I.V. Administration
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All Comments (12)
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1. Don't touch the needle until you're ready to use it. Open the seal, but don't touch it yet.
2. The first thing you do to the patient is put the restrictive band on- not prep swab, that is the LAST step before inserting the needle/catheter.
3. You've potentially contaminated the entry site by touching it after you've swabbed. You analyze the vein and check for vein "bounce" before you swab. Take a mental picture and remember where you are going to insert the needle/catheter.
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4. The bevel does need to be facing up, however the angle of approach is far too high. A 20 degree angle will not only find the vein and get your "flash" more easily, but it drastically decreases the risk of going through the vein.
I'm not trying to be a prick, but if you were without an extraction in country, an infection could kill this guy when any wound may have been survivable.
Practice good medicine- you may save yourself a court martial- or worse...
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Don't touch the field.. After you wipe it with alcohol, don't touch it anymore.. And your gloves, it's considered as contaminated..
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@raymanlegy ...sure, it all matters, especially in the elderly or immunocompromised. But military dudes are young, strong, and have all immunizations under the sun. Their physical routines and workouts mean that their immune factors are optimized. Their attitude of indestructibility might help them, too. So the priorities of a good combat medic in the field are different from those of a good civilian Paramedic or RN. It all depends on the situation. If you can, swab/clean. If you can't, well...
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@maximilian333 Yeah and nowawdays people dont even swab the skin. In the new textbooks it's an optional procedure.
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@raymanlegy yeah, in combat what matters most is fluid volume and MEDEVAC, infection can be worried later. Not that you want to cause an infection, but...
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@joelduke84 I dont think that matters. All that matters is that the needle is sterile
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slowest I.V. ever seen. that had to be painful
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slowest aka most painful I.V. ever administrated haha!
your gloves are contaminated, palpate vein THEN wipe with alcohol prep
joelduke84 3 years ago 7
don't touch the field after you wipe it, you want to give him phlebitis or worse?
akdamagecontrol 3 years ago 7