tourniquet   SITE SELECTION and DEVICE PLACEMENT 37. Site Selection Peripheral-short Peripheral-midline Peripherally Inserted Central Catheter (PICC) Nontunneled and Tunneled Catheter, and Implanted Port Arterial 38. Catheter Selection Peripheral-short Peripheral-midline Peripherally Inserted Central Catheter (PICC) Nontunneled and Tunneled Catheter, and Implanted Port Arterial 39. Hair Removal 40. Local Anesthesia 41. Access Site Preparation 42. Catheter Placement 43. Catheter Stabilization 44. Dressings ACCESS DEVICES 45. Implanted Ports and Pumps 46. Arteriovenous Fistulas and Hemodialysis Catheters 47. Umbilical Catheters SITE CARE and MAINTENANCE 48. Administration Set Change Primary and Secondary Continuous Primary Intermittent Parenteral Nutrition Intravenous Fat Emulsion (IVFE) Blood and Blood Components Hemodynamic and Arterial Pressure Monitoring 49. Catheter Removal Peripheral-short Peripheral-midline Pheripherally Inserted Central Catheter Nontunneled Central Catheter Tunneled Catheter and Implanted Port Arterial 50. Flushing 51. Catheter Site Care 52. Discontinuation of Therapy INFUSION-RELATED COMPLICATIONS 53. Phlebitis 54. Infiltration 55. Extravasation 56. Infection NURSING INTERVENTIONS 57. Access Device Repair 58. Culturing for Suspected Infusion-related Infections 59. Central Catheter Exchange 60. Catheter Clearance 61. Cutdown Surgical Site NONVASCULAR ACCESS DEVICES 62. Intraspinal Access Devices 63. Intraosseous Access Devices 64. Continuous Subcutaneous Access Devices     Infusion Nursing Standards of Practice (2006)   INFUSION THERAPIES 65.Antineoplastic and Biologic Therapy 66.Phlebotomy Phlebotomy via Direct Venipuncture Blood Sampling via a Vascular Access Device Therapeutic Phlebotomy 67.Patient-Controlled Analgesia 68.Parenteral Medication and Solution Administration 69. Parenteral Nutrition 70.Transfusion Therapy 71.Intravenous Sedation 72.Administration of Parenteral Investigational Drugs General References Illustrations Glossary Index The Infusion Nursing Standards of Practice is intended to reflect current knowledge and practices of the clinical nursing specialty of infusion therapy. Because clinical practice continually evolves based on ongoing research, users should make an independent assessment of the appropriateness and applicability of a standard in any specific instance, and should also consider the applicable federal and state law and regulations, as well as the standard of care in a particular jurisdiction, as these may take precedence. INS is not responsible for injury to persons or property, or other harm, arising from the use of the Standards.                         Purchase Infusion Nursing Standards of Practice from the INS Store.