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Peripheral Vascular Access Initiation Self Learning Module ARH & MMH Clinical Education Version 4 April 2011 Patty Linnell RN, BSN, MSN, ENC Adapted from the SLP developed by Jennifer Switzer, CRN/CNE

How to fill out peripheral vascular access initiation

How to fill out peripheral vascular access initiation:

1. Gather all the necessary equipment, including a clean and sterile peripheral intravenous (IV) catheter, sterile gloves, antiseptic solution, and IV tubing.
2. Choose an appropriate site for the peripheral vascular access, usually on the upper extremities, such as the forearm or hand. Ensure the chosen site is clean and free from any obstructions.
3. Put on sterile gloves to maintain a sterile field during the procedure.
4. Cleanse the selected site with an antiseptic solution, using a circular motion and starting from the center of the site and moving outward. Allow the solution to dry completely before proceeding.
5. Open the packaging of the peripheral IV catheter, ensuring sterile technique is maintained throughout.
6. Gently stabilize the patient's limb and puncture the skin, following the direction of the vein, at a 10-30 degree angle.
7. Once blood is observed in the catheter's flashback chamber, advance the catheter into the vein while keeping the needle stationary.
8. Remove the needle from the catheter, and using a gentle touch, carefully push the catheter further into the vein until the hub is flush with the skin.
9. Attach the IV tubing to the catheter hub, ensuring a secure and tight connection.
10. Start the flow of IV fluids or medication as prescribed by the healthcare provider, ensuring proper monitoring of the infusion site, patient's response, and any potential complications that may arise.

Who needs peripheral vascular access initiation?

1. Patients receiving medications that cannot be taken orally or require continuous administration, such as chemotherapy drugs or certain antibiotics.
2. Individuals in need of fluid replacement or hydration, such as those who are dehydrated or unable to take fluids orally.
3. Patients requiring frequent blood sampling or monitoring, such as individuals with certain medical conditions or undergoing specific treatments.
4. Those needing parenteral nutrition, which is the administration of nutrients directly into the bloodstream.
5. Individuals undergoing certain surgical procedures that necessitate supplementary fluid therapy or medication administration.

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