P o l i c i e s a n d P r o c e d u r e s f o r I n f u s i o n T h e r a p y : N e o n a t e t o A d o l e s c e n t
Infusion care is delivered to all patient populations in all practice settings. While
the scope of that charge is extremely broad, the Infusion Nurses Society (INS)
realizes that for certain patient populations specialized care is required in order
to provide safe, quality care. Pediatric patients are just such a special patient
population. We recognize many diﬀerences among this special population. Not
only are pediatric patients diﬀerent from adults, they are also diﬀerent from
other members of their own group. It’s imperative that clinicians understand the
clinical implications associated with a child’s stage of development, which may
range from premature neonates to young adults.
This second edition of Policies and Procedures for Infusion Therapy: Neonate to
Adolescent aligns with INS’ 2016 Infusion Therapy Standards of Practice (the
Standards) and serves as a guide to clinical practice. The format for this edition
has been expanded. Not only does it include the policy (which deﬁnes a course
and purpose of an action) and the procedure (the steps to be taken), it also oﬀers
new sections on key points, assessment, patient/caregiver education, and home
care/alternative site implications. While there are areas of care, such as infusion-
related complications and infusion therapies, that don’t ﬁt the typical policy and
procedure format, their inclusion was deemed important because these areas have
a direct impact on the delivery of infusion care. And where applicable, a section
introduction, “Considerations for the Pediatric Patient,” has been added through-
out so that clinicians can better meet the speciﬁc infusion needs of these patients.
The basis of this revision’s content is Policies and Procedures for Infusion Therapy,
5th edition, which incorporates the updated, robust research of the 2016
Standards. A bibliography accompanies each policy and procedure as a resource
for readers seeking more information. Since the Standards was the primary
reference for the development of the policies and procedures, individual standards
are not cited in each section’s Bibliography in order to minimize repetition.
I want to recognize and thank the following nurses for their thoughtful reviews
and input: Patricia Pratt, MA, RN, NE-BC, CPHQ, CPN; Lauren Stone, MSN,
RN, VA-BC; and Dawn Thomas, MSN, RN, CPN, VA-BC.
INS believes that better patient outcomes result when there is consistency in
practice. Incorporating practices from Policies and Procedures for Infusion Therapy:
Neonate to Adolescent provides the framework to do just that.
Mary Alexander, MA, RN, CRNI®, CAE, FAAN
Chief Executive Oﬃcer, Infusion Nurses Society