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