Vascular Access test prep 2023

Do not use peripheral catheters for what? - continuous vesicant therapy, PN, infuses 900mOsm/L What size gauge for rapid infusions? - 16-20 Techniques for vein dilations? - fist clenching, lowering extremity below heart, lightly stroke vein, heat application (10-15 mins; do not leave patient unattended) If no SP venous access sites noted through visualization and palpation consider using - visible light sources Ultra sound technology let chlorohexidine solution remain on skin for how long for insertion site preparation? - 2 mins Before using chlorohexidine on a patient ask patient for what? - Allergies to iodine Steps for venipuncture - 1. inspect cannula 2. warn patient 3. quickly puncture the skin and vein wall 4. observe for blood return 5. lower the catheter flush with skin 6. advance catheter 7. loosen stylet and use push off to separate catheter from needle stylet 8. continue to hold skin taut and use push off tab- advance the catheter slowing into the vein by pushing catheter hub against skin. *Engage safety device with protective catheters* 9. Release tourniquet 10. Remove stylet and connect IV extension to hub 11. Place sterile alcohol prep pad under hub to absorb alcohol 12. Aspirate for blood return with 3-5mL saline while maintaining positive pressure Label vascular access site appropriately with - date, time of procedure, catheter gauge and length, and your initials Record in patient's record: - date and time of venipuncture, site location, catheter gauge and length, # of attempts, IV fluids, flow rate, patient's understanding Educate your patient about infusion therapy and tell them how to _____________, about any complications such as ____, ____, ____, _____, ______, or _______. Also tell your patient about institutions policies on __________. - -protect vascular access site -pain, swelling, redness, blood in tubing, moisture on IV dressing, or infusion device alarms -how often IV site are rotated