INSERTING IV CANNULA

1. Verify the written prescription for IV therapycheck prepared IVF and other thingsneeded.

2. Explain procedure to reassure the patient &significant others and observe the 10Rs.

3. Do hand hygiene before and after theprocedure.

4. Choose site for IV.

5. Apply tourniquet 5 to 12 cm. (2-6inches) above injection sitedepending on condition of patient.

7. Prepare site with effective topicalantiseptic according to hospital policy or cotton balls with alcohol in circularmotion and allow 30 seconds to dry.(No touch technique.)

Note: CDC Universal Precaution: Always wear gloves when doing anyvenipuncture.

8. Using the appropriate IV cannula, pierceskin with needle positioned on a 15-30degree angle.

9. Upon flashback visualizationdecrease the angle, advancethe catheter and stylet (1/4inch) into the vein, check if tipof catheter can be rotatedfreely inside the vein.

10. Position the IV catheter parallel tothe skin. Hold stylet stationary andslowly advance the catheter until thehub is 1mm to the puncture site.

11. Slip a sterile gauze under the hub. Release the tourniquet, remove thestylet while applying digital pressure over the catheter with one fingerabout 1-2 inch from the tip of the inserted catheter.

12. Connect the infusion tubing of theprepared IVF aseptically to the IVcatheter.

Note: When steel-winged needle (butterfly) is used:

A.Connect the IV tubing to the steel-winged needle connector &prime the needle with IV fluid.

B.Using the steel-winged needle, pierce skin with the needlebevel up , positioned on a 5-10 degree angle.

C.With steel-winged needle, parallel on the skin, enter the veindirectly and advance needle ¼ inch after successfullyperforming venipuncture. Check for backflow. Removetourniquet.

13. Open the clamp, regulate the flow rate.Reassure patient.

14. Anchor needle firmly in place with the use of :

a. transparent tape/dressing directly on the puncture site.

b. tape (using any appropriate anchoring style)

c. Band-Aid

Note: Never place unsterile tape directly on IV insertion site, instead placea small piece of sterile OS & then secure it with adhesive tape.

15. Tape a small loop of IV tubing for additional anchoring; apply splint (ifneeded).splint

16. Calibrate the IVF bottle & regulate flow of infusion according to prescribedduration.

17. Label on IV tape nearthe IV site to indicate thedate of insertion, typeand gauge of IV catheterand countersign.

18. Label with plaster on the IV tubing to indicate the datewhen to change the IV tubing.

 19. Observe patient and report any untoward effect.

20. Document in the patient’s chart and endorse to incomingshift.

21. Discard sharps and waste according to Health Care Waste Management(DOH/DENR).