Intravenous Access Protocol Preparing materials, selecting fluids, and properly inserting an IV catheter to provide life-saving treatment. by Sisay Mamo
Choosing IV Supplies Catheter Size Use largest bore needed for patient's condition and vein size Fluid Choice Normal saline with macro or micro drip based on use Tubing Assembly Open bag, verify solution, and follow manufacturer's guidelines
IV Insertion Steps 1 Prepare Site Clean skin with antiseptic, palpate vein, stabilize distally 2 Insert Catheter Enter vein, advance catheter, remove needle, open clamp 3 Secure IV Recheck flow, secure catheter and tubing
Troubleshooting IV Issues 1 Check Tubing Ensure clamp is open, drip chamber is half full 2 Inspect Site Look for swelling, infiltration, or other problems 3 Adjust Positioning Lower bag, watch for blood return in tubing
Intraosseous Access Indications Immediate life-saving intervention, unable to obtain IV Contraindications Fractured bone, infection, inability to find landmarks Complications Needle issues, infiltration, fractures, compartment syndrome
Intraosseous Equipment Needle Options 15-25 gauge bone marrow or FDA-approved device Prep Supplies Antiseptic, IV tubing, syringes, lidocaine, pressure device
Intraosseous Insertion Manual Twist with controlled force until "pop" is felt Powered Power driver until loss of resistance is felt Automatic Rotate, press, and pull trigger to insert
Intraosseous Procedure Prep Site Identify landmarks, cleanse with antiseptic Insert Needle Confirm proper placement by aspiration and infusion Administer Meds Flush with saline, give lidocaine for alert patients
Intraosseous Stabilization Stabilization Method Description Commercially Available As recommended by manufacturer Sterile Gauze and Tape Stabilize needle on both sides
Key Takeaways IV Access Proper supplies, insertion, and troubleshooting techniques Intraosseous Indications, equipment, insertion methods, and stabilization