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    IV Insertion Checklist Competency

    Uploaded by

    Jessie Bronkalla
    This procedural checklist outlines the steps for intravenous catheter insertion including: 1) washing hands and applying a tourniquet above the insertion site; 2) selecting the most distal vein branch and releasing the tourniquet; 3) prepping the site with chlorhexidine and allowing it to dry; 4) reapplying the tourniquet and puncturing the skin at a 30-45 degree angle; 5) advancing the needle into the vein and inserting the catheter; 6) securing the catheter and dressing the site. The checklist provides rationales for each step to reduce risks and ensure proper sterile technique is followed.

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    IV Insertion Checklist Competency

    Uploaded by

    Jessie Bronkalla
    5K views1 page
    This procedural checklist outlines the steps for intravenous catheter insertion including: 1) washing hands and applying a tourniquet above the insertion site; 2) selecting the most distal vein branch and releasing the tourniquet; 3) prepping the site with chlorhexidine and allowing it to dry; 4) reapplying the tourniquet and puncturing the skin at a 30-45 degree angle; 5) advancing the needle into the vein and inserting the catheter; 6) securing the catheter and dressing the site. The checklist provides rationales for each step to reduce risks and ensure proper sterile technique is followed.

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    This procedural checklist outlines the steps for intravenous catheter insertion including: 1) washing hands and applying a tourniquet above the insertion site; 2) selecting the most distal vein branch and releasing the tourniquet; 3) prepping the site with chlorhexidine and allowing it to dry; 4) reapplying the tourniquet and puncturing the skin at a 30-45 degree angle; 5) advancing the needle into the vein and inserting the catheter; 6) securing the catheter and dressing the site. The checklist provides rationales for each step to reduce risks and ensure proper sterile technique is followed.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    5K views1 page

    IV Insertion Checklist Competency

    Uploaded by

    Jessie Bronkalla
    This procedural checklist outlines the steps for intravenous catheter insertion including: 1) washing hands and applying a tourniquet above the insertion site; 2) selecting the most distal vein branch and releasing the tourniquet; 3) prepping the site with chlorhexidine and allowing it to dry; 4) reapplying the tourniquet and puncturing the skin at a 30-45 degree angle; 5) advancing the needle into the vein and inserting the catheter; 6) securing the catheter and dressing the site. The checklist provides rationales for each step to reduce risks and ensure proper sterile technique is followed.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 1

    Procedural Checklist

    Intravenous Catheter Insertion


    Performance Criteria
    1) Wash hands
    2) Apply tourniquet proximal to proposed puncture
    site. Tie in a manner such that the tourniquet can
    be released by pulling on one end. If the veins
    are not prominent, instruct the patient if able to
    open and close hand several times.
    3) Select appropriate venipuncture site and use
    the most distal branch of the vein selected.
    4) Release tourniquet.

    5) Prepare the site with Chlora-Prep swab in a


    checkerboard motion and allow to dry.
    7) Reapply the tourniquet.
    8) Draw the skin just below the insertion site taut
    using the thumb of the non-dominant hand.
    9) Puncture the skin parallel to the path of the
    vein with the bevel up and the needle at a 30 to
    45-degree angle.
    10) Advance the needle until resistance is met.
    Next, reduce the angle of the needle and slowly
    pierce the vein. Observe for blood in the catheter
    hub (flashback chamber) or tubing of winged
    infusion set. Continue to insert the needle
    approximately inch into the vein.
    11) Release the tourniquet
    12) Advance the catheter device.
    13) Place a 2X2 gauze pad under the catheter
    hub and remove the stylet while holding the hub
    securely.
    14) Properly dispose of sharp
    15) Connect primed IV administration or flushed
    saline lock tubing to catheter hub
    16) Secure catheter with transparent semi
    permeable dressing, and tape
    17) Label dressing with date, time, catheter
    gauge and length, and initials. (Dressing should
    be changed every 72 hours if pt admitted or IV
    staying in place)
    18) Discard supplies in appropriate container and
    wash hands.

    Rationale
    Reduces transmission of microorganisms
    Impedes venous return to the heart and produces
    venous distention. Proper application of the
    tourniquet allows for the quick, one-handed release
    of the tourniquet.
    Multiple factors determine the success of securing
    and maintaining a patent venous access site.
    Prolonged vein distension causes undue patient
    discomfort and impairs circulation to the extremity.
    In addition, a tourniquet left on for more than 1 to 2
    minutes may result in hemoconcentration or
    variation in blood test values if blood is to be
    collected during the procedure.
    Limits the introduction of potentially infectious skin
    flora into the vessel during the puncture.
    Produces venous distention.
    Immobilizes the vein for insertion of the IV line.
    Causes the least amount of discomfort.
    Limits the risk of puncturing the posterior wall of the
    vein.

    Reduces the risk of rupturing the vein


    Reduces the risk of rupturing the vein
    Provides absorption of any blood that may escape
    when stylet is removed.
    Limits the risk of needle stick injury and exposure
    to blood borne pathogens.
    Prompt connection maintains patency of vein and
    sterility.
    Prevents early access of microorganisms to
    bloodstream and stabilizes catheter, reducing
    irritation to the intimal lining of the vein
    Provides information related to catheter insertion.

    Reduces transmission of microorganisms.

    I have received information about and have been able to ask questions about the above topics. I have completed the procedural
    checklist as outlined above.
    Signature: __________________________________________

    Date: ________________

    Mentors Signature: __________________________________

    Date: ________________

    Demonstrates

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