IV Therapy Training Program Summary

Kennedy A. Dela Cruz completed a 3-day basic intravenous therapy training program at Cagayan Valley Medical Center from October 5-7, 2010. The program covered initializing and maintaining peripheral IV infusions, administering intravenous drugs, and administering and maintaining blood components. Kennedy successfully performed IV insertions and administered medications and blood products to several patients under the supervision of certified trainer Leon C. Batugal. Kennedy's completion of the program was approved by Olivia Sb. Gonzales, the Director of Nursing Services.

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IV Therapy Training Program Summary

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Kennedy Dela Cruz

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3+3+2 ACCOMPLISHED REQUIREMENTS of

3-DAY BASIC INTRAVENOUS THERAPY TRAINING PROGRAM for NURSES

Name of Registered Nurse KENNEDY A. DELA CRUZ_ PRC Number ______

Name of Hospital Offering IV Training CAGAYAN VALLEY MEDICAL CENTER Provider No. 060_______________
Date of IV Training Program Attended OCTOBER 5-7, 2010____________________ Venue CVMC CONFERENCE HALL

I. Initializing/ Maintaining Peripheral IV Infusions

Patien Name of Patient Age Date Time Kind of Solution Site Type of Dose Rate Signature over Printed Name of License
t No. Cannula Certified Trainer/Preceptor No.
81744 MACARIO 74 OCTOBER 11:30 PLAIN NORMAL RIGHT GAUGE 1 30
ARIMATEA YEARS 12, 2010 AM SALINE BASILIC VEIN 20 LITER gtts/min LEON C. BATUGAL, RN, MSN 01-1496
OLD SOLUTOIN
35297 MONICA DURIAN 84 OCTOBER 2:35 PM PLAIN NORMAL RIGHT GAUGE 1 20
YEARS 12, 2010 SALINE CEPHALIC 20 LITER gtts/min LEON C. BATUGAL, RN, MSN 01-1496
OLD SOLUTOIN VEIN
83176 ROGELIO 58 OCTOBER 2:00 PM PLAIN NORMAL RIGHT GAUGE 1 15
PASCUA YEARS 12, 2010 SALINE CEPHALIC 18 LITER gtts/min LEON C. BATUGAL, RN, MSN 01-1496
OLD SOLUTOIN VEIN

II. Administering Intravenous Drugs

Patient Name of Patient Age Date Time Drugs Dose Diagnosis Signature over Printed Name of License
No. Incorporated Certified Trainer/Preceptor No.
83505 CHONA 22 YEARS OCTOBER 8:00 AM FAMOTIDINE 20 mg DENGUE HEMORRHAGIC
ALLAPITAN OLD 12, 2010 FEVER STAGE 1 LEON C. BATUGAL, RN, MSN 01-1496
83176 ROGELIO PASCUA 28 YEARS OCTOBER 8:00 AM OMEPRAZOLE 40 mg UPPER GASTROINTESTINAL
OLD 12, 2010 BLEEDING, PEPTIC ULCER 01-1496
DISEASE LEON C. BATUGAL, RN, MSN
35297 MONICA DURIAN 84 YEARS OCTOBER 10:00A CEFTRIAXONE 1 gm PULMONARY NEW GROWTH
OLD 12, 2010 M 01-1496
LEON C. BATUGAL, RN, MSN
III. Administering and Maintaining Blood Components

Patien Name of Patient Age Date Volume/Blood IV Insertion Type of Diagnosis Signature over Printed Name of License
t No. Type/Components/Rat Cannula Certified Trainer/Preceptor No.
e
83640 ARTEMIO 58 OCTOBE 240cc TYPE “O” 1 RIGHT GAUGE 18 ANEMIA
BORDEY YEARS R 12, 2010 PACKED RED BLOOD METACARPAL 01-1496
OLD CELLS at 15 gtts/min VEIN LEON C. BATUGAL, RN, MSN
39152 ROSITA ABELLA 53 OCTOBE 240cc TYPE “O” 1 LEFT GAUGE 18 ANEMIA
YEARS R 12, 2010 PACKED RED BLOOD METACARPAL SECONDARY TO
OLD CELLS at 15 gtts/min VEIN OCCULT LEON C. BATUGAL, RN, MSN 01-1496
GASTROINTESTINAL
BLEEDING

Submitted By: KENNEDY A. DELA CRUZ Date Submitted: OCTOBER 13,2010 Received By: _____________________ Approved By: OLIVIA SB. GONZALES,RN,RM,MSN,MAN
Director of Nursing Services
Signature Over Printed Name

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IV Therapy Training Program Summary

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IV Therapy Training Program Summary

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3+3+2 ACCOMPLISHED REQUIREMENTS of

3-DAY BASIC INTRAVENOUS THERAPY TRAINING PROGRAM for NURSES

Name of Registered Nurse KENNEDY A. DELA CRUZ_____________ PRC Number __________________

I. Initializing/ Maintaining Peripheral IV Infusions

II. Administering Intravenous Drugs

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Name of Registered Nurse KENNEDY A. DELA CRUZ_ PRC Number ______