How To Obtain Peripheral IV Access

There are a few things to consider when you have received an order from a physician to obtain IV (Intravenous) Access for medications that will be given via this route.  Ensure that the patient does not have a graft that is used for dialysis in the extremity that you are considering for the IV.  If the patient has had a mastectomy, Do not place the IV on the same side.  When you attend an ACLS course, there are medications that will be required to be given via the IV route.

Once you have gathered the supplies needed to start the IV, Explain the procedure to the patient.  This will help decrease anxiety in the patient.  Always wash your hands before starting an IV and apply gloves.

-Place the tourniquet above the site that you intend to place the IV

-Palplate the vein with your fingertips, then cleanse the site with the product in the IV kit that the facilit has approved of

-Hold the vein taught with one hand and hold the IV catheter bevel up with the other hand, and insert the IV in the vein at a 45 degree angle, once you note the flashback, slide the catheter over the needle.

-Apply slight pressure above the catheter, this is to ensure that the blood will not ooze out from the catheter once the needle is removed.  Remove the needle, secure with an occlusive dressing and tape, connect the tubing to the IV catheter.  Follow Hospital Protocol for flushing the IV and maintenance of the IV.

Monitor the site for any signs of infection (redness, swelling and pain at the site).  The ACLS class does not teach IV skills, but just know that the medications that are to be consider in the algorithm to be given depending on the rhythm, are to be given via IV access.  Some of the medications may be given via endotracheal tube.