inserting iv cannula utilizing dummy iv arm

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This copy of the procedures from the 7th edition of the Nursing Standards on Intravenous Practice by ANSAP was reproduced for educational purposes of Filipino student nurses and registered nurses who need to review and study the procedures prior to actual IVT training and practicum.

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INSERTING IV CANNULA UTILIZING A DUMMY IV ARM. Materials needed: Prepare complete IV tray with IV infusions Dummy Arm and over-the-needle catheter or Butterfly needle.



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1. Verify the written prescription for IV therapy

check prepared IVF and other things needed.

2. Explain procedure to reassure the patient &

significant others and observe the 10Rs.

3. Do hand hygiene before and after the procedure.

4. Choose site for IV. 5. Apply tourniquet 5 to 12 cm. (2-6

inches) above injection site depending on condition of patient.

6. Check for radial pulse below tourniquet.

7. Prepare site with effective topical antiseptic according to hospital policy or cotton balls with alcohol in circular motion and allow 30 seconds to dry. (No touch technique.)

Note: CDC Universal Precaution: Always wear gloves when doing any venipuncture.



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8. Using the appropriate IV cannula, pierce skin with needle positioned on a 15-30 degree angle.

9. Upon flashback visualization

decrease the angle, advance the catheter and stylet (1/4 inch) into the vein, check if tip of catheter can be rotated freely inside the vein.

10. Position the IV catheter parallel to the skin. Hold stylet stationary and slowly advance the catheter until the hub is 1mm to the puncture site.

11. Slip a sterile gauze under the hub. Release the tourniquet, remove the

stylet while applying digital pressure over the catheter with one finger about 1-2 inch from the tip of the inserted catheter.



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12. Connect the infusion tubing of the

prepared IVF aseptically to the IV catheter.

Note: When steel-winged needle (butterfly) is used:

A. Connect the IV tubing to the steel-winged needle connector & prime the needle with IV fluid.

B. Using the steel-winged needle, pierce skin with the needle bevel up , positioned on a 5-10 degree angle.

C. With steel-winged needle, parallel on the skin, enter the vein directly and advance needle ¼ inch after successfully performing venipuncture. Check for backflow. Remove tourniquet.

13. Open the clamp, regulate the flow rate.

Reassure patient.

14. Anchor needle firmly in place with the use of : a. transparent tape/dressing directly on the puncture site.



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b. tape (using any appropriate anchoring style)

U method H method Chevron method

c. Band-Aid

Note: Never place unsterile tape directly on IV insertion site, instead place a small piece of sterile OS & then secure it with adhesive tape.

15. Tape a small loop of IV tubing for additional anchoring; apply splint (if needed).

splint 16. Calibrate the IVF bottle & regulate flow of infusion according to prescribed

duration.

17. Label on IV tape near the IV site to indicate the date of insertion, type and gauge of IV catheter and countersign.

18. Label with plaster on the IV tubing to indicate the date

when to change the IV tubing.



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19. Observe patient and report any untoward effect.

20. Document in the patient’s chart and endorse to incoming shift.

21. Discard sharps and waste according to Health Care Waste Management (DOH/DENR).

inserting iv cannula utilizing dummy iv arm

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