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Starting a Peripheral IV

Starting a Peripheral IV. Principles of IV Therapy BSN336 Lab. Procedure for Insertion of A Peripheral IV Catheter. Obtain and review the order Ascertain allergies Gather Equipment Verify patient’s identity using two patient identifiers

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Starting a Peripheral IV

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  1. Starting a Peripheral IV Principles of IV Therapy BSN336 Lab

  2. Procedure for Insertion of A Peripheral IV Catheter • Obtain and review the order • Ascertain allergies • Gather Equipment • Verify patient’s identity using two patient identifiers • Explain procedure, benefits, care management, and potential complications to patient

  3. Procedure for Insertion of A Peripheral IV Catheter (cont) 6. Perform hand hygiene 7. Assemble equipment 8. Apply Tourniquet 9. Assess veins, keeping in mind the rational for therapy and duration of therapy 10. Apply Nonsterile gloves 11. Wash intended insertion site with antiseptic soap and water. (as needed)

  4. Procedure for Insertion of A Peripheral IV Catheter (cont) 13. Clean intended insertion site with antiseptic solution, working outward using back-and-forth motion 14. Allow site to dry 15. Perform veinpuncture while stabilizing skin with the nondominate hand

  5. Procedure for Insertion of A Peripheral IV Catheter (cont) 16. Enter skin at a 10- to- 30 degree angle. Decrease angle when the skin has been penetrated. When blood is obtained in the flash back chamber, advance catheter 1/16 inch, and then slightly pull stylet back, advancing catheter gently into vessel. Continue to advance catheter into vein until the catheter hub is against the skin.

  6. Procedure for Insertion of A Peripheral IV Catheter (cont) 17. Release tourniquet 18. Occlude tip of catheter by pressing finger of nondominat hand over vein to prevent blood spillage. 19. Activate needle safety device before removing stylet. Connect IV administration set or injection cap/needless device. Begin infusing solutions slowly.

  7. Procedure for Insertion of A Peripheral IV Catheter (cont) 19. (cont) Observe insertion site for any signs of swelling. If catheter is for intermittent therapy, flush slowly with 3mL of 0.9% sodium chloride. 20. Stavilize catheter with securement device and/or apply transparent dressing. 21. Label dressing with date, time, gauge and length of catheter and name of nurse inserting catheter

  8. Procedure for Insertion of A Peripheral IV Catheter (cont) 22. Discard stylet in sharps container 23. Remove gloves. Perform hand hygiene 24. Document procedure in the patient’s medical record.

  9. Slides • Animated Web Site • http://www.emprocedures.com

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