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Venous Access - Intraosseous (Adult)

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

= ______ 1. Inab= ility to obtain peripheral access in a patient greater than 12 years of age that =

requires access in an emergent manner.<= /p>

Procedure:

= ______ 1.      Asse= mble standard intravenous access equipment as well as IO needle. If a commercial kit is being used, follow the procedure recommended by the manufacturer.

= ______ 2.      Acce= ss for trauma, infection, decreased pulses, and decreased sensor motor function (if possible) in the lower extremity where the line is to be placed. If any of these are present, choose another site or method for access.

= ______ 3.      Rota= te the chosen leg externally to expose the medial tibia.

= ______ 4.      Loca= te the medial malleolus. Move one to two finger-widths anteriorly and locate the f= lat area of the tibia just medial to the tibial crest.

= ______ 5.      Prep= the site with Betadine. If time a= llows, drape the site.

= ______ 6.      Hold= ing the IO needle perpendicular to the site, insert the needle with a twisting motion until you feel decreased resistance or feel a “pop”. Stop advancing the needle.

= ______ 7.      Remo= ve the trochar.

= ______ 8.      Begin infusion of IV fluids. The fl= uids should flow easily. Once ease= of flow has been established, the line may be used just as any other IV line.<= o:p>

= ______ 9.      Stab= ilize the IO catheter.

= ______ 10. Disp= ose of the IO trochar in an appropriate approve container.

= ______ 11. Reco= rd the procedure, time, any complications, and patient response 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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