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INSERTING IV CANNULA UTILIZING A DUMMY IV ARM.

Materials needed:

Prepare complete IV tray with IV infusions

Dummy Arm and over-the-needle catheter or Butterfly needle.

This copy of the procedures from the 7th edition of the Nursing Standards on Intravenous Practice by ANSAP 1
was reproduced for educational purposes of Filipino student nurses and registered nurses
who need to review and study the procedures prior to actual IVT training and practicum.
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1. Verify the written prescription for IV therapy


check prepared IVF and other things
needed.

2. Explain procedure to reassure the patient &


significant others and observe the 10Rs.

3. Do hand hygiene before and after the


procedure.

4. Choose site for IV.


5. Apply tourniquet 5 to 12 cm. (2-6
inches) above injection site
depending on condition of patient.

6. Check for radial pulse below tourniquet.

7. Prepare site with effective topical


antiseptic according to hospital policy
or cotton balls with alcohol in circular
motion and allow 30 seconds to dry.
(No touch technique.)

Note: CDC Universal Precaution: Always wear gloves when doing any
venipuncture.

This copy of the procedures from the 7th edition of the Nursing Standards on Intravenous Practice by ANSAP 2
was reproduced for educational purposes of Filipino student nurses and registered nurses
who need to review and study the procedures prior to actual IVT training and practicum.
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8. Using the appropriate IV cannula, pierce


skin with needle positioned on a 15-30
degree angle.

9. Upon flashback visualization


decrease the angle, advance
the catheter and stylet (1/4
inch) into the vein, check if tip
of catheter can be rotated
freely inside the vein.

10. Position the IV catheter parallel to


the skin. Hold stylet stationary and
slowly advance the catheter until the
hub is 1mm to the puncture site.

11. Slip a sterile gauze under the hub. Release the tourniquet, remove the
stylet while applying digital pressure over the catheter with one finger
about 1-2 inch from the tip of the inserted catheter.

This copy of the procedures from the 7th edition of the Nursing Standards on Intravenous Practice by ANSAP 3
was reproduced for educational purposes of Filipino student nurses and registered nurses
who need to review and study the procedures prior to actual IVT training and practicum.
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12. Connect the infusion tubing of the


prepared IVF aseptically to the IV
catheter.

Note: When steel-winged needle (butterfly) is used:


A. Connect the IV tubing to the steel-winged needle connector &
prime the needle with IV fluid.
B. Using the steel-winged needle, pierce skin with the needle
bevel up , positioned on a 5-10 degree angle.
C. With steel-winged needle, parallel on the skin, enter the vein
directly and advance needle ¼ inch after successfully
performing venipuncture. Check for backflow. Remove
tourniquet.

13. Open the clamp, regulate the flow rate.


Reassure patient.

14. Anchor needle firmly in place with the use of :


a. transparent tape/dressing directly on the puncture site.

This copy of the procedures from the 7th edition of the Nursing Standards on Intravenous Practice by ANSAP 4
was reproduced for educational purposes of Filipino student nurses and registered nurses
who need to review and study the procedures prior to actual IVT training and practicum.
Downloaded from IVTeam Phils Hub | ivthub.blogspot.com

b. tape (using any appropriate anchoring style)

U method H method Chevron method

c. Band-Aid

Note: Never place unsterile tape directly on IV insertion site, instead place
a small piece of sterile OS & then secure it with adhesive tape.

15. Tape a small loop of IV tubing for additional anchoring; apply splint (if
needed).

splint

16. Calibrate the IVF bottle & regulate flow of infusion according to prescribed
duration.

17. Label on IV tape near


the IV site to indicate the
date of insertion, type
and gauge of IV catheter
and countersign.

18. Label with plaster on the IV tubing to indicate the date


when to change the IV tubing.

This copy of the procedures from the 7th edition of the Nursing Standards on Intravenous Practice by ANSAP 5
was reproduced for educational purposes of Filipino student nurses and registered nurses
who need to review and study the procedures prior to actual IVT training and practicum.
Downloaded from IVTeam Phils Hub | ivthub.blogspot.com

19. Observe patient and report any untoward effect.

20. Document in the patient’s chart and endorse to incoming


shift.

21. Discard sharps and waste according to Health Care Waste Management
(DOH/DENR).

This copy of the procedures from the 7th edition of the Nursing Standards on Intravenous Practice by ANSAP 6
was reproduced for educational purposes of Filipino student nurses and registered nurses
who need to review and study the procedures prior to actual IVT training and practicum.