Intraosseous Line

Question 1

Step 1

Answer 1

Check and assemble equipment on a clean working area, connect the 3-way tap and short extension set.

Question 2

Step 2

Answer 2

Flush through short extension and fill 10mll syringe.

Question 3

Step 3

Answer 3

Put on gloves

Question 4

Step 4

Answer 4

Correct position of leg - knee flexes and leg externally rotated over rolled napkin. Identify the site on the leg

Question 5

Step 5

Answer 5

Cleanse the skin over the site with swab

Question 6

Step 6

Answer 6

Grip needle with thumb and index finger close to the point and hold perpendicular to the skin surface.

Question 7

Step 7

Answer 7

Insert the needle with a cork-screw motion until you feel a give

Question 8

Step 8

Answer 8

Remove the styles

Question 9

Step 9

Answer 9

Attach a 5ml syringe and aspirate a few drops of fluid to check placement in the marrow cavity

Question 10

Step 10

Answer 10

Deliver 10ml saline test bolus and check for fluid extravasated into subcutaneous tissue at insertion site and into the calf

Question 11

Step 11

Answer 11

Secure the needle with a cord clamp longitudinally along the tibia and plaster tape above and below

Question 12

Step 12

Answer 12

Give fluid bolus infusion using the 3-way tap and 10 ml syringe (pushed infusion) - initial resuscitation is 20ml/kg