Skill
How long can a tourniquet stay on the patient?
1 minute
Define phlebitis
vein inflammation
How do you find your drop factor?
It is listed on the bag
Wat gets labeled on the tegaderm?
Time, date, initials', and gauge of IV
What should the nurse avoid when selecting an IV site?
You are assessing for skin integrity - look for
bruising, redness, rashes, edema, or open skin
Describe signs of an infected IV
Purulent drainage, redness, tenderness, or fever
Bevel up, 30 degrees, then once you see the flash, advance at 10 degrees
The primary reason for priming the IV tubing is to
eliminate air in the tubing.
How much normal saline do you flush the IV site with before applying the j-loop? (IV start skill)
3-5 mL
Define occlusion
Blockage in the catheter, often due to clotted blood
What do you do if a patient is allergic to chlorohexidine?
Use an alternative cleaning solution like alcohol
What should be included in the documentation for an IV start?
How the patient tolerated it, any redness/reaction, IV patency, the size of the angiocath, time and date etc.
What should be included in the documentation after a successful IV start?
Documentation needs to include the following:
Date, time, location, catheter gauge, and number
of attempts
blood leaking into tissue during insertion or after removal, leading to swelling and bruising is known as
Hematoma/bruising
List the materials needed for an IV start
tourniquet, angiocath, j-loop, flushes, tegaderm, gauze, alcohol swabs, tape
What veins should not be accessed for an IV start?
The affected side of a patient who has experienced a mastectomy, veins that were recently accessed, or veins with a fistula
what is the most common gauge for an IV start
20
What is the difference between extravasation and infiltration?
Infiltration - does not require an antidote. Leakage of non-irritating fluid
Extravasation - When an IV infiltrates with a medication that causes tissue destruction (a vesicant) and requires an antidote to neutralize it.
What is the difference in use between a filtered needle and a blunt tip needle?
Filtered needle - Used to extract meds from an ampule
What needs to be rechecked to ensure the tourniquet has not restricted blood flow?
Distal pulse