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Supplies
-tourniquet
-gloves
-blue pad (clean environment)
-alcohol swab (chlorhexidine gluconate alcohol)
-catheter (20 or 22 gauge)
-Tegaderm/tape
-luer lock/ IV connectors
-saline flush
-bandaid or cotton swab
-sharps container
Tourniquet
-place tourniquet under patients arm (about 6 inches above venipuncture)
-position in middle of arm
-do not allow to loosen
-if possible: max 2 min on
-keep as flat as possible and not too tight (may impede arterial as well as venous blood flow
-radial pulse should be palpable
-release as soon as vein has been entered
Why is it Important to Gather Equipment Prior to Initiating the IV?
-maintain sterile environment
-risk of injury
-prepared for mishaps
-establish patient rapport
Selection of a Vein
-select based on palpation and sight
-avoid valves, rolling veins, or feel hard or ropelike
*if suitable vein cannot be found, apply tourniquet closer to IV site, or use other arm
Distend Vein By?
-having patient open and close fist tightly 5 or 6 times
-flicking skin over vein with 1 or 2 snaps of fingers
-rubbing or stroking skin upward toward tourniquet
Preparing a Vein
look at notes
Insertion of Cannula
Aministering Fluid
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