How to Insert an IV Step by Step 💉 | Essential Nursing Skills

Summary

This instructional video guides viewers through the process of IV catheter insertion. It covers preparation steps such as wearing gloves, applying a tourniquet, and selecting the optimal vein for insertion. The importance of cleaning the site thoroughly with antiseptic is emphasized, followed by the careful insertion of the catheter at a 10-15 degree angle. Key safety steps are also outlined, including the release of the tourniquet, securing the catheter, and activating the safety mechanism to remove the needle. Essential tips, such as avoiding the inner wrist and confirming vein quality through palpation, are shared for a successful procedure.

Takeaways

• 😀 Always wear gloves before performing IV insertion to maintain hygiene and safety.
• 😀 Apply a tourniquet to the arm to help locate the vein, but release it after assessing to avoid impaired circulation.
• 😀 Avoid sticking veins on the inner wrist due to high nerve density and the risk of nerve damage.
• 😀 When selecting an IV insertion site, start from distal to proximal to allow for options in case of complications.
• 😀 Be cautious when palpating veins, and ensure you feel a 'bounce' to confirm it is a suitable vein for insertion.
• 😀 Never insert the needle into a pulsating vein, as that indicates an artery, not a vein.
• 😀 Clean the insertion site thoroughly for at least 30 seconds with alcohol or ChloraPrep to prevent infection.
• 😀 Stretch the skin with your non-dominant hand to stabilize the vein before inserting the catheter at a 10-15 degree angle.
• 😀 After inserting the catheter, check for a blood flashback, indicating you've hit the vein, then advance the catheter into the vein.
• 😀 Release the tourniquet immediately after successful catheter insertion to reduce the risk of impaired circulation.
• 😀 Activate the safety mechanism of the catheter needle to prevent injury and safely remove the needle after insertion.

Q & A

Why is it important to apply gloves before starting the IV insertion procedure?

Gloves are necessary to maintain a sterile environment and protect both the healthcare professional and the patient from potential contamination during the procedure.

What is the purpose of applying a tourniquet during the IV insertion process?

The tourniquet is applied to help fill the veins with blood, making them more visible and easier to access for the IV insertion.

Why is it important to release the tourniquet after locating the vein?

Releasing the tourniquet after locating the vein helps to prevent impairment of circulation in the patient's arm, ensuring proper blood flow.

How long should the area be cleaned with alcohol or ChloraPrep before proceeding with the IV insertion?

The area should be cleaned thoroughly with alcohol or ChloraPrep for at least 30 seconds to ensure proper antiseptic preparation of the skin.

Why is it recommended to start the IV catheter insertion from distal to proximal on the arm?

Starting from distal (further away from the body) to proximal (closer to the body) allows the healthcare professional the flexibility to move upwards in case complications arise, ensuring better vein preservation.

What are some common areas to avoid when selecting a vein for IV insertion?

The inner wrist should be avoided as it contains many nerves and can cause significant discomfort. Arteries should also be avoided, as puncturing them can lead to complications.

What does it mean to palpate a vein, and why is this step important?

Palpating a vein means gently pressing on it to feel its firmness and bounce. This is important because it helps identify the best vein to puncture for a successful IV insertion.

How can you tell if you’ve accidentally punctured an artery instead of a vein?

If you feel or see a pulsating sensation during the palpation of the vein, that indicates you are touching an artery, not a vein. Arteries should not be punctured for peripheral IV insertion.

Why is it crucial to keep the IV catheter at a 10-to-15-degree angle during insertion?

A 10-to-15-degree angle ensures the needle penetrates the skin and vein wall properly without going through the vein, reducing the risk of complications.

What is the purpose of the safety mechanism on the IV catheter, and how is it activated?

The safety mechanism is designed to prevent accidental needle-stick injuries. It is activated by pressing a button, which allows the needle to be safely removed once the catheter is inserted.