What documents do I need for an IV insertion?

Be sure to include the following items in your charting:

• the date and time you inserted the VAD.
• the anatomic name of the vein accessed.
• the gauge, brand name or type, and length of the catheter.
• the number of attempts needed to insert the VAD.
• what solution or drug the patient is receiving via the VAD, and the flow rate.

How do you document an IV site?

When inserting an I.V. device, document:

1. date and time of insertion.
2. the type, length, and gauge of the catheter inserted.
3. the name of the vein cannulated.
4. number and location of attempts.
5. the type of dressing applied to the site.
6. how the patient tolerated the procedure.
7. your name and credentials.

How would you describe a good IV site?

IV site should be free from pain, tenderness, redness, or swelling.

Which sites should be avoided for IV insertion?

Median antecubital, cephalic and basilic veins These should be avoided unless absolutely necessary in any infant likely to need long term IV therapy. The median nerve and brachial artery are both in the same anatomical vicinity and therefore vulnerable to damage.

Which vein is used for IV?

The three main veins of the antecubital fossa (the cephalic, basilic, and median cubital) are frequently used. These veins are usually large, easy to find, and accomodating of larger IV catheters.

What are the most common IV sites?

The most common site for an IV catheter is the forearm, the back of the hand or the antecubital fossa. The catheters are for peripheral use and should be placed where veins are easy to access and have good blood flow, although the easiest accessible site is not always the most suitable.

How often do you change IV dressing?

➢ All short peripheral intravenous site dressings must be changed every 5-7 days, and more often as indicated. ➢ The continued need for the IV site should be examined daily, and catheters should be removed if no IV therapy is planned.

What type of dressing should be used for a peripheral IV site?

Traditional peripheral intravenous (PIV) catheter dressings are comprised of sterile, adhesive, transparent polyurethane films, most of which require replacement during hospitalization due to dislodgement, infiltration, phlebitis, or infection.

What is the IV site on the hand called?

Peripheral IV Peripheral IVs are inserted into the hand or arm of the patient through a device called a cannula. A cannula is a small plastic tube that helps introduce medicine into the patient’s body. Also, doctors recommend that you do not leave a peripheral IV in a patient for more than a few days.

What are the types of IV infusion?

The 4 main types of IV fluids include:

• Normal Saline.
• Half Normal Saline.
• Lactated Ringers.
• Dextrose.

Why is sterile site dressing used for IV insertion?

Sterile site dressing is advocated to protect the open wound from contamination because it will come in to direct contact with the wound, and sterility is required in order to execute the application of the dressing successfully.

When to change IV tubing, rotate IV site, rotate peripheral dressings?

Discuss when to change various types of IV tubing, rotate IV site, and change peripheral dressings to decrease the risk of infection 3. Discuss common complications of peripheral IV therapy, their associated signs and symptoms and basic treatment of these complications.

How to document the insertion of an IV?

18g CIV placed in the R FA without difficulty on first attempt, blood cultures x 1 and labs drawn from IV start. Pt tolerated procedure well, site c/d/i without redness or irritation. 20g PIV placed in the L FA on second attempt – pt is a difficult IV start. Pt tolerated procedure well, 500ml 0.9% NS hung w/o per MD order.

What do you need to know about IV tubing?

1. Describe the proper technique and documentation criteria for inserting and removing a peripheral IV line or saline (or heparin) lock. 2. Discuss when to change various types of IV tubing, rotate IV site, and change peripheral dressings to decrease the risk of infection 3.