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IV starts
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Step 1
assemble your equipment (put flush through tubing)
Step 2
Put on a pair of appropriately sized non-latex examination gloves
Step 3
Apply tourniquet to the IV arm above the site
Step 4
visualize and palpat the vein
Step 5
cleanse the site with a chlorhexidine swab using an expanding circular motion
Step 6
Prepare and inspect the catheter:
-remove the catheter from the package
-push down on the flashback chamber to ensure it is tight
-remove the protective cover
-inspect the catheter and needle for any damage or contaminats
-spin the hub of the catheter to ensure that is moves freely on the needle
-do not move the catheter tip over the bevel of the stylet
Step 7
Stabilize the vein and apply counter tension to the skin
Step 8
Insert the stylet through the skin @ a 45 degree angle and then reduce the angel as you advance through the vein
Step 9
Observe for "flash back" as blood slowly fills the flash back chamber
Step 10
advance the needle approximately 1cm further into the vein
Step 11
Holding the end of the catheter with your thumb and index finger,
pull
the needle (only)
back 1 cm with your middle finger
Step 12
Slowly advance the catheter into the vien while keeping tension on the vein and skin
Step 13
remove the tourniquet
step 14
Occlude the distal end of the catheter with the 3rd, 4th and 5th fingers of your non-dominant hand
Step 15
Secure the catheter hub with your thumb and index finger and carefully remove needle
Step 16
place the needle into the sharps container
Step 17
connect the extension set with the 10ml syringe of normal saline to the catheter hub.
Flush the remaining fluid from your syringe into the catheter, observing for leacking or swelling at the site and close the lock
Step 18
secure the catheter by placing the Tegaderm over the lower half of the catheter hub taking care not to voer the IV tubing connection
Step 19
Secure the extension set with tape
Step 20
Time and date the I.V
To remove IV
To Remove IV
Step 1
shut off the IV by closing the roller clamp
Step 2
Remove the tape and tegaderm from the tubing and catheter
Step 3
place a non-sterile 2x2 gauze over the IV site and remove the catheter from the arm and secure it in place with a piece of tape
Author
astinson
ID
5204
Card Set
IV starts
Description
how to start an IV
Updated
2010-01-26T19:55:13Z
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