What is IV Insertion?
IV (Intravenous) insertion is the process of puncturing a vein with a needle to insert a catheter that allows for the administration of fluids, medications, and other treatments directly into the bloodstream. This procedure is a fundamental skill in
nursing practice.
Why is IV Insertion Important?
IV insertion is crucial for various
medical treatments and diagnostic procedures. It allows for the rapid administration of fluids and medications, ensuring that patients receive timely and effective care. IV therapy is widely used for hydration, electrolyte balance, antibiotic delivery, pain management, and chemotherapy.
IV catheter
Tourniquet
Antiseptic wipes
Gauze pads
Adhesive tape
Saline flush
IV tubing and fluids
Sharps container
Gloves
Explain the procedure to the patient and obtain consent.
Wash hands and don
PPE.
Select an appropriate vein, usually in the arm or hand.
Apply a tourniquet above the selected site to engorge the vein.
Clean the site with an antiseptic wipe and allow it to dry.
Insert the needle with the bevel up at a 15-30 degree angle.
Advance the catheter into the vein and remove the needle.
Secure the catheter with adhesive tape and connect it to IV tubing.
Flush the catheter with saline to ensure patency.
Dispose of the needle in a sharps container.
Infection: Use aseptic technique and monitor the site for redness, swelling, or discharge.
Phlebitis: This is inflammation of the vein. Rotate sites every 72-96 hours and monitor for signs of redness and warmth.
Infiltration: This occurs when IV fluids enter surrounding tissue. Discontinue the IV and apply a warm compress.
Extravasation: This is the leakage of vesicant drugs into the tissue. Stop the infusion immediately and follow facility protocols.
Air embolism: Ensure no air is in the IV line before connecting it to the patient.
Large and straight
Located in the non-dominant arm
Free from scars, wounds, or areas of previous IV sites
Avoiding areas of flexion (e.g., antecubital fossa) to reduce the risk of dislodgement
Explain the procedure thoroughly to the patient
Answer any questions they may have
Use a calm and soothing tone
Allow the patient to express their concerns
Employ distraction techniques if necessary
Adhering to strict aseptic techniques
Using the smallest gauge catheter appropriate for the therapy
Regularly rotating IV sites to prevent complications
Monitoring the site for signs of complications
Maintaining clear and accurate documentation
