CSI 201 Skills Lab_1_IV_Venipuncture_Update_5_25_2021 (1).pptx

When washing or rubbing your hands, you should scrub them for at least 15–20 seconds:
Lather: Apply the recommended amount of soap or skin cleanser to your hands and lather them together.
Scrub: Rub your hands vigorously, making sure to cover all surfaces, including the backs of your hands, between your fingers, and under your nails.
Rinse: Rinse your hands with water.
Dry: Use a disposable towel to dry your hands.
Turn off faucet: Use a towel to turn off the faucet.
Proper hand washing: Visual guide and tips
Washing your hands for at least 20 seconds removes more germs than shorter periods of time.
WHO Guidelines on Hand Hygiene in Health Care - NCBI Bookshelf
Implement a multidisciplinary, multifaceted and multimodal programme designed to improve adherence of HCWs to recommended hand hyg...

National Institutes of Health (NIH) (.gov)
About Handwashing | Clean Hands - CDC
16-Feb-2024 — Lather your hands by rubbing them together with the soap. Lather the backs of your hands, between your fingers, and und...

Centers for Disease Control and Prevention | CDC (.gov)
Hand Hygiene Guidelines - Dubai Healthcare City
4.2. 4 After touching a patient: To protect yourself and the health-care environment from harmful patient pathogens. 4.2. 4.1 Afte...

Dubai Healthcare City
Show all
When washing or rubbing your hands, you should scrub them for at least 15–20 seconds:
Lather: Apply the recommended amount of soap or skin cleanser to your hands and lather them together.
Scrub: Rub your hands vigorously, making sure to cover all surfaces, including the backs of your hands, between your fingers, and under your nails.
Rinse: Rinse your hands with water.
Dry: Use a disposable towel to dry your hands.
Turn off faucet: Use a towel to turn off the faucet.
Proper hand washing: Visual guide and tips
Washing your hands for at least 20 seconds removes more germs than shorter periods of time.
WHO Guidelines on Hand Hygiene in Health Care - NCBI Bookshelf
Implement a multidisciplinary, multifaceted and multimodal programme designed to improve adherence of HCWs to recommended hand hyg...

National Institutes of Health (NIH) (.gov)
About Handwashing | Clean Hands - CDC
16-Feb-2024 — Lather your hands by rubbing them together with the soap. Lather the backs of your hands, between your fingers, and und...

Centers for Disease Control and Prevention | CDC (.gov)
Hand Hygiene Guidelines - Dubai Healthcare City
4.2. 4 After touching a patient: To protect yourself and the health-care environment from harmful patient pathogens. 4.2. 4.1 Afte...

Dubai Healthcare City
Show all
When washing or rubbing your hands, you should scrub them for at least 15–20 seconds:
Lather: Apply the recommended amount of soap or skin cleanser to your hands and lather them together.
Scrub: Rub your hands vigorously, making sure to cover all surfaces, including the backs of your hands, between your fingers, and under your nails.
Rinse: Rinse your hands with water.
Dry: Use a disposable

1. CSI 201 Skills Lab 1 IV and Venipuncture Daryl P. Lofaso , P h .D., M.E d. , RRT

2. Indications for IV Indications : Intravenous access to patient ’ s circulatory system. Administration of Meds. & Fluids, as well as blood collection Contraindications : IV access should be attempted as distal as possible. Avoid veins that cross over joints, local infection/injury Extremities with renal shunts or fistulas

3. Common IV sites

4. IV catheter size Age < 1 year: 22, 24 gauges (g) 1-8 years: 18, 20, 22 gauges > 8 years: 16. 18, 20 gauges

5. IV Procedure Use universal precautions (glove and eye protection) Allergies (betadine, latex or topical anesthetic) Explain procedure to patient Prepare all material (IV cath , starter kit, connection tub and flush) Apply tourniquet above the elbow. Select vein. Prepare site (air dry)

6. IV Procedure (cont.) Warn the pt. of possible pain Bevel up at 30 degree above horizontal Look for flashback of blood into catheter Upon seeing flashback, advance catheter another millimeter or two. Decrease catheter to near “0” horizontal. Advance the sheath completely into the vein and release tourniquet

7. IV Procedure (cont.) Connect the IV tubing/ heplock Confirm placement by aspirate and flush Secure catheter and tubing Dispose of needle in sharps container Document the IV site, catheter size, and date in patient ’ s EMR

8. Risks to YOU Risks after needle Sticks Exposure Hepatitis B: 6 - 30% Hepatitis C: 3 - 10% HIV: 0.3 % Other blood borne pathogens

9. Steps to prevent needle sticks Wear gloves Do Not Bend or Break Needles Never RECAP!!! If you must, use the One Handed technique  Take your time Dispose of contaminated needles immediately in puncture-resistant containers

10. POLICY ON ACCIDENTAL NEEDLE STICKS Immediately wash injured area with soap and water. Report all needle sticks immediately to your instructor or immediate supervisor. Complete an incident report and report to employee health or ED. Determine if the needle was clean or dirty. Cleansing wound with antiseptic. Request that the identified patient be tested for Hepatitis B surface antigen and HIV antibodies. Have your blood tested for Hepatitis B and HIV antibodies as soon as possible . Begin drug treatment (if necessary) & counseling.

11. How to calculate patient ’ s fluid rate Maintenance Fluid : Adult or Peds

12. Fluid Disturbances Isotonic Imbalances Fluid volume deficit Losses from GI Loss of plasma or whole blood Fever Diuretics Fluid volume excess CHF Renal Failure Cirrhosis of liver

13. Fluid Disturbances (cont.) Osmolar Imbalances Hyperosmolar imbalance Diabetic ketoacidosis Osmotic diuresis Hypoosmolar imbalance SIADH Excess water intake

14. Electrolyte Imbalances Hyponatrema Hypernatrema Hypokalemia Hypocalcemia Hypercalcemia Hypomagnesemia Hypermagnesemia

15. Risk Factors for Fluid, Electrolyte, and Acid-Base Imbalances Age Very old or very young Chronic disease CA or Cardiovascular disease (CHF) Trauma Crush or head injuries or burns Therapies Diuretics, steroids, IV therapy, TPN Gastrointestinal losses Gastroenteritis, NG Suction or fistulas