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EMR
EMT
AEMT
Paramedic
Extended
IV Therapy
Clinical Indications:
Any patient where intravenous access is indicated
To administer intravenous medications
To administer intravenous fluids
To obtain a venous blood sample where applicable
Steps
Performed?
Yes No
1.
Inspect the IV fluid for the appropriate type, expiration date, discoloration, cloudiness,
leaks, or the presence of particles.
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2.
Select the appropriate catheter and administration set.
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3.
Using aseptic technique, connect the IV tubing to the bag. Fill the drip chamber
halfway and flush the air bubbles from the tubing. If using a flush with a PRN adapter,
ensure aseptic technique when connecting, and flush all bubbles from syringe and
adapter.
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4.
Prepare equipment such as tape, Tegaderm, or Veni-gard, antiseptic solution, body
substance isolation, and tourniquet.
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5.
Apply the tourniquet proximal to an acceptable site. Keep in mind mastectomy patients,
patients on renal dialysis, or any other condition in which restriction of blood flow
could cause complications.
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6.
Palpate a suitable vein.
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7.
Cleanse the site with an antiseptic solution.
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8.
Perform venipuncture.
Advance needle and catheter into the vein. DO NOT reinsert needle through catheter.
Note flashback
Occlude vein proximal to catheter
Remove needle and dispose into the proper container without recapping
Connect IV tubing or prepared/flushed PRN adapter
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9.
Release tourniquet.
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10. Open the IV to assure free flow of the fluid and adjust the rate per protocol.
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11. Cover the site with a sterile dressing and secure the IV and tubing.
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12. Document the procedure, time, and result (success) on/with the patient care report.
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IV Therapy