Section

iView – Peripheral IV Cannula (PIVC):

Dynamic Groups allow result charting for multiple instances of the same grouping of fields on the iView flowsheet. This functionality allows for the documentation of patient Tubes, Lines and Devices (TLDs) interactions.

The Dynamic Group icon will appear next to those section headings where dynamic groups can be added. This guide outlines how to properly document the clinician’s interactions with a patient’s TLDs. Documentation of a patient’s IV line will be used in this example; this workflow is similarly applied to other patient TLDs (such as Indwelling Catheters (IDCs), Chest drains etc).

Interactive view (iView)

Band Section Dynamic Group

A section within iView will look like this if it has a Dynamic Group:

Dynamic Group icon

Data cannot be entered under a section until the Dynamic Group is used to add a Label with data fields.

Documenting IV Line Insertion (initial)

To start documenting an IV line that has been inserted, it will be required to be added to the relevant section in iView.

From the patient Menu:

1. Click on .

2. Select Adult Lines – Devices.

3. Select Peripheral IV.

Click on the Dynamic Group icon to add a Label related to the IV line inserted into the patient.

The Dynamic Group window will open.

4. Select the required details of the IV line (type, site,laterality, size)

Click OK .

5. The new Label will now show in iView to document theinteractions with the patient’s IV line.

6. Click on the cell next to Activity to document that an IVline has been inserted.

A menu will open.

7. Documentation of a new IV line requires 7 mandatoryfields to be completed:

Label field

Device details

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8. Enter all relevant information.

9. Click Sign in the iView toolbar to finalise the entry.

10. Repeat steps 3-9 if the patient has multiple IVs to document within that section.

Documenting pre-existing IV Line Insertion

To document a pre-existing line that has not been documented in iView (QAS, External facility etc).

1. Follow steps 1 – 6 as outlined above in “Documenting IV Line Insertion”

2. Within ‘activity’ banner select “present on

admission/transfer” (this field requires data for the Peripheral IV catheter to appear on the LTD summary)

3. Insertion date / time should be documented to reflect the ED arrival time (banner bar) date/time (unless this information is readily available)

Any PIVC you are unable to determine if aseptic technique was used for insertion, must be documented as ‘inserted under emergency” and removed within 24 hours as per procedure: THHSCLI171172v1 Vascular Access Devices (VAD) insertion, management & removal.

4. Enter all other relevant information

5. Once you have entered your data, click sign to finalise your entry.

6. Click Sign in the iView toolbar to finalise the entry.

Documenting ongoing IV Line Care, Interactions &

Phlebitis Scores

Once an IV line has been added, any care and interactions with that device should be recorded.

The order ‘Peripheral IV Care’ is included in most clinical areas ‘Personal Plans’. If you require more information on personal plans, refer to QRG “Creating a Personal Plan for Care task” http://www.tthdigital.com.au/wp-content/uploads/Creating-a-Personal-Plan-for-Care-tasks-v1.pdf Documentation of PIVC ongoing care, must be completed through care compass. This is to ensure consistency of documentation standards. To place the “Peripheral IV Care” order, follow steps outlined in: http://www.tthdigital.com.au/wp-content/uploads/OERR-Placing-Care-Task-Orders-v3.pdf

1. Through care compass & ‘Peripheral IV Care’ select ‘document’.

2. Double click on the grey cell next to the label to go through each field at a time. Press Tab or Enter to scroll and press Space to select options.

Data does not need to be entered in all fields, only data that is relevant to the patient interactions.

3. Any data field which is blue in colour such as Peripheral IV phlebitis score – is reflective of a hyperlink to associated resources. Click this link to open.

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Clicking the Peripheral IV phlebitis hyperlink will provide the below information:

4. Complete the relevant documentation

5. Click Sign in the iView toolbar to finalise the entry.

Documenting IV Line Removal

1. Click on the cell next to Activity.

A menu will open.

2. Select Discontinued

3. Click on the cell next to Removal reason and select from the list.

4. Document in any other fields if relevant.

5. Click Sign in the iView toolbar to finalise the entry.

6. Follow steps to ‘inactivate’ the dynamic group.

Inactivating a Dynamic Group

Once the IV is physically removed from the patient, the

dynamic group must be inactivated. Inactivating a dynamic

group will display the inactive fields with a grey background

to prevent further data from being entered in the chart. This

applies to any dynamic group when it is no longer required,

for example when a drain is removed or a wound has been

assessed and no longer needs to be documented

To inactivate a removed IV line:

1. Right click on the Dynamic Group Label.

2. Select Inactivate from the drop-down menu.

The inactive fields will now display with a grey background and no further data can be entered against that dynamic group label.

If you require any assistance or further education please call ieMR Bussiness as usual (BAU) on 31363.

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