ASSISTING IN IV

INSERTION
Equipment for IV Insertion
Parts of an IV Tubing
Parts of an IV Cannula
Procedure
Assisting in IV Insertion

1.Introduce yourself and verify client’s identity.

2.Explain procedure to the client.
3.Make sure the client’s clothing or gown can be
removed over the IV fluid container if necessary.
4.Gather equipment and bring to bedside.
5.Perform hand hygiene.
Procedure
Assisting in IV Insertion

6.Open and prepare the infusion set

a. Remove tubing from the container and
straighten it out.
b. Slide the tubing clamp along the tubing until
it is just below the drip chamber, then close
the clamp.
c. Leave the ends of the tubing covered with
the plastic caps until infusion is started.
Procedure
Assisting in IV Insertion

7. Spike the solution container.

a. Remove the protective cover from the
entry site of the bag.
b. Remove the cap from the spike and insert
the spike into the insertion site of the bag
or bottle.
c. Apply a medication label to the solution
container, if medication was added.
 Procedure
Assisting in IV Insertion

8. Hang the solution container on the pole. Adjust pole

to
suspend container about 1 meter (3ft) above the
client’s head.
9. Partially fill the drip chamber with solution by
squeezing the chamber gently until it is half full of
solution.
Procedure
Assisting in IV Insertion

10.Prime the tubing.

a. Remove the protective cap and hold the tubing over a
container, maintain sterility of the end of the tubing and
cap.
b. Release the clamp and let the fluid run through the
tubing until all bubbles are removed. Tap the tubing with
your fingers to help the bubbles move.
c. Re-clamp the tubing and replace the tubing cap
maintaining sterile technique.
Procedure
Assisting in IV Insertion

11.Select the venipuncture site.

a. Use client’s non dominant arm,unless contraindicated.
b. Place towel or bed protector under the extremity to
protect the linens.
12. Clean the venipuncture site with the topical antiseptic
swab (alcohol) using a circular motion, moving from
the center outward for several inches. Allow the
solution to dry on the skin.
• NOTE: Catheter insertion is done by the physician or IV

therapist
Procedure
Assisting in IV Insertion

13. Remove the protective cap from the distal end of

the tubing, hold it ready to attach to the catheter
maintaining sterility of the end.
14. Once the needle was removed, engage the needle
safety device and attach the end of the infusion
tubing to the catheter hub.
15. Initiate the infusion slowly by opening the tubing
clamp.
Procedure
Assisting in IV Insertion

16. Tape the catheter by the “U” method.

a. Use 3 strips of adhesive tape, each about 7.5cm
(3 inches) long.
b. Place the strip, sticky side up under the catheter’s hub.
c. Fold each end over so that the sticky side are
against the skin.
d. Place a second strip, sticky side down over the
catheter hub.
e. Place a third strip, sticky side down, over the tubing
hub.
Procedure
Assisting in IV Insertion

17. Dress and label the venipuncture site and tubing

according to agency policy.
a. Apply a sterile transparent occlusive dressing.
b. Discard tourniquet, remove the soiled gloves
and dispose appropriately.
c. Loop the tubing and secure it with tape.
d. Label the dressing with the date and time of
insertion type and gauge of needle or catheter
used and your initial.
Procedure
Assisting in IV Insertion

18. Apply a padded arm board to splint the joint

as needed.
19. Adjust the infusion rate of flow according to
the order.
20. Label the tubing with the date and time of
attachment and your initial.
Procedure
Assisting in IV Insertion

21.Document relevant data.

a. Date and time of venipuncture
b. The time of the start of infusion
c. The flow rate of the infusion
d. The amount and type of solution used and
any additives
e. The type and gauge of needle or catheter
f. The venipuncture site
g. The client’s response
Changing IVF Solution and
Tubing
 Changing Intravenous Solution
Procedure

1. Gather needed equipment and bring to

bedside. Check IV solution and medication
additives with physician’s order.
2. Explain procedure to patient.
3. Perform hand hygiene.
4. Carefully remove protective cover from new
solution container and expose entry site.
5. Close clamp on tubing.
 Changing Intravenous Solution
Procedure

6. Lift container off IV pole and invert it.

Quickly remove spike from old IV container,
being careful not to contaminate it.
7. Steady new container and insert spike.
Hang on IV pole.
8. Reopen clamp on tubing and adjust flow.
 Changing Intravenous Solution
Procedure

9. Label container according to agency policy.

10. Record on intake-output record and
document on chart according to agency-
policy.
11. Discard used equipment in proper manner.
Perform hand hygiene.
Procedure
Changing IV Tubing
1. Gather equipment and bring to bedside.
2. Explain procedure to patient.
3. Perform hand hygiene.
4. Close clamp on tubing.
5. Carefully remove protective cover from new solution
container and expose entry site.
Procedure
Changing IV Tubing
6. Open administration set and close clamp on new
tubing. Remove protective covering from infusion
spike. Using sterile technique, insert into new container.
7. Hang IV container on pole and squeeze drip chamber to fill
at least halfway.
8. Remove cap at the end of tubing, release clamp, and allow
fluid to move through tubing until all air bubbles have
disappeared. Close clamp and recap end of tubing
maintaining sterility of set-up.
9. Loosen tape at IV insertion site. Don clean gloves.
Carefully remove dressing and tape.
Procedure
Changing IV Tubing
10. Place sterile gauze square under needle hub.
11. Place new IV tubing close to patient’s IV site and
slightly loosen protective cap. Disconnect the old
tubing from the needle hub and swab the needle
hub with alcohol.
12. Connect new tubing to the needle hub. Open clamp
and adjust flow rate.
Procedure
Changing IV Tubing
13. Check IV site for patency and evidence of
complications.
14. Secure tubing with tape.
15. Discard old supplies and perform hand hygiene.
16. Document procedure as per agency policy.
PROCEDURE
DISCONTINUING IV FLUIDS
1. Introduce yourself and verify the client’s identity. Explain to
the client what you are going to do, why it is necessary, and
how client can cooperate.
2. Perform hand hygiene and observe other appropriate
infection control procedures.
3. Provide for client privacy.
4. Prepare the equipment.
5. Clamp the infusion tubing.
6. Loosen the tape at the venipuncture site while holding the
needle firmly and applying counter traction to the skin.
PROCEDURE
DISCONTINUING IV FLUIDS
7. Put on gloves, and hold sterile gauze above the
venipuncture site.
8. Withdraw the needle or catheter from the vein.
• Withdraw the needle or catheter by pulling it out
along the line of the vein.
• Immediately apply firm pressure to the site, using sterile
gauze, for 2-3 minutes.
• Hold the client’s arm or leg above the body, if any
bleeding persists.
PROCEDURE
DISCONTINUING IV FLUIDS
9. Examine the catheter removed from the client.
• Check the catheter to make sure it is intact.
• Report a broken catheter to the nurse in charge or
primary care provider immediately.
• If the broken piece can be palpated, apply a tourniquet
above the insertion site.
PROCEDURE
DISCONTINUING IV FLUIDS
10. Cover the venipuncture site.
• Apply the sterile dressing.
• Discard the IV infusion container properly. If infusions
are being discontinued, discard the used supplies
appropriately.
11. Document all relevant information.
• Record the amount of fluid infused on the intake and
output record on the chart.
END