What should the nurse do when discontinuing a peripheral IV?
WITHDRAW device. APPLY gentle pressure with sterile gauze over site after removing device until bleeding stops and apply band-aid if required. To stop bleeding and prevent bruising.
When and why do you discontinue an IV site?
A peripheral IV (saline lock) may be discontinued if ordered by a physician or nurse practitioner; if the patient is discharged from a health care facility; if signs of phlebitis, infiltration, or extravasation occur; or if the saline lock is no longer required for fluids or medication (Fulcher & Fraser, 2007).
What are the indications for discontinuing an IV line?
The common reasons to discontinue IV fluids are: the patient’s fluid volume has returned to baseline; the patient is being discharged from the facility; the IV catheter needs to be replaced; or the IV site has become unfavorable due to infection, infiltration, extravasation, or phlebitis.
How long are IV sites good for?
Many hospitals have protocols that require replacement of IV catheters every 72 to 96 hours, regardless of clinical indication.
Which action should the nurse take before removing a PIVC?
Removal of PIVCs:
- Perform hand hygiene.
- Prepare patient and caregiver.
- Perform hand hygiene and apply non-sterile gloves, carefully remove the adhesive dressing, holding the cannula in place at all times.
- Hold a piece of sterile gauze or cotton wool over the exit site but do not apply pressure.
What is the rationale for keeping the hub parallel to the skin when discontinuing an IV catheter?
CORRECT. Keeping the hub parallel to the skin minimizes vein trauma during removal of the device.
How do you prevent phlebitis at IV site?
You can prevent many instances of phlebitis by choosing the proper insertion site, I.V. device, and securement technique. Administer irritating solutions via a central line, not a peripheral line. Check an I.V. drug book or ask the pharmacist if you’re unsure how to safely administer a medication.
What is extravasation IV?
Extravasation (say “ex-truh-vuh-SAY-shun”) is leakage of fluid in the tissues around the IV site. It happens when the catheter has come out of the blood vessel but is still in the nearby tissue. It may also happen if the blood vessel leaks because it is weak or damaged.
How often should IV sites be changed?
➢ All short peripheral intravenous site dressings must be changed every 5-7 days, and more often as indicated. ➢ The continued need for the IV site should be examined daily, and catheters should be removed if no IV therapy is planned.
How often should IV tubing be changed CDC?
Replace intravenous tubing, including add-on devices, no more frequently than at 72-hour intervals unless clinically indicated. Replace tubing used to administer blood, blood products, or lipid emulsions within 24 hours of initiating the infusion.
When should a PIVC be removed?
13.1 All PIVC are to be removed as soon as they are no longer required and are in adults are not to remain in situ longer than 72 hours.
How often should PIVC be changed?
A Cochrane systematic review (Webster et al, 2015) found no difference in bloodstream infection and phlebitis rates between PIVCs that are changed at 72-96 hours or changed when clinically indicated.
How often do you check IV sites?
Know to Inspect the Site For other patients with a peripheral I.V. catheter, inspection should be performed at least every 4 hours. Be sure to perform hand hygiene before and after accessing any venous access device and don gloves.
What’s the difference between infiltration and extravasation?
The difference between an infiltration and extravasation is the type of medicine or fluid that is leaked. Infiltration – if the fluid is a non-vesicant (does not irritate tissue), it is called an infiltration. Extravasation – if the fluid is a vesicant (a fluid that irritates tissue), it is called an extravasation.