My IV steps worksheet, is this okay??

[curlsrocck31]

I wrote out my own steps for my IV validation. Does this sound okay or should I add or change something?? Thanks!!

IV insertion

1. Walk into patient's room
   
2. Hand sanitize
   
3. Introduce yourself
   
4. Identify patient
   
5. Describe procedure to patient, tell patient that patient needs to help hold extremity still
   
6. Ask for any allergies and avoid veins injured by infiltration or phlebitis, side of a mastectomy, dialysis shunt or affected by a CVA, used for lab testing, or near area of flexion such as antecubital fossa
   
7. Raise patient's bed
   
8. Prep short extension tube with saline:


1. Short extension tube package, attach end cap if not in place
   
2. Clean vial of normal saline w/alcohol swap
   
3. Get 3 ml of air into syringe and inject air into vial
   
4. Turn needle into injection
   
5. Retrieve 3 ml of normal saline
   
6. Clean short extension end cap with alcohol swap
   
7. Prime the short extension tube then apply side clamp
   

[*]Prep dressing with initials, date, site, and gauge of needle

1. 10. Prep IV catheter by opening the package
   

[*]Prep some tape

[*]Put chucks under patient

[*]Put tourniquet on patient 3-4 inches above the venipuncture site to obstruct venous blood flow and distend the vein

[*]Feel for patient's radial pulse

[*]Find your vein, ask patient to open and close hand

1. Use distal vein first
   
2. Non-dominant hand if possible
   
3. Choose a vein above areas of flexion
   
4. Vein should feel soft, full, and unobstructed
   

[*]Take off tourniquet and PUT ON GLOVES!

[*]Cleanse site w/antiseptic solution such as chorhexidine using a back and forth friction scrub for at least 30 seconds, allow to dry

[*]Use non-dominant hand and place about 1-2 inches below the entry site to hold the skin taut against vein

1. Avoid touching prepared site
   
2. Helps prevent movement of the vein as the needle or catheter is being inserted
   

[*]Enter needle, bevel side up with dominant hand at a 10-15 degree angle

[*]When blood returns, lower the needle and enter another ¼ to ½ inch

[*]Push catheter in and needle out until you hear a click

1. Catheter should go in smoothly and easily
   

[*]Release tourniquet

[*]Remove needle while holding light pressure over the vein above insertion

[*]Attach IV tubing and aspirate to see if blood return, if yes, flush normal saline and remove syringe

[*]Put tape and dressing over insertion site but not over the connection of the catheter and tubing

[*]Loop tubing close to the cannula and secure with tape to prevent kinking or pulling

[*]Clean short extension tube end cap and attach administration end

[*]Set up machine, unclamp, take off gloves, clean up and dispose sharps in sharps container