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PERIPHERAL IV START OBSERVATION LOG                NAME: _________________________

Patient 1     VAT Nurse: ______________________ Date: _________
1. What was the physicians order for?



2. What data did the VAT nurse use to make the decision about where to place the IV and
   which vascular access device to use?




3. Were there any technical challenges? How did the VAT nurse deal with them?



Patient 2     VAT Nurse: ______________________ Date: _________
1. What was the physicians order for?



2. What data did the VAT nurse use to make the decision about where to place the IV and
   which vascular access device to use?




3. Were there any technical challenges? How did the VAT nurse deal with them?



Patient 3     VAT Nurse: ______________________ Date: _________
1. What was the physicians order for?



2. What data did the VAT nurse use to make the decision about where to place the IV and
   which vascular access device to use?




3. Were there any technical challenges? How did the VAT nurse deal with them?

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Observation Log

  • 1. PERIPHERAL IV START OBSERVATION LOG NAME: _________________________ Patient 1 VAT Nurse: ______________________ Date: _________ 1. What was the physicians order for? 2. What data did the VAT nurse use to make the decision about where to place the IV and which vascular access device to use? 3. Were there any technical challenges? How did the VAT nurse deal with them? Patient 2 VAT Nurse: ______________________ Date: _________ 1. What was the physicians order for? 2. What data did the VAT nurse use to make the decision about where to place the IV and which vascular access device to use? 3. Were there any technical challenges? How did the VAT nurse deal with them? Patient 3 VAT Nurse: ______________________ Date: _________ 1. What was the physicians order for? 2. What data did the VAT nurse use to make the decision about where to place the IV and which vascular access device to use? 3. Were there any technical challenges? How did the VAT nurse deal with them?