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About
The Team
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Anytime Fitness Infusion Clinics
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Client Documentation
Last name
First name
Date of Service
DOB
Registration / Consent Verified
*
Yes
No
IV Initiation
Catheter Size
Number of Attempts
Initiated by
Interventions
Right
Left
AC
Forearm
Other, See Team Documentation
Interventions
Site cleaned, catheter secured, transparent dressing, and bleeding controlled
Other, see team documentation
Fluid Administration
Intravenous Fluid
Choose an option
Start Time
End Time
Discontinuation / Disposition
Inteventions
Catheter removed, tip intact, bleeding controlled, client educated
No Complications
Other, see team documentation
Disposition
Client awake, alert, ambulates safely and returns to event
Sent for medical evaluation, see team documentation
Other, see team documentation
Team Documentation
Notes
Team Member
Submit Documentation
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