I
Illuminate
Turn on the light in the patient care
area
Ensure full view of patient and
medical tubing
T
Touch
Perform hand hygiene
Trace the tubing with your fingers
from the patient to the point of origin
R
Review
Review the orders to assure:
Right patient, right solution, right
route, right rate
Also assure: Right tube, Right
connection
A
Act
Act immediately if: Wrong patient, solution, route, rate, tube, or connection
C
Correct
Make any needed corrections
Recheck and continue the
process Start pump
E
Expect
Expect to perform ITRACE with
transfer of care or during shift/formal
report
A second nurse should be involved
when enteral & parenteral tubing
changes occur simultaneously