INSERTING IV
CANNULA
UTILIZING IV TRAINER
Sherwin Ely I. Rafanan
**PREPARE COMPLETE IV
TRAY WITH INFUSIONS;
DUMMY ARM AND OVER THE
NEEDLE CATHETER OR
BUTTERFLY NEEDLE.
1. VERIFY WRITTEN
PRESCRIPTION FOR IV
THERAPY; CHECK
PREPARED IVF AND
OTHER THINGS NEEDED.
2. INTODUCE YOURSELF TO
THE PATIENT AND EXPLAIN 1.Right Patient
THE PROCEDURE TO 2.Right Drug
REASSURE THE PATIENT AND 3.Right Dose
SIGNIFICANT OTHERS AND 4.Right Route
OBSERVE THE 10Rs. 5.Right Time
6.Right to Refuse
(Patient and Nurse)
7.Right Knowledge
and Understanding
8.Right Questions or
Challenges
9.Right Advice
10.Right Response
3. DO HAND
HYGIENE BEFORE
AND AFTER THE
PROCEDURE.
4. CHOOSE
SITE FOR
IV.
5. APPLY TOURNIQUET 5 TO 12 CM. (2-6
INCH) ABOVE THE INJECTION DEPENDING
ON CONDITION OF PATIENT.
6. CHECK FOR RADIAL PULSE
BELOW TOURNIQUET.
Prepare site with effective
topical antiseptic according to
hospital policy or cotton balls
with alcohol in circular motion
and allow 30 seconds to dry
(No touch technique).
±Note: CDC Universal
precaution: always wear
gloves,When doing
venipuncture.
NOTE!
First, check the
cannula and remove
it from its packaging.
Then, remove the
needle cover, making
sure not to touch the
needle.
7.USING THE APPROPRIATE IV CANNULA,
PIERCE SKIN WITH THE CORRECT TECHNIQUE.
TIP: GO BIG! OR GO HOME!
8.Upon backflow visualization, continue
inserting the catheter into the vein.
9. POSITION THE CATHETER PARALLEL TO THE
SKIN. HOLD STYLET STATIONARY AND SLOWLY
ADVANCE THE CATHETER UNTIL HUB IS 1MM TO
THE PUNCTURE SITE.
10. SLIP A STERILE GAUZE UNDER HUB. RELEASE
THE TOURNIQUET; REMOVE THE STYLET WHILE
APPLYING DIGITAL PRESSURE OVER THE
CATHETER WITH ONE FINGER ABOUT 1-2 INCHES
FROM THE TIP OF THE INSERTED CATHETER.
11.CONNECT THE INFUSION TUBING OF THE PREPARED IVF
ASEPTICALLY TO THE IV CATHETER.
NOTE: WHEN STEEL-WINGED NEEDLE (BUTTERFLY) IS USED:
A. CONNECT THE IV TUBING TO THE STEEL-WINGED NEEDLE
CONNECTOR AND PRIME THE NEEDLE WITH IV FLUID.
B. USING THE STEEL-WINGED NEEDLE, PIERCE SKIN WITH
NEEDLE BEVEL UP, POSITION ON A 5-10 DEGREE ANGLE.
C. WITH STEEL-WINGED NEEDLE, PARALLEL ON THE SKIN ENTER
THE VEIN DIRECTLY AND ADVANCE THE NEEDLE ¼ INCH AFTER
SUCCESSFULLY PERFORMING VENIPUNCTURE CHECK FOR
BACKFLOW. RE MOVE TOURNIQUET.
D. DO NOT REINSERT STYLET ONCE PULLED OUT TO PREVENT
BREAKAGE OF CATHETER THAT MAY CAUSE EMBOLISM.
12. OPEN THE
CLAMP AND
REGULATE
THE FLOW
RATE.
REASSURE
THE PATIENT.
13.ANCHOR NEEDLE
FIRMLY IN PLACE WITH
THE USE OF:
**Transparent tape/ dressing
directly on the puncture site.
**Tape( using any appropriate
anchoring style)
**Band-aid
**Note: never place unsterile tape
directly on IV insertion site.
Instead, place a small piece of
sterile OS and then secure it with
adhesive tape.
14. TAPE A SMALL LOOP OF TUBING FOR
ADDITIONAL ANCHORING. APPLY SPLINT, IF
NEEDED.
15. CALIBRATE THE IVF BOTTLE AND
REGULATE FLOW OF INFUSION ACCORDING
TO PRESCRIBED DURATION.
16. LABEL ON IV TAPE
NEAR THE IV SITE TO INDICATE THE OF
INSERTION, TYPE AND GAUGE ON THE IV
CATHETER AND COUNTERSIGN
17. LABEL WITH PLASTER ON THE TUBING
TO INDICATE THE DATE WHEN TO CHANGE
THE IV TUBING.
18. OBSERVE PATIENT AND REPORT ANY
UNTOWARD EFFECT.
19. DOCUMENT IN THE PATIENT’S CHART
AND ENDORSE TO INCOMING SHIFT.
20. DISCARD SHARPS AND WASTE
ACCORDING TO HEALTH CARE WASTE
MANAGEMENT (DOH/DENR).
