Fall 2022 Worksheet for IV Lab Day
To prepare for your IV skills day and to complete this worksheet: Read Perry & Potter
Fundamentals of Nursing (9th ed.) pages 967 - 976; BD Autogard Tips for Success; and BD
Vessels of Upper Extremities
( Bring this completed worksheet with you on Friday)
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
1. The BD Vessels of Upper Extremities handout lists 8 key points to consider with site
selection. Summarize these 8 points.
With site selection, you need to consider the location and condition of the vein. Straight, soft, elastic veins are best.
Second, the purpose and type of infusion needs to be considered because some solutions irritate vein walls. Third,
duration of therapy influences vein chosen. The catheter material should be soft, and the catheter size needs to be
able to deliver the therapy. The patients age, diagnosis, prior surgeries, procedures, and IV therapies needs to be
considered. Finally, patient activity and preference.
2. According to Perry and Potter (pg. 967), what supplies will you need to take with you to insert
MCs new peripheral IV?
A catheter of the appropriate gauge, IV starter kit, local anesthetic, short extension tubing with fused or separate
needless connector, 5-ml syringe with flush agent, manufactured catheter stabilization device, PPE, patient gown
with snaps at shoulder seems, needle disposal container, IV tubing administration set with tubing specific for type of
EID, microdrip tubing for gravity-flow set up.
3. The BD Vessels of Upper Extremities handout lists recommended uses for different IV gauges.
- What uses and considerations are listed for a Gauge 22?
It is suitable for most infusions like antibiotics, hydration, and therapy’s being delivered at slower rates. It would
not be appropriate to choose this size if rapid flow rates are required. Might be used for blood administration and
transfusion of plasma. It is recommended for small or fragile veins. Red cell components may not flow as freely. It
is easier to insert into small fragile veins. It may be difficult to insert into tough skin.
- What uses and considerations are listed for a Gauge 20?
It is suitable for most routine infusions, minor surgical procedures, and is appropriate for delivery of blood
components when rapid rates are not required. It is versatile in use and is a frequently selected size.
4. If your patient has hairy arms, what is the best way to prepare the site according to Perry &
Potter (pg. 972) and why?
Clip arm hairs with scissors and don’t use a razor because shaving may cause microabrasions that increase risk of
infection.
5. According to the BD Angiocath Autogard Handout Tips for Success, what are the three points
regarding ‘Threading with Ease’?
After you see a flash you need to lower the angle and advance the catheter slightly before pulling the needle out of
the catheter. Avoid the push-pull technique as you are advancing. Finally, you need to maintain traction on the
skin.
Fall 2019 Worksheet for IV Lab Day
6. Using the information found on page 973 of Perry and Potter, fill in the blanks below:
a) Insert VAD with bevel _up_ at a 10 to _30_ degree angle slightly distal to the site of
venipuncture in the direction of the vein.
b) Observe for blood return in the flashback chamber of the catheter, indicating that the
needle has entered the vein. Lower catheter until almost _flush_ with the skin. Advance catheter
approximately _1/4_ inch (0.6cm) into vein and loosen stylet. Continue to hold skin _taut_ and
advance catheter into vein until _hub_ is near the venipuncture site.
7. True or False: Once the IV catheter has been successfully advanced into the vein, the
tourniquet needs to be released before connecting the IV tubing to the catheter.
True
Powered by TCPDF (www.tcpdf.org)
