Explain the procedure to the patient.

Select the infusion site.

Wash hands.

Assemble fluid and tubing. Prime line with selected fluid and hyaluronidase, using lidocaine if required.

Swab the site with povidone-iodine skin preparation solution using a circular motion, beginning at the center of the site. Allow at least one minute contact time. Do not touch prepared site again with fingers.

Insert needle, bevel up, into subcutaneous tissue at a 45- to 60-degree angle.

Secure needle and tubing with occlusive dressing.

Adjust fluid drip rate as prescribed.

Do not set drip rate to deliver more than 1 L in two hours.

Date and initial dressing; date and initial intravenous tubing.

Document infusion fluid on medication chart.

Check patient and infusion after one hour to ensure that the infusion site is correct, that there are no signs of edema, leakage, disconnection or fluid collection distal to the site, and that patient does not show signs of fluid overload.

If necessary, the infusion site can be massaged to enhance edema absorption.