Emt-P Cl Protocols Saline Lock

Front 1

purpose

Back 1

provides an alternative method of IV access without the iv bag or tubing

Front 2

indications (2)

Back 2

1) IV access in a non-trauma pt who does not need fluid
-respiratory distress,
-cx pn
-CVA
-hypertensive

2) Temporary conversion of an IV line in a trauma pt who requires movement over difficult terrain
-vertical rescue

Front 3

contraindications (3)

Back 3

1) trauma pt's (except for temporary moves)

2) pt's who are likely to need fluid resuscitation

3) any pt showing signs of impending shock

Front 4

Procedure

Back 4

EMT I and P
1) cleanse skin and initate IV access with usual IV catheter
2) attached preflushed T-connector with IV plug attached (use sterile NS or sterile water)
3) secure catether to pt
4) irrigate with sterile normal saline or sterile water to remove blood from plug and catheter
5) inject sterlie normal saline to completely flush plug and IV cath (0.5 ml)

Front 5

additional info

Back 5

if more fluids are needed
-remove plug and insert regular iv tubing
-piggyback iv tubing to saline lock using lever lock cannula or other needleless supplies

alternate method = skip t connector and insert plug directly into hub of IV catheter. (may move cath, causing discomfort)