Intravenous Insertion
![Picture](/uploads/2/0/2/4/20249943/7843792.jpg?377)
1. Prepare the IV insertion table. Make sure that it is clean.
2. Prepare the following on the IV table:
a. Alcohol swabs e. a roll of plaster
b. Cottonballs f. IV fluid line / IV site adaptor
c. IV cathether g. IV stand (if applicable)
d. Tourniquet h. IV Fluid (if applicable)
3. For babies under parenteral nutrition, make sure to prime first the IV line prior to insertion.
4. Strict handwashing should be observed prior to the procedure.
5. Make sure that the baby is normothermic prior to insertion.
6. Transfer the baby on the IV insertion table.
7. Assess for the best possible vein for insertion.
8. Expose the desired extremity for the insertion.
9. Snuggly put on the tourniquet.
10. Clean the site with an alcohol swab.
11. Keeping in mind that this is a neonate vein to be inserted, make sure that the tip of the IV cannula will rest on a stable vein. Slowly insert the IV catheter on a 45° angle. Once inserted lower the angle wherein the needle trajects near the skin surface.
12. Check for back flow of blood on the chamber. If there is no back flow, withdraw the needle and check the cannula for blood flow.
13. Advance the IV catheter making sure that the catheter stays within the vein, preventing through and through puncture.
14. Secure the site with a plaster. Make sure that there are no plasters at the tip of the catheter.
15. Carefully, remove the needle and attach the flushing syringe, preferably tuberculin syringe, to check for patency.
16. Once patent, remove the syringe and attach the IV site adaptor or the IV line.
17. Immobilize the joint using a neonatal splint.
18. Regulate the IVF as prescribed.
19. Fill-up the peripheral bundle checklist, noting the baby’s information, date and time of insertion, site of insertion and the catheter used.
20. Document the procedure.
2. Prepare the following on the IV table:
a. Alcohol swabs e. a roll of plaster
b. Cottonballs f. IV fluid line / IV site adaptor
c. IV cathether g. IV stand (if applicable)
d. Tourniquet h. IV Fluid (if applicable)
3. For babies under parenteral nutrition, make sure to prime first the IV line prior to insertion.
4. Strict handwashing should be observed prior to the procedure.
5. Make sure that the baby is normothermic prior to insertion.
6. Transfer the baby on the IV insertion table.
7. Assess for the best possible vein for insertion.
8. Expose the desired extremity for the insertion.
9. Snuggly put on the tourniquet.
10. Clean the site with an alcohol swab.
11. Keeping in mind that this is a neonate vein to be inserted, make sure that the tip of the IV cannula will rest on a stable vein. Slowly insert the IV catheter on a 45° angle. Once inserted lower the angle wherein the needle trajects near the skin surface.
12. Check for back flow of blood on the chamber. If there is no back flow, withdraw the needle and check the cannula for blood flow.
13. Advance the IV catheter making sure that the catheter stays within the vein, preventing through and through puncture.
14. Secure the site with a plaster. Make sure that there are no plasters at the tip of the catheter.
15. Carefully, remove the needle and attach the flushing syringe, preferably tuberculin syringe, to check for patency.
16. Once patent, remove the syringe and attach the IV site adaptor or the IV line.
17. Immobilize the joint using a neonatal splint.
18. Regulate the IVF as prescribed.
19. Fill-up the peripheral bundle checklist, noting the baby’s information, date and time of insertion, site of insertion and the catheter used.
20. Document the procedure.