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Procedure To Insert An IV Drip

Equipment List :

 Couch or chair for the patient
 Trolley/tray
 IV stand
 Antiseptic gel/rub
 Disposable gloves
 Alcohol impregnated wipe
 Tourniquet
 Cannula (e.g., 18 Gauge – green, 20 Gauge – pink, 22 Gauge-blue)
 Gauze swabs
 Tape to secure the cannula
 Semi-occlusive or transparent dressing
 Selection or appropriate connectors/adapters
 Syringe (for saline flush)
 Sterile sodium chloride for flush
 Giving set
 Intravenous solution
 Vacutainer shield
 Blood sample tubes
 Sharps bin
 Orange plastic disposable bag

Procedure
 The delegated member of staff must ensure the correct participant is
identified. The identification elements that require to be confirmed are
surname, forename, date of birth, research study name/number and if
appropriate hospital identification number (CHI - Community Health
Index).

duration of use and age of patient.g.the preferred site is a non dominant upper limb avoiding any joints. Obtain assistance if necessary e.  Prepare the site by wiping with an appropriate skin preparation/alcohol swab and allow to dry naturally before proceeding. The trolley/work area must be cleaned according to the local infection control guidelines.  Check all expiry dates on your equipment/materials.) . (Do not re-palpate after preparing skin.)  Ensure the patient is comfortable and the arm is supported. The smallest sized cannula suitable for the purpose should be selected. The state of the participant’s veins should be taken into consideration and the vein should where possible be easily detected.  Ensure all equipment and documentation required for the procedure is at hand before you start to insert the peripheral intravenous cannula.)  Identify an appropriate IV site . Explain the procedure to the research participant and obtain verbal/informed consent before commencing procedure. (If the patient does feel faint during the procedure this needs to be documented as an adverse event and stay with patient until they feel well. (Inspect cannula before insertion to ensure the needle is fully inserted into the plastic cannula and that the needle tip is not damaged. if the patient is nervous. (If there is a known allergy to alcohol use an aqueous based alternative. patent and healthy.  Throughout the procedure apply the principles of asepsis.)  The wearing of correctly fitting disposable gloves is recommended.  Ensure the patient is lying down and throughout the procedure continually observe the patient in order to detect pallor/sweating which may indicate a tendency to faint.  Select an appropriate cannula based on purpose.  Prior to commencing procedure wash hands following your local hand hygiene policy and use an alcohol rub/gel..

tenderness or swelling is observed around the cannula site. pain or resistance the vein wall may be ruptured.  Dispose of clinical waste appropriately at point of use. If possible use a single use tourniquet to avoid cross contamination between patients.  Fit any additional connections/adaptors and check for tightness.  Flush the cannula with 0.9% normal saline or prescribed flush.prime the line and connect the intravenous giving set to the cannula via the appropriate adaptor. .  Maintaining skin traction with the non-dominant hand. the cannula should be removed and re- sited.  Anchor the vein by applying manual traction on the skin a few centimetres below the proposed cannulation site – this stabilises the vein.  At this point release the tourniquet and apply pressure to the vein above the cannula tip and withdraw needle from cannula and apply connector/adapter. If there is any sign of swelling.  Withdraw needle slightly and a second flashback of blood will be seen along the shaft of the cannula.  After insertion of the cannula. if any redness. The tourniquet should not be applied for longer than 1 minute. The tourniquet must be released and the cannula and needle must be removed immediately and pressure applied with cotton wool. Apply tourniquet above the insertion site.  Wait for the first flashback of blood in the flashback chamber of the needle and as soon as blood is visible in the cannula advance the cannula over the needle into the vein. slowly advance the cannula off the needle into the vein.  Secure the hub of the cannula in place with a semi-occlusive or transparent dressing. haematoma. With the bevel of the cannula facing upwards insert the needle (and cannula) into the vein.  If Infusion Required .  Inform participant that an injection/scratch is imminent. and using the dominant hand.

22 Gauge-blue). I hope you to relax. Selection or appropriate connectors/adapters. Nurse : Okay. I will check your temperature and blood pressure.A young man. S : I’m headache and fever from 2 days ago. can I help you ? Mr. Doctor suggest him to be hospitalized and further treatment. Mr. (Nurse prepare the equipment. Mr. your temperature is 38 degrees. Semi-occlusive or transparent dressing. Sterile sodium chloride for flush. S : Good Morning Nurse. you need to have an extra fluid to your body. Sharps bin. I will prepare the equipment. Syringe (for saline flush) . Disposable gloves.. Blood sample tubes. Tape to secure the cannula. did you had vomited or nauses ? Mr. 18 Gauge – green. S : Okay nurse. (Nurse check temperature and blood pressure) Nurse : Oh. Nurse : Okay. S : Yes I had. I will inject you. Tourniquet . Intravenous solution. The equipment is Trolley/tray. I can’t handle it anymore please give me a medication to recover my condition. 20 Gauge – pink. Nurse : Good Morning sir. vomited and nauses his temperature was 38 degrees celcius and his pain scale was 7/10. I vomited and nauses this morning. 32 years old came to emergency unit had severe headache and fever. ) Nurse : Okay. Orange plastic disposable bag. . I will consult with doctor about your health status. IV stand. Cannula (e. Giving set. It will little bit discomfort. Gauze swabs. Vacutainer shield.g. Antiseptic gel/rub . (Nurse consult with doctor) Nurse : After we have discussion. Alcohol impregnated wipe. Nurse : Okay. He was planned to be in IV drip with Normal saline.

S : I’m right handed. Clinical S.P. DAPUS Scottish Diabetes Research Network.Insert & Removal of a Paripheral Intravenous Cannula. S : Okay ns. Mr.2016. Nurse : After this. S : That’s okay nurse.Mr. Nurse : Which one is your dominant hand ? Mr. Nurse : Okay I will inject your left hand. I’ll be back again with the doctor.0 . So you can lay down and relax here. No : 20 Version 1. please hold on. Mr. S : Okay nurse (Nurse inject the patient) Nurse : Thank you mr. S : Okay nurse.O. Mr. you are so cooperative.