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Venous Access - Extremity

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

______ 1. Any patient where intravenous access is indicated (significant trauma or

&= nbsp; mechanism, emergent or potentially emergent condition)=

<= span style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>Proc= edure:

______ 1. Inspect the IV solution for expiration date, cloudiness, discoloration, leaks, or the presence of particles.<= /span>

______ 2. Connect the IV tubing to the solution in a sterile manner. Fill the drip chamber= half full and then flush the tubing by bleeding all air bubbles from the line.

______ 3. Place a tourniquet around the patient’s extremity to restrict venous flow only.

______ 4. Select a vein and an appropriate gauge catheter f= or the vein and the patient’s condition.

______ 5. Prep the selected site with an antiseptic solutio= n.

______ 6. Insert the needle with the bevel up into the skin= in a steady, deliberate motion until the bloody flashback is visualized in the collection chamber of the catheter.

______ 7. Advance the catheter into the vein. Never reinsert the needle t= hrough the catheter. Dispose of the = needle into an appropriate container without recapping the needle.

______ 8. Draw blood sample when appropriate.

______ 9. Connect the IV tubing or prepares saline lock and remove the tourniquet.

______ 10. Open the IV line to assure free flow of the fluid= and then adjust the flow rate as per protocol or as clinically indicated.<= /o:p>

______ 11. Cover the site with a sterile dressing and secure= the IV and tubing.

______ 12. Label the IV with date, time, catheter gauge, and name of the person starting the IV.

______ 13. Document 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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