This document provides a checklist for intravenous insertion with 17 steps including preparing supplies, introducing yourself to the patient, inserting the IV cannula, securing and dressing the cannula, and disposing of supplies properly. The checklist includes ratings for excellent, satisfactory, and needs practice for each step and space for remarks.
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IV Insertion
This document provides a checklist for intravenous insertion with 17 steps including preparing supplies, introducing yourself to the patient, inserting the IV cannula, securing and dressing the cannula, and disposing of supplies properly. The checklist includes ratings for excellent, satisfactory, and needs practice for each step and space for remarks.
YEAR/SECTION/GROUP: ______________________ C. INSTRUCTOR: ____________
CHECKLIST OF IV INSERTION
STEPS EXCELLENT SATISFACTORY NEEDS REMARKS
PRACTICE 1. Perform hand hygiene.
2. Check order to verify
solution, rate, and frequency. 3. Gather supplies. • Ensure that you have all of your equipment ready as follows: • Alcohol cleanser. • Gloves. • An alcohol wipe. • A disposable tourniquet. • An IV cannula. • A suitable plaster. • A syringe. • Saline. • A clinical waste bin. 4. Introduce yourself to the patient and clarify the patient’s identity. Explain the procedure to the patient and gain informed consent to continue. Inform that cannulation may cause some discomfort but that it will be short lived.
5. Sanitize your hands using
alcohol cleanser 6. Position the arm so that it is comfortable for the patient and identify a vein 7. Apply the tourniquet and re- check the vein 8. Put on your gloves, clean the patient’s skin with the alcohol wipe and let it dry 9. Remove the cannula from its packaging and remove the needle cover ensuring not to touch the needle 10. Stretch the skin distally and inform the patient that they should expect a sharp scratch 11. Insert the needle, bevel upwards at about 30 degrees. Advance the needle until a flashback of blood is seen in the hub at the back of the cannula 12. Once the flashback of blood is seen, progress the entire cannula a further 2mm, then fix the needle, advancing the rest of the cannula into the vein 13. Release the tourniquet, apply pressure to the vein at the tip of the cannula and remove the needle fully. Remove the cap from the needle and put this on the end of the cannula 14. Carefully dispose of the needle into the sharps bin 15. Apply the dressing to the cannula to fix it in place and ensure that the date sticker has been completed and applied 16. Check that the use-by date on the saline has not passed. If the date is ok, fill the syringe with saline and flush it through the cannula to check for patency.
If there is any resistance, or if
it causes any pain, or you notice any localized tissue swelling: immediately stop flushing, remove the cannula and start again 17. Dispose of your gloves and equipment in the clinical waste bin, ensure the patient is comfortable and thank them.
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