1. Right Click on the Pending IV Task and Select Chart Details

MAR Charting: ED Documentation of IV’s, IV gtts, and IVBP’s

Continuous IV’s -Start time 1. Right click on the “Pending” IV task and select “Chart Details.

2. The IV charting window opens

3. Enter the time the IV was started in the *Preformed date / time field 4. Enter IV site

5. Click Apply 6. Click the sign button at the top left of the window Charting infused volumes 1. Infused volumes are charted a. When the IV is discontinued (order changes or the patient goes home) b. At handoff (shift ends for the nurse or the patient is admitted). c. Each nurse charts what has infused during their time caring for the patient. 2. Infused volumes can be charted 2 ways a. Using the “Infuse” page of the IV charting window. b. Pulled into I &O flowsheet in IView. 3. Either method of charting displays the infused volumes on the MAR/MAR Summary and in IView on the I&O band. Charting Infused Volume from the IV charting window:

Continuous IV’s- Stop time Charting Infused Volume from I&O

To have volume calculate precisely: Begin Bag time and Rate Change times must be charted at the actual times before pulling data in. Charting Rate Changes: titratable drips: 1. Begin bag time is charted first when the IV gtt is started (same as continuous IV’s). a. Start at the bottom of the IV Charting window (Begin Bag) with dosing units b. Chart starting *Dose, the IV *Rate will auto- calculate. c. Complete remaining required fields.

2. **For accuracy - chart all IV Rate adjustments prior to pulling volumes into I&O: a. Click the Rate Change page (Left of the history display) b. Enter time of Rate change in *Preformed date / time field (if back charting) c. Enter new Dose (*Rate adjusts automatically) d. Click Apply button. e. View history display for correctness before signing. f. Click the Rate change page again if back charting more Rate changes. f.i. Be sure the *Preformed date / time field reflects the actual time of the change.

Charting Bolus orders: 1. Chart from the Bolus Order (even if the Bolus is the same solution as the continuous IV)

2. Change rate for Continuous IV (if present) to zero.

3. Begin Bag for Bolus start-time.

4. Click Bolus page when Bolus finished. 5. Click Rate Change page when Bolus finished a. Change *Rate to zero b. Click Apply c. View history to verify d. Sign.

Charting IVPB: 1. Click on Medication Task on MAR 2. Enter time IVPB started in *Preformed date / time field. 3. Sign. 4. Add comment when IVPB completed

View MAR Summary to Confirm IV start and Stop times completed: View IV Infused volume from I&O: