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I-DECIDED
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IV ASSESSMENT & DECISION TOOL
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I-DECIDED® FERRAMENTA DE AVALIAÇÃO E DECISÃO INTRAVENOSA (IV) |
I-DECIDED
®
INTRAVENOUS ASSESSMENT (IV) AND DECISION TOOL
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IDENTIFY if an IV is in situ
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IDENTIFICAR se há um cateter IV instalado |
IDENTIFY If there is an IV catheter installed
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DOES patient need the IV?
Unused in last 24hrs? Use unlikely in next 24hrs? Consider removal. Change to oral meds?
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DETERMINAR se o paciente precisa do cateter IV? Não foi utilizado nas últimas 24hrs? O uso é improvável nas próximas 24hrs? Considere a remoção. Mudar para medicamentos orais? |
DETERMINE if the patient needs an IV catheter?
It hasn’t been used in the last 24 hours? Is its use unlikely in the next 24hrs?
Consider removal.
Switch to oral medications?
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EFFECTIVE function?
Follow local policy for flushing and locking.
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EFETIVO funcionamento? Siga as diretrizes da instituição quanto ao flushing e lock do cateter. |
EFFECTIVE FUNCTION?
Follow institution guidelines for catheter flushing and locking.
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COMPLICATIONS at IV site?
Pain ≥2/10, redness, swelling, discharge, infiltration, extravasation, hardness, palpable cord or purulence.
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COMPLICAÇÕES no local do cateter IV? Dor ≥2/10, hiperemia, edema, exsudato, infiltração, extravasamento, endurecimento, cordão venoso palpável ou secreção purulenta. |
COMPLICATIONS at the IV Catheter Site?
Pain ≥2/10, hyperemia, edema, exudate, infiltration, extravasation, hardening, palpable venous cord or purulent discharge.
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INFECTION prevention
Hand hygiene, scrub the hub & allow to dry before each IV access. Careful use of administration sets.
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INFECÇÃO - Prevenção Higienizar as mãos. Desinfectar os conectores e esperar secar antes de cada manipulação do cateter intravenoso. Uso cuidadoso de todos os dispositivos de infusão IV. |
INFECTION - Prevention
Wash your hands. Disinfect the connectors and wait for them to dry before each handling of the IV catheter. Careful use of all IV infusion devices.
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DRESSING & securement
Clean, dry and intact. IV and lines secure.
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DETERMINAR cobertura e estabilização Curativo limpo, seco e intacto. Cateter intravenoso e de conexões seguras. |
DETERMINE COVERAGE and stabilization
Clean, dry and intact dressing. Intravenous catheter with secure connections.
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EVALUATE & EDUCATE
Discuss IV plan with the patient & family.
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EDUCAR E AVALIAR Discutir o plano do cateter IV com o paciente e família. |
EDUCATE AND EVALUATE
Discuss the IV catheter plan with the patient and family.
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DOCUMENT your decision
Continue, change dressing, or remove IV.
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DOCUMENTAR sua decisão Manter, trocar o curativo ou remover o cateter IV. |
DOCUMENT your decision
Maintaining, changing the dressing or removing the IV catheter.
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Always consider local policy, and consult with team & patient as required.
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Considerar as recomendações institucionais e consultar a equipe e o paciente, conforme necessário. |
Consider institutional recommendations and consult with staff and patient as needed.
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Instrumento 2: Formulário para Avaliação do Dispositivo de Acesso Vascular
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Versão original
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Etapa II - Síntese das traduções T1/T2 (T1-2)
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Etapa III - Tradução Reversa (TR1/TR2)
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VASCULAR ACCESS DEVICE ASSESSMENT
TRIAL FORM
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FORMULÁRIO PARA AVALIAÇÃO DO DISPOSITIVO DE ACESSO VASCULAR |
FORM FOR ASSESSMENT OF THE VASCULAR ACCESS DEVICE
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I-DECIDED™ IV ASSESSMENT & DECISION TOOL
If the IV is not needed, not working, or has any complications, it should be removed as soon as possible.
Always consider local policy and consult with team & patient as required.
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I-DECIDED™ FERRAMENTA DE AVALIAÇÃO E DECISÃO INTRAVENOSA (IV) Se o cateter IV não for necessário, não funcionar ou apresentar alguma complicação, ele deve ser removido o mais rápido possível. Sempre considerar as recomendações institucionais e consultar a equipe e o paciente conforme necessário.
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I-DECIDED™ INTRAVENOUS (IV) ASSESSMENT AND DECISION TOOL
If the IV catheter is not needed, does not work, or has any complications, it should be removed as soon as possible.
Always consider institutional recommendations and consult with staff and patient as needed.
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IV Assessment and Decision Record
Tick when completed
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Avaliação do cateter IV e registro de decisão Assinale quando realizado. |
IV catheter assessment and decision record
Tick when done.
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IDENTIFY if an IV is in situ
If an IV has been removed in past 48 hrs, observe site for post-infusion phlebitis.
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IDENTIFICAR se há um cateter IV instalado Se um cateter IV tiver sido removido nas últimas 48hs, observe o local quanto a flebite pós-infusão. |
IDENTIFY If there is an IV catheter installed
If an IV catheter has been removed within the last 48 hours, observe the site for post-infusion phlebitis.
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DOES patient need the IV?
If not used in past 24 hrs, or unlikely to be used in next 24 hrs, consider removal. Consider change to oral medications.
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DETERMINAR se o paciente precisa do cateter IV? Se não utilizado nas últimas 24 h ou o seu uso seja improvável nas próximas 24hs, considere a remoção. Considere trocar para medicamentos orais. |
DETERMINE if the patient needs an IV catheter?
If it has not been used in the last 24 hours or its use is unlikely in the next 24hrs, consider removal.
Consider switching to oral medications.
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EFFECTIVE function?
Does the IV infuse and/or flush well?
Follow local policy for flushing and locking.
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EFETIVO funcionamento? O cateter IV está eficaz quanto a infusão e/ou flushing? Siga as recomendações da instituição quanto ao flushing e lock.
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EFFECTIVE function?
Is the IV catheter effective for infusion and/or flushing?
Follow institution guidelines for catheter flushing and locking.
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COMPLICATIONS at IV site?
Pain ≥2/10, redness >1cm, swelling >1cm, discharge, infiltration, extravasation, hardness, palpable cord or purulence.
If complications are noted, troubleshoot or remove device.
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COMPLICAÇÕES - local do cateter IV está livre de complicações? Dor ≥ /10, hiperemia >1cm, edema >1cm, exsudato, infiltração, extravasamento, endurecimento, cordão venoso palpável ou secreção purulenta. Se observado complicações, solucione o problema ou remova o dispositivo. |
COMPLICATIONS - Is the IV catheter site complication-free?
Pain ≥2/10, hyperemia >1cm, edema >1cm, exudate, infiltration, extravasation, hardening, palpable venous cord or purulent discharge.
If complications are observed, resolve the problem or remove the device.
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INFECTION prevention
Hand hygiene, ANTT, scrub the hub & allow to dry before each IV access.
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INFECÇÃO - Prevenção Higienize as mãos, utilize a técnica asséptica sem toque, desinfecte os conectores e espere secar antes de cada manipulação do cateter IV. |
INFECTION - Prevention
Sanitize hands, use aseptic no-touch technique, disinfect connectors and allow to dry before each handling of the IV catheter.
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DRESSING & securement
Goal=Clean, dry, and intact. Change if moist, soiled or loose. Secure IV & tubing.
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DETERMINAR cobertura e estabilização Meta=Limpo, seco e intacto. Trocar se estiver úmido, sujo ou solto. Fixar dispositivos IV e de infusão. |
DETERMINE COVERAGE and stabilization
Goal=Clean, dry and intact. Change if damp, dirty or loose. Fix IV and infusion devices.
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EVALUATE & EDUCATE
Evaluate concerns. Educate as needed. Discuss IV plan with patient & family.
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EDUCAR E AVALIAR Avalie preocupações. Eduque conforme necessário. Discuta o plano quanto ao uso do cateter IV com o paciente e família. |
EDUCATE AND EVALUATE
Assess concerns. Educate as needed. Discuss plan for IV catheter use with patient and family.
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DOCUMENT your decision, based on this assessment (choose one)
Continue to monitor
Dressing/securement change
Remove IV and document above
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DOCUMENTAR sua decisão, baseada nesta avaliação (escolha uma) Continuar a monitorar Trocar o curativo/ fixação Remover o cateter IV |
DOCUMENT your decision, based on this assessment (choose one).
Continue to monitor.
Change the coverage/fixation.
Remove IV and document above.
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Fonte: Adaptado de Beaton e colaboradores
