This document outlines techniques for IV infusion, including preparing IV solutions, performing venipuncture and starting an IV infusion, caring for a patient with a venous access device, and discontinuing an IV infusion. It describes the assessment, equipment, procedures, evaluations, and documentation needed for each step. The objectives are to prepare IV fluids, perform venipuncture and start an IV, provide care for a venous access device, and discontinue an IV infusion. Videos are included to demonstrate some of the techniques.

1. IV INFUSION
TECHNIQUE
PRPEARED BY :
SALWA MAGHRABI
CLINICAL INSTRUCTOR

2. Outlines
 Preparing Intravenous Solution
1. Assessment
2. Equipments
3. Implementations
4. Evaluations.
5. Documentations.
 Venipuncture and Starting an Intravenous
Infusion
1. Assessment
2. Equipments.
3. Implementations.
4. Evaluations.
5. Documentations.

3. Outlines
 Caring of Patient with Venous Access Device
1. Site Care
2. Canula care and flushing.
 Discontinuing an Intravenous Infusion
1. Assessment
2. Equipments
3. Implementations.
4. Evaluations.
5. Documentations.

4. Objectives
 Prepare intravenous fluid.
 Produce venipuncture and starting an
intravenous.
 Provide care for patient with venues
access.
 Discounting an intravenous infusion.

5. PREPARING INTRAVENOUS
SOLUTION

6. PREPARING INTRAVENOUS SOLUTION
 Assess :
Medical Record
Solution
.
 Read label on solution at least 3 times
Type , Volume and Length
of fluid therapy.
Risk of infection.
Bag or bottle .
Gravity or infusion set.

7. PREPARING INTRAVENOUS SOLUTION
CONT’
 Equipments :
IV line
set
Non – Sterile IV holder
IV Fluid

8. PREPARING INTRAVENOUS SOLUTION
VIDEO

9. PREPARING INTRAVENOUS SOLUTION
CONT’
Evaluation
1. Solution and tubing are properly labeled .
2. Tubing has been purged of air.
Documentation
1000 mL of 5% D/W infusion at
125 mL / hr through IV in L hand.

10. VENIPUNCTURE AND
STARTING AN INTRAVENOUS
INFUSION

11. VENIPUNCTURE AND STARTING AN
INTRAVENOUS INFUSION
 Assessment :
1. Check the client ID.
2. Review patient medical record .
3. Inspect and palpate several potential site .

12. PROCEDURE:
 Equipment :
1- Tourniquet .
2- Disposable gloves .
3- Antiseptic swab ( alcohol swab ) .

13. CONT’ EQUIPMENT :
4- Cannula .
5- Normal saline solution.
6- Tap .
7- Transparent IV dressing.
8- Three way stop cock.

14. INSERTION INTRAVENOUS CANULA
VIDEO

15. INSERTION INTRAVENOUS CANULA
Preparatory Phase
1. Prepare the equipment .
2. Hand washing .
3. Explain the procedure to the patient.
4. Maintain the patient privacy.
5. Select a site for insertion .
6. Apply tourniquet 2 or 4 inch above the
vein.

16. INSERTION INTRAVENOUS CANULA
Preparatory Phase
7. Clean the skin with alcohol swab.
8. Don clean gloves.

17. INSERTION INTRAVENOUS CANULA
 Implementation phase
7. Use thumb to starch & stabilize the vein.
8. Position the canula with the bevel up and
45 angle.
9. Warn the client just before insertion .

18. INSERTION INTRAVENOUS CANULA
Implementation phase
7. Advance the cannula 0.5 to 1.5 cm in to
the vein .
8. Feel for a change in resistance and look
for blood back flow in the canula .

19. INSERTION INTRAVENOUS CANULA
Implementation phase
7. Once the blood is observed advance the
needle about 1/8 to ¼ inch .
8. Withdraw the needle slightly .
9. Slid the catheter into the vein .

20. INSERTION INTRAVENOUS CANULA
 Implementation Cont’:
12. Release the tourniquet .
13. Apply pressure over the internal tip of the
catheter .
14. Remove the protective cap over the end of
the IV tubing and insert it into the end of
the canula .

21. INSERTION INTRAVENOUS CANULA
 Implementation Cont’:
12. Release the roller clamp and begin
infusing solution slowly.
13. Secure the canula by criss-crossing a
piece of tape from beneath the tubing .

22. INSERTION INTRAVENOUS CANULA
 Implementation Cont’:
17. Cover the entire site with additional strips of
tap.
18. Write date, time, gauge of the catheter and
your initial sig.
19. Start IV fluid infusion on the ordered rate.

23. INSERTION INTRAVENOUS CANULA
 Evaluations :
1. A flashback of blood was observed before
advancing the canula.
2. Minimal discomfort and blood loss
occurred.
3. Fluid is infused at the prescribed rate.

24. INSERTION INTRAVENOUS CANULA
Documentation
# 20 gauge canula inserted into L hand 1000
ml 0.9% saline infusing at 42 cc/hr.

25. CARING OF PATIENT WITH
VENOUS ACCESS DEVICE

26. CARING OF PATIENT WITH VENOUS
ACCESS DEVICE
Site Care
1. Use strict aseptic technique.
2. Frequency of dressing change may vary
from every 3-7 day.
3. Assess the site for any redness, swelling,
tenderness, or drainage.
4. Follow agency protocol for cleaning
solution and type of dressing.

27. CARING OF PATIENT WITH VENOUS
ACCESS DEVICE
Site Care
5. Clean the port and 2 inches in diameter
around the site with alcohol swab .
6. Secure the canula and cover the external
site of IV line with hip lock.
7. Provide routine care for insertion site tell is
heal after removing the canula.

28. CARING OF PATIENT WITH VENOUS
ACCESS DEVICE
Canula care and flushing:
1. Change the canula every 3 or 7 days.
2. Flush the catheter with normal saline.
3. Assess the catheter every shift.

29. CARING OF PATIENT WITH VENOUS
ACCESS DEVICE VIDEO

30. DISCONTINUING AN
INTRAVENOUS INFUSION

31. DISCONTINUING AN INTRAVENOUS
INFUSION
Assessment :
1. Doctor order to disconnect the IV infusion.
2. Check the client identity.
 Equipment :
1. Non – sterile gloves.
2. Gauze
3. Adhesive tape
4. Alcohol swab

32. DISCONTINUING AN INTRAVENOUS
INFUSION VIDEO

33. DISCONTINUING AN INTRAVENOUS
INFUSION
Procedure:
1. Wash hand.
2. Clamp the tubing and remove the tape that
hold the dressing and venipuncture device
in place.
3. Don gloves.
4. Press a gauze square gently over the
puncture site .

34. DISCONTINUING AN INTRAVENOUS
INFUSION
Preparation Phase :
5. Remove the catheter or needle .
6. Apply pressure to the site of venipuncture for
30 to 45 second.
7. Secure the gauze with tape.
8. Dispose the canula in a sharp container.
9. Enclose a canula used for venipuncture
within gloves as they are removed.

35. DISCONTINUING AN INTRAVENOUS
INFUSION
Preparation Phase :
10. Wash hand.
11. Encourage the client to flex and extend the
arm or hand several time.

36. DISCONTINUING AN INTRAVENOUS
INFUSION
Evaluation:
1. Site appears free of inflammation.
2. Bleeding is controlled.
3. Discomfort is minimized.
4. Equipments is disposed .

37. DISCONTINUING AN INTRAVENOUS
INFUSION
Documentation :
Infusion of ringer lactate discontinued per
physician's order following administration of
1000 ml/hr, # 22 gauge removed from left
hand. No redness , swelling, or drainage
evident of venipuncture, venipuncture is
covered with sterile dressing.

38. Summary

39. Thank you for
your attention