MIME-Version: 1.0 Content-Type: multipart/related; boundary="----=_NextPart_01C5719D.11EBFE10" This document is a Single File Web Page, also known as a Web Archive file. If you are seeing this message, your browser or editor doesn't support Web Archive files. Please download a browser that supports Web Archive, such as Microsoft Internet Explorer. ------=_NextPart_01C5719D.11EBFE10 Content-Location: file:///C:/267AC6F7/SP67.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii"

Venous Access - External Jugular Access

Clinical Indications: &= nbsp; &nbs= p; &= nbsp; &nbs= p;

= ______ 1. Exte= rnal jugular vein cannulation is indicated in a critically ill patient > 8 years of

age who requires intravenous access for fluid or medication administration and in

whom an extremity vein was not attainable.=

= ______ 2. Exte= rnal jugular cannulation can be attempted initially in life threatening events w= here no obvious peripheral site is noted.

Procedure:

= ______ 1.      Plac= e the patient in a supine position. This helps to distend the jugular veins and reduces the possibility of an air embolism.

= ______ 2.      Turn= the patient’s head toward the opposite side if there is no possibility of cervical spine injury.

= ______ 3.      Prep= the selected site as per peripheral IV site.

= ______ 4.      Alig= n the catheter with the vein and aim in a caudal position (toward the clavicle).<= o:p>

= ______ 5.      Ligh= tly place a finger just above the clavicle to produce a “tourniqueting= 221; effect. Puncture the vein mid= way between the angle of the jaw and the clavicle and cannulate the vein in the usual manner.

= ______ 6.      Atta= ch an IV line and secure the catheter avoiding circumferential dressing or taping= .

= ______ 7.      Assu= re patency of the line.

= ______ 8.      Docu= ment the procedure, time, and results in the electronic PCR.

Certification Requirements:

Succ= essfully complete a biannual evaluation including the indications, contraindications, technique, and possible complications of the procedure.

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