Steps for Peripheral IV Catheter Insertion

- The steps for inserting a peripheral IV catheter are:

1. Verify the order for IV therapy and gather all the necessary materials.
2. Identify the patient using two identifiers and explain the procedure, purpose, and potential risks. Obtain informed consent if required.
3. Perform hand hygiene and don gloves.
4. Select an appropriate IV site and apply a tourniquet about 4 inches above it. Assess for a suitable vein by palpating for bounce and observing for color and size.
5. Cleanse the site with an aseptic cleanser using a circular motion from the center outward. Allow it to dry completely.
6. Remove the cap from the angiocatheter and hold it like a pencil with your dominant hand. Stabilize the vein with your non-dominant hand by pulling the skin taut below the site.
7. Insert the needle into the vein at a 10 to 30 degree angle, with the bevel up. Advance it until you see a flash of blood in the chamber.
8. Lower the angle of the needle and advance it slightly further into the vein. Slide the catheter off the needle and into the vein until only the hub is visible.
9. Release the tourniquet and activate the safety mechanism on the needle. Dispose of it in a sharps container.
10. Attach the IV fluid or saline lock to the hub of the catheter. Flush it with saline using a syringe and check for blood return and signs of infiltration or phlebitis.
11. Stabilize and secure the catheter with Opsite or tape strips. Cover it with an occlusive dressing that allows visualization of the site.
12.  Label the dressing with your initials, date, time, gauge, and lot number of the catheter.
13. 13. Adjust the infusion rate according to the order and monitor the patient for any adverse reactions or complications.
14. Document the procedure, the site, the type and amount of fluid or medication, the infusion rate, the patient’s response, and any interventions or outcomes.