Peripheral IV Insertion Overview

Preparation

• Confirm and follow hospital protocols.
• Gather necessary supplies:
  • IV kit
  • Gloves, trimmers, cleaning supplies (e.g., Chloraprep)
• Perform hand hygiene.

Finding a Vein and Hair Trimming

• Identify the vein for IV insertion (e.g., hand vein).
• Trim hair if necessary for better tape adherence and patient comfort.
  • Avoid using a straight razor.

IV Insertion Procedure

1. Apply Tourniquet:
   • Choose the vein and apply a tourniquet.
2. Disinfect the Site:
   • Use Chloraprep or similar disinfectant, start at the center and work outward for about 30 seconds.
   • Allow the site to completely dry.
3. Insert the IV:
   • Stabilize the vein by pulling on the skin below the cleansed area.
   • Hold the IV at a 20-degree angle, bevel up.
   • Insert following the vein's natural angle.
   • Check for blood return in the chamber.
   • Advance the cannula slightly more.

Post-Insertion

• Remove Tourniquet:
  • Apply pressure at the site to prevent bleeding.
• Needle Safety:
  • Activate the safety button to retract the needle.
• Connect Access Device:
  • Securely twist the access device onto the cannula.
  • Check for blood return and flush the IV with a push-pause technique using 3-5 cc of fluid.
  • Ensure there is no infiltration (no swelling at the site).

Cap Usage

• Depending on the cap type (neutral, positive, or negative pressure), adjust the procedure:
  • Neutral cap: Clamp off the line.
  • Positive pressure: Flush, disconnect, then clamp.
  • Negative pressure: Flush, clamp, then disconnect.

Securing the IV

• Apply dressing and protective cap:
  • Ensure firm pressure and proper placement on the skin.
  • Use notched dressing over the cap.
  • Remove excess edges and ensure tape is secure.
  • Form the tubing into a J shape to prevent tension.
  • Use additional tape to secure the tail of the IV line.
• Record insertion details (date, other required documentation).

Final Steps

• Dispose of waste as per facility protocols.
• Remove gloves and perform hand hygiene.
• Document the procedure.

Resources

• Additional nursing skill videos available via the provided YouTube link.