Needles
What needle is primarily used for hand access blood draws
Butterfly
What is the first thing you should don before dealing with a patient?
Gloves
What needs to happen before you begin to start an IV?
Verify patient identity
Where is usually the preferred site for large bore IV's
Median Cubital vein
If you were to begin the insertion, what angle are you entering at?
between 15 and 30 degrees
What is the smallest IV gauge that is usually used on an ambulance or in the hospital?
20 Gauge
What is the appropriate PPE for IV insertion
Gloves. Maybe a mask and glasses
What do you need from the patient before you begin the IV insertion?
Consent
If a patient stated that they would prefer you access their hand instead, can you adjust your access point?
Yes. Patient preference can be accommodated if reasonable
Once you unwrap the IV catheter, what do you check the tip for?
Burr's, bends or other abnormalities
What is considered a "large bore" IV
18 gauge
What should you do if you are unable to feel a vein with large gloves on?
Switch to a smaller, tighter size
What are acceptable patient identifiers?
Name, DOB, patient number
If you have to do a blood glucose check on a patient, where do you draw the blood?
middle finger of non dominant hand
What do you do to the catheter before insertion?
Make sure that the catheter slides and spins freely on the needle
What gauge IV catheter do we use for chest decompression
14 Gauge
If you are to poke yourself with a soiled needle, who do you report it to?
Charge nurse
If a patient states identifiers and they do not match your chart, do you ask them if they meant to say "such and such"?
No, the patient identification needs to be run past the nurse before proceeding
Are you able to access any vein for an IV?
Yes, some are just very difficult, dangerous or overkill
If you grab a needle out of the supply room, what should you check for on the packaging before you use it?
Expiration date
What is the smallest gauge IV that is commonly carried on ambulances?
22 gauge
If you were to poke yourself with a needle that was used on a patient, do you report it?
YES
If a patient states that they do not want the IV but the doctor ordered it and stated that it HAS to be done, can you proceed?
NO. THATS ASSAULT!
Are you able to access veins on the scalp for IV's?
Yes. teeny tiny needle but yes
If you insert the needle into a patient and do not find a vein, so you withdraw the needle. Can you reuse that needle again on the same patient?
No, the tip is now dulled plus it will introduce bacteria and can cause infection