What is the initial step for the nurse before starting IV therapy for an infiltrated IV site?

Performing hand hygiene is essential as the initial step before starting IV therapy, especially in the context of managing an infiltrated IV site. Proper hand hygiene helps to prevent the introduction of pathogens into the bloodstream and reduces the risk of infection. It is a critical practice that supports patient safety and enhances the effectiveness of medical procedures.

By ensuring that hands are clean and free of contaminants, the nurse establishes a sterile environment necessary for any invasive procedure, including IV therapy. This practice aligns with standard protocols and guidelines in healthcare settings, reinforcing the importance of infection control measures.

Following hand hygiene, other actions such as notifying the physician or documenting the infiltration may be necessary, but they come after ensuring that the nurse's hands are properly sanitized. Administering medication would not be appropriate at this stage, as the condition of the IV site first needs to be stabilized and addressed. Prioritizing hand hygiene sets the foundation for safe and effective patient care.