Insertion of an intravenous catheter into a peripheral vein for fluid/drug administration.
Indications
- • IV fluids
- • IV medications
- • Blood transfusion
- • Contrast
- • Emergency access
Contraindications
- ⚠ Cellulitis over site
- ⚠ AV fistula arm
- ⚠ Post-mastectomy limb (relative)
Equipment
- • IV cannula (14–24 G by need)
- • Tourniquet
- • Alcohol/chlorhexidine swab
- • Extension line + saline flush
- • Transparent dressing
- • Sharps bin
Positioning
- • Comfortable, arm dependent to distend veins.
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 (0/7)
Tap to complete
Non-dominant hand/forearm; avoid joints if possible.
Pearl: Warm limb, tap gently to distend
Immediate complications
- ⚠ Hematoma
- ⚠ Missed vein
- ⚠ Arterial puncture
- ⚠ Extravasation
- ⚠ Nerve injury
Delayed complications
- • Phlebitis (VIP score)
- • Thrombophlebitis
- • Cellulitis
- • Line sepsis
Recognition
- • Pain, redness, swelling, cord
Initial management
- • Remove; warm compress; escalate if sepsis
Prevention
- • Aseptic technique
- • Remove at 72–96h or when clinically indicated
Post-procedure observation
- • VIP score daily
Monitoring
- • Redness, pain, patency
Documentation
- • Site, gauge, date
Patient instructions
- • Report pain or swelling
Educational bedside guide. Perform only under supervision until competent. Follow local SOPs and consent policy.
