PRPEARED BY : SALWA MAGHRABI CLINICAL INSTRUCTOR IV INFUSION TECHNIQUE PRPEARED BY : SALWA MAGHRABI CLINICAL INSTRUCTOR

Outlines Preparing Intravenous Solution Assessment Equipments Implementations Evaluations. Documentations. Venipuncture and Starting an Intravenous Infusion Equipments. Implementations. Outlines

Outlines Caring of Patient with Venous Access Device Site Care Canula care and flushing. Discontinuing an Intravenous Infusion Assessment Equipments Implementations. Evaluations. Documentations. Outlines

Objectives Prepare intravenous fluid. Produce venipuncture and starting an intravenous. Provide care for patient with venues access. Discounting an intravenous infusion. Objectives

Preparing Intravenous Solution

Preparing Intravenous Solution Assess : Medical Record Solution . Read label on solution at least 3 times Type , Volume and Length of fluid therapy. Risk of infection. Bag or bottle . Gravity or infusion set.

Preparing Intravenous Solution Cont’ Equipments : IV line set IV Fluid IV holder Non – Sterile gloves

Preparing Intravenous Solution Video

Preparing Intravenous Solution Cont’ Evaluation Solution and tubing are properly labeled . Tubing has been purged of air. Documentation 1000 mL of 5% D/W infusion at 125 mL / hr through IV in L hand.

Venipuncture and Starting an Intravenous Infusion

Venipuncture and Starting an Intravenous Infusion Assessment : Check the client ID. Review patient medical record . Inspect and palpate several potential site .

Procedure: Equipment : 1- Tourniquet . 2- Disposable gloves . 3- Antiseptic swab ( alcohol swab ) .

Cont’ Equipment : 4- Cannula . 5- Normal saline solution. 6- Tap . 7- Transparent IV dressing. 8- Three way stop cock.

Insertion Intravenous Canula video

Insertion Intravenous Canula Preparatory Phase Prepare the equipment . Hand washing . Explain the procedure to the patient. Maintain the patient privacy. Select a site for insertion . Apply tourniquet 2 or 4 inch above the vein.

Insertion Intravenous Canula Preparatory Phase Clean the skin with alcohol swab. Don clean gloves.

Insertion Intravenous Canula Implementation phase Use thumb to starch & stabilize the vein. Position the canula with the bevel up and 45 angle. Warn the client just before insertion .

Insertion Intravenous Canula Implementation phase Advance the cannula 0.5 to 1.5 cm in to the vein . Feel for a change in resistance and look for blood back flow in the canula .

Insertion Intravenous Canula Implementation phase Once the blood is observed advance the needle about 1/8 to ¼ inch . Withdraw the needle slightly . Slid the catheter into the vein .

Insertion Intravenous Canula Implementation Cont’: Release the tourniquet . Apply pressure over the internal tip of the catheter . Remove the protective cap over the end of the IV tubing and insert it into the end of the canula .

Insertion Intravenous Canula Implementation Cont’: Release the roller clamp and begin infusing solution slowly. Secure the canula by criss-crossing a piece of tape from beneath the tubing .

Insertion Intravenous Canula Implementation Cont’: Cover the entire site with additional strips of tap. Write date, time, gauge of the catheter and your initial sig. Start IV fluid infusion on the ordered rate.

Insertion Intravenous Canula Evaluations : A flashback of blood was observed before advancing the canula. Minimal discomfort and blood loss occurred. Fluid is infused at the prescribed rate.

Insertion Intravenous Canula Documentation # 20 gauge canula inserted into L hand 1000 ml 0.9% saline infusing at 42 cc/hr.

Caring of Patient with Venous Access Device

Caring of Patient with Venous Access Device Site Care Use strict aseptic technique. Frequency of dressing change may vary from every 3-7 day. Assess the site for any redness, swelling, tenderness, or drainage. Follow agency protocol for cleaning solution and type of dressing.

Caring of Patient with Venous Access Device Site Care Clean the port and 2 inches in diameter around the site with alcohol swab . Secure the canula and cover the external site of IV line with hip lock. Provide routine care for insertion site tell is heal after removing the canula.

Caring of Patient with Venous Access Device Canula care and flushing: Change the canula every 3 or 7 days. Flush the catheter with normal saline. Assess the catheter every shift.

Caring of Patient with Venous Access Device Video

Discontinuing an Intravenous Infusion

Discontinuing an Intravenous Infusion Assessment : Doctor order to disconnect the IV infusion. Check the client identity. Equipment : Non – sterile gloves. Gauze Adhesive tape Alcohol swab

Discontinuing an Intravenous Infusion Video

Discontinuing an Intravenous Infusion Procedure: Wash hand. Clamp the tubing and remove the tape that hold the dressing and venipuncture device in place. Don gloves. Press a gauze square gently over the puncture site .

Discontinuing an Intravenous Infusion Preparation Phase : Remove the catheter or needle . Apply pressure to the site of venipuncture for 30 to 45 second. Secure the gauze with tape. Dispose the canula in a sharp container. Enclose a canula used for venipuncture within gloves as they are removed.

Discontinuing an Intravenous Infusion Preparation Phase : Wash hand. Encourage the client to flex and extend the arm or hand several time.

Discontinuing an Intravenous Infusion Evaluation: Site appears free of inflammation. Bleeding is controlled. Discomfort is minimized. Equipments is disposed .

Discontinuing an Intravenous Infusion Documentation : Infusion of ringer lactate discontinued per physician's order following administration of 1000 ml/hr, # 22 gauge removed from left hand. No redness , swelling, or drainage evident of venipuncture, venipuncture is covered with sterile dressing.

Summary

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