External Jugular

Question 1

Indication

Answer 1

When all other means of peripheral cannulation has been exhausted

Question 2

Contraindications

Answer 2

Starting IV can not delay the transport time of a patient meeting trauma alert criteria

Question 3

Procedure 1

Answer 3

Standard precautions

Question 4

Procedure 2

Answer 4

Place the patient supine in the trendelenburg position and have there head turned in the opposite direction (do not turn head with suspected c-spine injury)

Question 5

Procedure 3

Answer 5

Select an External jugular vein IV site midway between angle of the jaw and midclavicular line.

Question 6

Procedure 4

Answer 6

Prepare the IV site with alcohol or iodine wipe disinfecting with overlapping concentric circles.

Question 7

Procedure 5

Answer 7

Stabilize the vein by applying light traction to vein and occlude venous return with one finger above the clavicle

Question 8

Procedure 6

Answer 8

Point the catheter at the midclavicular line and insert bevel up at 10-30* angle

Question 9

Procedure 7

Answer 9

Insert the needle and catheter midway between the jaw and clavicle

Question 10

Procedure 8

Answer 10

When a flash is visualized continue to advance catheter another .5cm

Question 11

Procedure 9

Answer 11

Slide the catheter over the needle while stabilizing the needle

Question 12

Procedure 10

Answer 12

Apply and maintain pressure on the proximal end of the catheter to stop escaping blood and or air intrusion

Question 13

Procedure 11

Answer 13

Remove IV needle and dispose of into an approved sharps container

Question 14

Procedure 12

Answer 14

Quickly attach tubing or MAP

Question 15

Procedure 13

Answer 15

Open drip chamber and tubing and verify quality of fluid flow and set at desired flow rate

Question 16

Procedure 14

Answer 16

Examine IV for infiltration

Question 17

Procedure 15

Answer 17

Secure IV catheter using the chevron technique and anchor tubing

Question 18

Procedure 16

Answer 18

Take the patient out of the trendelenburg position

Question 19

Procedure 17

Answer 19

Monitor patient and record solution used, catheter size location of site volume infused.