Kheryssa Preville
STUDENT NAME _____________________________________
Week 5
IV Initiation
SKILL NAME ____________________________________________________________________________
REVIEW MODULE CHAPTER ___________
The act of inserting an intravenous catheter through venipuncture technique. IV insertions are done for a
variety of medical needs including medication, fluid, and blood administration, as well as drawing blood for
lab work.
-Patient requires frequent/repeat blood draws
-Patient requires high volume/fast administration
of fluids, medications, or blood products via IV
infusion
-Patient requires IV nutritional support
-IV initiation will be completed with no major complication, IV line will be
free of air bubbles, site will be clean and dry
-IV site will remain without signs of infection (warm to touch, redness,
fever) or infiltration (blanching, cold to touch, swelling)
Pre: Check and verify patient orders for IV initiation. Check patient history
for allergies or contraindications. Gather supplies. Hand hygiene. Intra:
Identify patient using wristband and EHR. Provide patient privacy, educate
patient on need for IV initiation and process. Place patient in low Fowler
position and place waterproof pad under arm of insertion site. Don gloves,
open extension tubing package, attach cap/connector, and set within reach
on clean surface. Palpate for viable vein, apply torniquet 3-4 inches above
IV site, clean area with disinfectant, pull skin taut using non-dominant hand,
insert needle into vein with bevel up at 15-degree angle, push tab once in
vein to separate needle from catheter. Release torniquet, tape/wrap
appropriately, safely dispose of needles, and move on to infusion initiation.
Post: Monitor site frequently for infiltration, irritation, etc.
-Why IV insertion is necessary, what will be given through IV, right to refuse
(as appropriate to situation/level of consciousness)
-Signs and symptoms of infection or infiltration of site or allergic reaction
-Skin assessment and assessment of site frequently to evaluate
effectiveness of insertion; monitor vitals for fever, hyper/hypotension,
tachy/bradycardia, lungs for crackles/fluid overload
-Infection at or via insertion site
-Complete 3 med checks, including 5 rights of med administration and
verifying allergy status
-Infiltration of insertion site
-Allergic reaction at or via IV administration
-Med administration errors
-Frequently monitor IV insertion site and vital signs for infection and
infiltration
-Complete pre- and post- assessments of patient and insertion site,
including skin/pain/respiratory
ACTIVE LEARNING TEMPLATES