Sunday, May 19, 2019
Speech Outline: How to Start an Iv
How to Start an IV mental home Attention Getter How many people here have ever had to get an IV in the hospital? Was it a positive or negative experience for you? If you are one of the people that said yes therefore you know it can be a frightening and sometimes painful experience. What I am somewhat to explain to you comes from my 8 years of experience as an emergency room nurse rooting thousands of IVs. roughly of the things I tell you could help you understand the cover better and ease your anxiety for any futurity emergency room visit you or your loved one may have. Specific purpose To testify and explain the process of starting an IVCredibility As a registered nurse for eight years I start IVs on a daily basis and I am a resource nurse for nurses whose diligents are difficult to start IVs on from pediatric to geriatric patients. Thesis Today I want to bundle my expertise on establishing intravenous access by explaining the process from preparation to discontinuing IV access. Body I. preparedness A. Basic preparation/Standard precautions 1. Explain action 2. Wash hands 3. retain gloves 4. Position patient 5. Procedure assistant (if needed) B. Locate vein 1. Apply tourniquet 2. Assess vein a. Length b. information c. Circumference d. Fullness 3.Choose IV size 4. bow out tourniquet C. Pediatric Topical anesthetic 1. measure warranted 2. Topical EMLA Cream 3. Subcutaneous lidocaine II. Insertion (Demo) A. Prepare equipment 1. Set up supplies B. Insert IV 1. deprive site (Chlorhexadine) 2. Distraction 3. Insert angiocath a. 30 degree angle 4. Blood flash 5. Thread catheter 6. Remove needle a. Apply pressure 7. Attach T connector/extension tubing a. Secure blind b. Apply tegaderm C. Assess patency 1. Blood collection a. Pull syringe (3 mL, 5 mL, 10 mL) b. plug into tube holder 2. Saline flush a. Educate patient b. Flush 5-10 mL NS c. Assess consort and site III.Monitoring A. Ongoing assessment 1. Visualize site 2. Intact dressing 3. Intermi ttent flush 4. KVO fluids B. transmitting prevention 1. Hospital start 72 hours 2. Rescue start 24 hours 3. Signs of infection 4. Medication giving medication C. Discontinuing IV access 1. Explain procedure 2. Apply gloves 3. Remove tegaderm/tape 4. Remove angiocath 5. Assess angiocath 6. Apply gauze with pressure 7. Apply tape Conclusion Today I have demonstrated the process of starting an IV on a patient. As you have seen the procedure requires expert acquirement and clearcutness along with confidence and experience to achieve optimal results.Following proper technique can prevent locating error, injury, and infection. It is also important to remember that patient education before and during the procedure can help focus anxiety, stress, and fear. Memorable Ending The next time you find you or your loved one on the another(prenominal) end of a needle having an IV placed remember this demonstration. If you have questions or concerns about the procedure dont hesitate to talk t o your nurse. Nurses usually welcome the opportunity to provide education because it demonstrates our skill and knowledge in addition to providing emotional support and compassion for our patients.
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