MIME-Version: 1.0 Content-Type: multipart/related; boundary="----=_NextPart_01C571C9.98009F70" 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_01C571C9.98009F70 Content-Location: file:///C:/267AC711/SP71.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii"

Venous Access - Intraosseous (Pediatric)

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

= ______ 1. Life threatening illness or injury in a child < 6 years of age (72 mon= ths) after

effective ventilation is established

Procedure:

= ______ 1.      Expo= se the lower leg.

= ______ 2.      Iden= tify the tibial tubercle (bony prominence below the knee cap) on the proximal tibia. The insertion location= will be 1-2 cm (2 finger widths) below this and medially.

= ______ 3.      Meas= ure the depth by the width of the big toenail.=

= ______ 4.      Prep= the site as per a peripheral IV line.

= ______ 5.      Hold= ing the intraosseous needle perpendicular to the skin, twist the needle handle = with a grinding motion applying a controlled downward force until a “pop” or “give” is felt indicating loss of resistance. Do not advance the needle any further.

= ______ 6.      Remo= ve the trochar and dispose of properly.

= ______ 7.      Atta= ch the IV line to the IO catheter.

= ______ 8.      Stab= ilize and secure the needle with a hemostat, 4X4 pads and tape.=

= ______ 9.      Docu= ment the procedure, time, and result 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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