1. Starting an IV Hanging a Primary IV Solution Hanging an IV Piggy Back Programming an IV Pump
Lab Skills

2. IV Therapy: Starting an IV
Review order
Get supplies
Explain to patient
Find best vein
Start distally
Perform venipuncture, secure, start fluids
Document
Dressing should be transparent
Do not select sites on mastectomy side, dialysis, paralyzed. Caution with hard veins, valves, skin bruising or other abnormalities, do not go below previous IV sites.

3. IV Therapy: Equipment

4. IV Therapy: Peripheral Sites
Avoid starting IV sites on an extremity with a dialysis graft.
Use distal veins prior to distal proximal veins.
Use the Non dominant arm
You must obtain an order specifying that you can use a site other than the upper extremities
Do not select sites on mastectomy side, dialysis, paralyzed. Caution with hard veins, valves, skin bruising or other abnormalities, do not go below previous IV sites.
Feet not recommended for adults

5. Nexvia

6. Nexiva

7. Nexiva
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9. Alaris Pump

11. Alaris® Pump module Preparing an Infusion

12. Alaris® Pump module Preparing an Infusion

13. Alaris® Pump module Preparing an Infusion

14. Alaris® Pump module Preparing an Infusion

15. Alaris® Pump module Preparing an Infusion

16. Alaris® Pump module Preparing an Infusion

17. Alaris Pumps

18. Remove the IV administration set (tubing) from the package and close the roller clamp; attach add-on devices if required. i.e. extension tubing, filter.
Remove the plastic protector from the IV solution bag administration set insertion port
Remove the plastic protector from the spike end of the administration set (tubing)
Insert the spike into the IV solution insertion port using aseptic technique
Hand the bag on the IV pole

19. Alaris Pumps

20. Secondary Tubing

23. Care Plan for a client with an IV

24. Nursing Diagnosis: Risk for infection: IV site r/t environmental pathogens and impaired skin integrity.
Outcome: Pt will be free of infection AEB no redness, swelling, tenderness or warmth in the next 4 hrs.
Assessment
Monitor WBC PRN
Monitor site for redness, discharge, warmth, tenderness Q2
Monitor temp q 4 hrs
Monitor for IV site irritations: is pt pulling on IV tube
Therapeutic Intervention
Perform hand washing before and after handling IV site and IV system.
Change dressing of IV site q 72 hrs ,PRN or per policy
Wash pt with SAGE bath q day

25. Nursing Diagnosis: Risk for infection: IV site r/t environmental pathogens and impaired skin integrity. (Therapeutic Interventions continued)
When accessing ports, clean with alcohol for 15 seconds and let it dry for 15 seconds. Apply alcohol caps on ports with not in use.
Use a catheter stabilization device or tape IV site securely.
Change tubing every 96 hours. Change the tubing when a new bag is being hung.
Ensure dressing is dry and intact.
Limit disconnecting tube
Never let the end of the IV tubing touch the floor
Teaching
Teach patient s/s of infection and to report tenderness
Teach patient to not handle IV site