Starting a Peripheral IV

1
Starting a Peripheral IV

• Principles of IV Therapy
• BSN336
• Lab

2
Procedure for Insertion of A Peripheral IV
Catheter

1. Obtain and review the order
2. Ascertain allergies
3. Gather Equipment
4. Verify patients identity using two patient
   identifiers
5. 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 patients medical
  record.

9
Slides

• Animated Web Site
• http//www.emprocedures.com