IV starts

assemble your equipment (put flush through tubing)

Put on a pair of appropriately sized non-latex examination gloves

Apply tourniquet to the IV arm above the site

visualize and palpat the vein

cleanse the site with a chlorhexidine swab using an expanding circular motion

• 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

Stabilize the vein and apply counter tension to the skin

Insert the stylet through the skin @ a 45 degree angle and then reduce the angel as you advance through the vein

Observe for "flash back" as blood slowly fills the flash back chamber

advance the needle approximately 1cm further into the vein

Holding the end of the catheter with your thumb and index finger, pull the needle (only) back 1 cm with your middle finger

Slowly advance the catheter into the vien while keeping tension on the vein and skin

remove the tourniquet

Occlude the distal end of the catheter with the 3rd, 4th and 5th fingers of your non-dominant hand

Secure the catheter hub with your thumb and index finger and carefully remove needle

place the needle into the sharps container

• 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

secure the catheter by placing the Tegaderm over the lower half of the catheter hub taking care not to voer the IV tubing connection

Secure the extension set with tape

Time and date the I.V

To Remove IV

shut off the IV by closing the roller clamp

Remove the tape and tegaderm from the tubing and catheter

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