Insertin IV, Utilizing The Dummy Arm

Question 1

Verify, Explain, Hand hygiene

Answer 1

Verify the written order prescription for iv therapy, check iv fluid and other devices,
Explain the procedure to reassure the client, and observed 10 R’s
Do hand hygiene before and after the procedure
Choose site for IV

Question 2

Apply

Answer 2

Apply tourniquet 5 to 10 cm (2- inches) above injection site depending on condition of the patient

Question 3

Check for

Answer 3

Check for radial pulse below the tourniquet

Question 4

Prepare site

Answer 4

Prepare site with effective topical antiseptic according to the hospital policy, or cotton balls soaked with alcohol in circular motion and allow it to dry for 30 seconds.

Question 5

Using the appropriate

Answer 5

Using the appropriate IV cannula, pierce the kin with needle positioned on a 15 - 30 degree angle

Question 6

Upon

Answer 6

Upon flashback visualization decrease the angle, advance the catheter and stylet into the vein, check the tip of catheter can be rotated freely inside the vein

Question 7

Position

Answer 7

Position the IV catheter parallel to the skin. Hold stylet stationary and slowly advance the catheter until the hub is 1mm to the puncture site.

Question 8

Slip a sterile gauze

Answer 8

Slip a sterile gauze under the hub. Release the technique, remove the stylet while applying digital pressure over the catheter with one finger about1 - 2 inches from the tip of the inserted site

Question 9

Connect

Answer 9

Connect the infusion tubing of the prepared IVF aseptically to the IVF catheter

Question 10

Open the clamp

Answer 10

Open the roller clamp, regulate the flow rate and reassure the client

Question 11

Anchor the needle firmly in place with the use of

Answer 11

Transpore for dressing directly to the puncture site
Tape for anchoring

Question 12

Tape

Answer 12

Tape a small loop of tubing for additional anchoring, apply splint if needed.

Question 13

Calibrate

Answer 13

Calibrate the IvF bottle and regulate flow of infusion according to the prescribe duration.

Question 14

Label on

Answer 14

Label on tape near the iv site to indicate the date of insertion, type and gauge of iv cathter and countersign

Question 15

Label with plaster

Answer 15

Label with plaster on the iv tubing to indicate the date when to change the iv tubing

Question 16

Observe

Answer 16

Observe patient and report any untoward effect

Question 17

Document

Answer 17

Document in the patients chart and endorse to incoming shift.

Question 18

Discard

Answer 18

Discard sharp and waste according to the health care management and waste