Peripheral IV Administration
Section 9 - Procedure Guidelines
9.25 PERIPHERAL IV ADMINISTRATION
Preparing the IV:
The E.M.S. personnel correctly assemble the components:
- IV solution.
- Micro drip, macro drip, blood set tubing, buretrol or dial-a-flow
- # 14 - #24 catheter over the needle, or butterfly needle.
- Venous tourniquet.
- Antiseptic swab.
- Gauze pad or adhesive bandage.
- Antibiotic ointment.
- Open IV bag for clarity, expiration date, etc.
- Examine the IV bag envelope at the edge where it is notched.
- Read the name of the solution.
- Open IV tubing.
- Close control valve below the drip chamber.
- Insert IV tubing in the IV solution bag port.
- Squeeze the drip chamber until the drip chamber is half full of solution.
- Uncap distal end of tubing and hold the cap so it does not become contaminated.
- Open the IV tubing valve to allow the solution to flow through until all bubbles are out of the tubing.
- Close the tubing valve and recap the distal end of the tube.
- Explain to the patient that an IV is going to be started.
- Place the tourniquet around the patient's arm proximal to the IV site.
- Palpate veins for resilience.
- Clean the skin with the antiseptic swab in an increasing sized concentric circle and follow it with an alcohol swab.
- Stabilize the vein distally with the paramedic's thumb/fingers.
- Enter the skin with the bevel of the needle facing upward.
- Enter the vein, obtain a flashback, and advance the catheter off of the catheter over the needle and remove the needle while compressing the proximal tip of the catheter to minimize blood loss.
- Remove the tourniquet.
- Connect IV tubing to the catheter.
- Open the IV clamp to assure free flow.
- Set IV infusion rate.
- Tape gauze or adhesive bandage with antibiotic ointment over the insertion site of the skin.
- Secure the IV catheter and tubing with prepared tape.
- Recheck IV drip rate to make sure it is flowing at appropriate rate.
Troubleshooting the IV, (if the IV is not working well):
- Make sure the tourniquet is off.
- Check the IV insertion site for swelling.
- Check the IV tubing clamp to make sure it is open.
- Check the drip chamber to make sure it is half full.
- Lower the IV bag below IV site and watch for blood to return into the tubing.