Using Intravenous Catheters to Administer Blood Essay

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This nursing terms to explore contains standard terms registered nurses use in their area of study;

  • Sphygmomanometer
    • Medical sphygmomanometers allow nurses and healthcare providers to monitor a patient’s blood pressure and heart rate. As a result, they can better observe heart health and identify medical conditions. Overall, sphygmomanometers present various functions for pediatric patients to adult care. Depending on the design, they offer various pump types, control configurations, cuff sizes, gauges, and premium materials.
  • Haemostats
    • Hemostats, also known as arterial forceps, are good, all-purpose tools that allow a nurse or nursing student to clamp just about anything, from IV tubing or catheter bags to arteries. They even can be used to hold a needle while suturing a wound or to crush pills for patients as long as they remain within their packaging.
  • Scrubs
    • Medical scrubs are healthcare professionals’ most recognizable clothing on this nursing equipment list. Primarily, scrubs help medical professionals perform their job by improving comfort, functionality, and sanitization.
  • Intravenous Catheters
    • devices used to draw blood and give treatments, including intravenous fluids, drugs, or blood transfusions. A thin, flexible tube is inserted into a vein, usually in the back of the hand, the lower part of the arm, or the foot. A needle is inserted into a port to draw blood or give fluids.

Introduction

In peripheral intravenous infusion, fluids, drugs, or blood samples are injected into a larger vein from the body’s periphery via a smaller vein using a cannula with a flexible tube carrying a needle. Peripheral venous catheters are small, bendable tubes that are placed within veins (NCI Dictionary of Cancer Terms, n.d.). The back of the hand or the lower arm are common placements for the device. It is used to give fluids, blood, chemotherapy, and other drugs through a vein. This document describes how to insert a temporary peripheral venous access device to limit the risk of damage, infection, discomfort, and other issues.

Responsibility and Equipment List

The insertion of an intravenous (IV) cannula should only be done by a research nurse who has received formal training in the procedure and has been deemed competent. It is the individual’s responsibility to ensure that they have received the necessary training and are listed on the trials delegation log to perform this procedure. Equipment includes Swabs or wipes containing alcohol, chlorhexidine, or povidone-iodine, IV infusion set (e.g. IV solution bag, hanger, tubing, and saline lock), tourniquet, single-use IV catheter (18 or 20 gauge for routine infusions in adults; 14 or 16 gauge for high-volume infusion in children and infants). Additional equipment includes an instrument for locating veins, an ultrasonography device, and an immobilization board and stockinet.

Procedure

Firstly, you should clean the area with an alcohol swab or other suitable skin preparation and let it dry naturally before continuing. Insert the needle (and cannula) into the vein with the cannula’s bevel facing up. Use a single-patient tourniquet to prevent infection from spreading from patient to patient. When the needle is withdrawn slightly, blood will flash back along the needle’s shaft. This procedure is called “flashback” because it occurs when blood is drawn back into the needle and into the flashback chamber. The vein may be stabilized by providing manual tension to the skin a few centimeters below the planned cannulation location (Thomas, 2018).

Peel off the catheter package paper
Figure 1. Peel off the catheter package paper. Take the catheter cap off (container). Top tip: Partially detach the catheter and stylet and then reattach them. Pierce the skin and vein with one confident stroke of the catheter.

Slowly advance the cannula off the needle into the vein while maintaining skin traction with the non-dominant hand. Pressure should be applied to the vein just above the tip before the needle is removed. Wrap a semi-occlusive or see-through dressing around cannula’s hub to keep it in place. The cannula must be removed and repositioned in the event that the site becomes inflamed after insertion, so repositioning it is not necessary for it to become inflamed (Thomas, 2018).

Attach a catheter bung tightly while holding the limb
Figure 2. Attach a catheter bung tightly while holding the limb. To secure the bung, wrap a second piece of tape around the leg (step 24) and tape over the top, avoiding the catheter-bung junction.

Removal of a Peripheral Intravenous Cannula

Use an alcohol rub or gel to clean your hands according to your facility’s hand hygiene policy before beginning the procedure. Delicately take off the bandages that have been covering the peripheral intravenous cannula. As soon as the cannula is removed, place a piece of dry sterile gauze over the insertion site and press firmly for two to three minutes, or as long as necessary to prevent subcutaneous bleeding. All instruments and sharps should be disposed of in a safe manner in a designated sharps container and disposable plastic bags (Thomas, 2018).

Conclusion

In hospitalized patients, peripheral intravenous catheters (PIVCs) are the most often utilized intravenous device. Nursing practitioners must be properly educated and trained to do this skill correctly. The paper’s findings have the potential to reduce PIVC-related mortality if they are implemented and disseminated to additional centers and even all clinical units where the procedure is performed. The majority of healthcare-associated infections may be avoided by properly disinfecting equipment and avoiding the spread of germs.

References

NCI Dictionary of Cancer Terms. (n.d.). National Cancer Institute. Web.

Thomas. (2018). Clinical guidelines (Nursing) : . Clinical guidelines (Nursing). Web.

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