HOSPITAL

Carrying out the procedure

-wash your hands;

- put on sterile gloves;

- place the patient's arm above the protective material;

- the vein to be punctured is examined, taking into account the principle of centripetal progression when changing puncture sites;

- the tourniquet is applied (do not keep for more than 3 minutes) and the puncture area is widely disinfected;

- venous stasis is performed (the peripheral arterial pulse is palpated, otherwise the tourniquet is loosened a bit);

- with the non-dominant hand, a slight pressure is exerted on the skin to stabilize the examined vein;

- the catheter / branula is inserted with the tip of the mandrel pointing upwards and the vein is punctured;

- the advance of the needle stops when blood comes on the needle;

- fix the catheter with the tampon while withdrawing the mandrel;

- the tourniquet is undone;

- throw the chuck into the special container;

- the ambo of the infuser is adapted to the branula;

- open the infuser tube;

- the catheter / branula is fixed with a sterile occlusive dressing, including the terminal connection;

- the number of drops is adapted to the medical prescription according to standard formulas;

- the workplace is reorganized;

- remove gloves, wash hands;

- write down the procedure in the Procedure Sheet (name, date, time of administration, type of solution, dose).

Incidents/Accidents

- extravasation of the solution outside the vein and painful swelling of the area;

- tissue necrosis in case of extravasation of hypertonic solutions;

- local infection detected by local inflammatory signs: erythema, pain, local heat, swelling and damage to the function of the respective segment;

- obstruction of the catheter / branula with blood clots in the absence of standard daily maintenance maneuvers;

- acute pulmonary edema due to hyperhydration if the number of drops per minute is not calculated correctly and the infusion time is not respected.