1. You need to gather all supplies; tourniquet, connection tubbing, alcohol wipe or chloroprep, tagaderm/occlusive dressing, 2x2 gauze, saline flush and appropriate IV catheter size.
When determining appropriate IV size, you need to take into consideration why does the patient need an IV, are they receiving blood? If so they need at least a 20 gauge IV.
2. Once all supplies are gathered explain procedure to patient, then flush connection tubing with saline flush and leave connected.
3. Now that the tubing is primed and you have all of your supplies open and in arms reach, it is time to begin.
4. Assess arm for optimal IV placement. When assessing for IV site, you also need to consider the indication for the IV.
a. Will they be having a CT angio with contrast? Place in antecubital. …show more content…
Take off cap of IV catheter, advance catheter with index finger to make sure that the catheter advances with ease.
9. Insert IV into vein with the bevel of the inducer needle up, index finger placed to advance catheter tip, advance IV slowly but with enough force to penetrate the skin. Hold skin tight with non-dominate hand.
10. As soon as you see blood flow into flashback chamber, DO NOT ADVANCE any further. Slowly advance catheter with index finger away from needle. If it will not advance, or you believe you are not in the vein any longer DO NOT PUSH NEEDLE BACK INTO PLASTIC CATHETER TIP, this could lead to the catheter breaking off in vein and traveling to a vital organ.
11. Once the catheter tip is fully advanced, you need to remove the inducer needle portion by gently sliding it back with thumb and middle finger. Remove tourniquet and place two fingers approximately two inches above when the IV was inserted to “tamponade” and press firmly. Failure to tamponade correctly, will lead to blood flowing out of end of catheter.
12. Connect tubing to end of catheter; it is no longer necessary to tamponade.
13. Instruct patient to stay very still since the IV is not secure
When determining appropriate IV size, you need to take into consideration why does the patient need an IV, are they receiving blood? If so they need at least a 20 gauge IV.
2. Once all supplies are gathered explain procedure to patient, then flush connection tubing with saline flush and leave connected.
3. Now that the tubing is primed and you have all of your supplies open and in arms reach, it is time to begin.
4. Assess arm for optimal IV placement. When assessing for IV site, you also need to consider the indication for the IV.
a. Will they be having a CT angio with contrast? Place in antecubital. …show more content…
Take off cap of IV catheter, advance catheter with index finger to make sure that the catheter advances with ease.
9. Insert IV into vein with the bevel of the inducer needle up, index finger placed to advance catheter tip, advance IV slowly but with enough force to penetrate the skin. Hold skin tight with non-dominate hand.
10. As soon as you see blood flow into flashback chamber, DO NOT ADVANCE any further. Slowly advance catheter with index finger away from needle. If it will not advance, or you believe you are not in the vein any longer DO NOT PUSH NEEDLE BACK INTO PLASTIC CATHETER TIP, this could lead to the catheter breaking off in vein and traveling to a vital organ.
11. Once the catheter tip is fully advanced, you need to remove the inducer needle portion by gently sliding it back with thumb and middle finger. Remove tourniquet and place two fingers approximately two inches above when the IV was inserted to “tamponade” and press firmly. Failure to tamponade correctly, will lead to blood flowing out of end of catheter.
12. Connect tubing to end of catheter; it is no longer necessary to tamponade.
13. Instruct patient to stay very still since the IV is not secure