IV INFUSION TECHNIQUE PRPEARED BY : SALWA MAGHRABI CLINICAL INSTRUCTOR

IV INFUSION IV INFUSION TECHNIQUETECHNIQUE

PRPEARED BY: SALWA MAGHRABI

CLINICAL INSTRUCTOR

OutlinesOutlines

Preparing Intravenous Solution1. Assessment 2. Equipments3. Implementations4. Evaluations.5. Documentations. Venipuncture and Starting an Intravenous

Infusion1. Assessment2. Equipments.3. Implementations.4. Evaluations. 5. Documentations.

OutlinesOutlines

Caring of Patient with Venous Access Device 1. Site Care2. Canula care and flushing.Discontinuing an Intravenous Infusion1. Assessment2. Equipments 3. Implementations.4. Evaluations.5. Documentations.

ObjectivesObjectives

Prepare intravenous fluid.Produce venipuncture and starting an

intravenous.Provide care for patient with venues

access. Discounting an intravenous infusion.

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

Non – Sterile gloves

IV holder

IV Fluid

PREPARING INTRAVENOUS SOLUTION VIDEO

PREPARING INTRAVENOUS SOLUTION CONT’

Evaluation1. Solution and tubing are properly labeled .2. Tubing has been purged of air.

Documentation1000 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 :1.Check the client ID.2.Review patient medical record .3. 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 Phase1.Prepare the equipment .2.Hand washing .3.Explain the procedure to the patient.4.Maintain the patient privacy.5.Select a site for insertion .6.Apply tourniquet 2 or 4 inch above the

vein.


Preparatory Phase7. Clean the skin with alcohol swab. 8. Don clean gloves.


Implementation phase 7.Use thumb to starch & stabilize the

vein.8.Position the canula with the bevel up

and 45 angle.9.Warn the client just before insertion .


Implementation phase 7.Advance the cannula 0.5 to 1.5 cm in

to the vein . 8.Feel for a change in resistance and

look for blood back flow in the canula .


Implementation phase 7. Once the blood is observed advance

the needle about 1/8 to ¼ inch .8. Withdraw the needle slightly .9. Slid the catheter into the vein .


Implementation Cont’:12.Release the tourniquet .13.Apply pressure over the internal tip of

the catheter .14.Remove the protective cap over the

end of the IV tubing and insert it into the end of the canula .


Implementation Cont’:12.Release the roller clamp and begin

infusing solution slowly.13.Secure the canula by criss-crossing a

piece of tape from beneath the tubing .


Implementation Cont’:17.Cover the entire site with additional strips

of tap.18.Write date, time, gauge of the catheter

and your initial sig.19.Start IV fluid infusion on the ordered rate.


Evaluations :1.A flashback of blood was observed

before advancing the canula.2.Minimal discomfort and blood loss

occurred.3.Fluid is infused at the prescribed rate.


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


Site Care1.Use strict aseptic technique.2.Frequency of dressing change may

vary from every 3-7 day. 3.Assess the site for any redness,

swelling, tenderness, or drainage.4.Follow agency protocol for cleaning

solution and type of dressing.


Site Care5.Clean the port and 2 inches in

diameter around the site with alcohol swab .

6.Secure the canula and cover the external site of IV line with hip lock.

7.Provide routine care for insertion site tell is heal after removing the canula.


Canula care and flushing: 1.Change the canula every 3 or 7 days.2.Flush the catheter with normal saline.3.Assess the catheter every shift.


VIDEO

DISCONTINUING AN INTRAVENOUS

INFUSION

DISCONTINUING AN INTRAVENOUS INFUSION

Assessment :1.Doctor order to disconnect the IV

infusion.2.Check the client identity.

Equipment :1.Non – sterile gloves.2.Gauze 3.Adhesive tape4.Alcohol swab

DISCONTINUING AN INTRAVENOUS INFUSION VIDEO


Procedure: 1.Wash hand.2.Clamp the tubing and remove the tape

that hold the dressing and venipuncture device in place.

3.Don gloves.4.Press a gauze square gently over the

puncture site .


Preparation Phase :5.Remove the catheter or needle .6.Apply pressure to the site of

venipuncture for 30 to 45 second.7.Secure the gauze with tape.8.Dispose the canula in a sharp container.9.Enclose a canula used for venipuncture

within gloves as they are removed.


Preparation Phase :10.Wash hand.11.Encourage the client to flex and

extend the arm or hand several time.


Evaluation:1.Site appears free of inflammation.2.Bleeding is controlled.3.Discomfort is minimized.4.Equipments is disposed .


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.

SummarySummary

Thank you for your attention

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IV INFUSION TECHNIQUE PRPEARED BY : SALWA MAGHRABI CLINICAL INSTRUCTOR