Inserting intravenous iv catheter utilizing the dummy arm

Tags: iv therapy, over the needle catheter, butterfly catheter, intravenous cannula, inserting iv catheter, intravenous procedure
Things to do before the procedure: - check this link first

• Prepare complete IV tray with IV infusions;
• Dummy arm and over-the-needle catheter or butterfly needle.

1. Verify the written prescription for IV therapy, check prepared IVF and other things needed.
2. Explain procedure to reassure the patient and significant others and observe the 10 R's.
3. Do hand hygiene before and after the procedure.
4. Choose site for IV.
5. Apply tourniquet 5 to 12 cm (2-6 in) 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.
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 1 mm 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.
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 and 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
13. Open the clam, 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
          b.  tape (using any appropriate anchoring style)
          c.  Band-Aid

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

   15.  Tape a small loop of IV tubing for additional anchoring; apply splint (if needed)
   16.  Calibrate the IVF bottle and 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.
   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)

Video of inserting intravenous iv catheter utilizing the dummy arm

Tags: iv therapy, over the needle catheter, butterfly catheter, intravenous cannula, inserting iv catheter, intravenous procedure