Author: Matt Vera BS RN
A lot of factors may affect the way you insert an intravenous catheter, but you have to control them and bend them to your convenience. Never rush on any nursing skills that you still not have, or take a shortcut just to achieve your goals. Along with these intravenous therapy tips, nursing practices must be accurate, precise, and learned not only by the brain but most especially by the heart.
IV Therapy Tips for Starters
Preliminary IV therapy tips and tricks:
3. Assess for needle phobia. Needle phobia is a response as a result of previous IV insertions. Symptoms include tachycardia and hypertension before insertion. On insertion bradycardia and a drop in blood pressure occurs with signs and symptoms of pallor, diaphoresis, and syncope. Reassure the patient with a soothing tone, educating the patient, keeping needles out of sight until the last minute before use, and use of topical anesthetics can help manage needle phobia
9. Consider the use. Put into consideration the type of infusion that is needed when you choose your cannula. Needles with smaller gauges could not accommodate blood transfusion and parenteral feeding. Large-diameter lumens allow a higher fluid rate than a smaller diameter, allowing the administration of higher concentration of solution or medication. Needleless equipment is now widely used to minimize injury to the vein during and after insertion.
Vein Selection IV Therapy tips
14. Puncture without a tourniquet. If the patient has adequately filled but fragile veins, proceed with the insertion without using a tourniquet. Pressure from the placement of the tourniquet may cause the client’s delicate vein to blow out upon puncture.
Making the Vein More Visible
25. Use a vein locator. Veins can be very hard to find in infants or small children, equipment like transilluminator lights and pocket ultrasound machines can illuminate vein pathways so you can have a visual direction of where you should insert your catheter. Be wary of burning skin and limit the duration of contact.
Insertion of the Intravenous (IV) Catheter
30. Bevel up. Make sure the bevel of the needle faces upwards as this is the sharpest part of the needle. Believe me; the needle will glide easily if inserted this way.