IV access in a paediatric patient — smaller veins, tolerance, distraction.
Indications
- • IV drugs/fluids/blood
Contraindications
- ⚠ Overlying infection
Equipment
- • 22–24 G cannula
- • T-connector
- • Transparent dressing
- • EMLA cream (if time)
- • Distraction (parent, toys, bubbles)
Positioning
- • As appropriate for the procedure and patient comfort.
Consent
- • Explain indication, benefits, alternatives
- • Explain risks & complications
- • Obtain written/verbal consent as per SOP
- • Document consent
Universal precautions
- • Hand hygiene
- • PPE — gloves, mask, eye protection
- • Aseptic technique
- • Sharps safety
- • Verify patient identity & site
Step-by-step (0/5)
Tap to complete
EMLA 45 min prior if time.
Immediate complications
- ⚠ Failed attempts
- ⚠ Extravasation
Delayed complications
- • Phlebitis
Recognition
- • Swelling, blanching
Initial management
- • Remove
- • Elevate
Prevention
- • Distraction; senior help early
Post-procedure observation
- • Vitals q15min × 1h then hourly
Monitoring
- • Site inspection
- • Symptom review
Documentation
- • Procedure note
- • Consent
- • Findings
Patient instructions
- • Report pain, bleeding, fever, worsening symptoms
Educational bedside guide. Perform only under supervision until competent. Follow local SOPs and consent policy.
