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Pre Hands-On-Training Study Guide
The document is a study guide for a nursing article on performing successful intravenous (IV) starts, detailing techniques and factors to consider such as vein selection, cannula choice, and patient conditions. It includes troubleshooting tips for common venipuncture problems and emphasizes the importance of proper preparation and technique to minimize complications. The guide encourages practice and observation under supervision to develop IV skills effectively.
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Overview of Study Guide, article reference, and table of contents regarding IV start techniques.
Methods to develop IV skills: practice on rubber arms, observe preceptors, supervise IV starts.
Consider factors when selecting a vein: medical history, veins' condition, therapy duration, and nurse skill.
Characteristics of a good vein. Differences between veins and arteries. Techniques for palpating veins.
Types of cannula and suitability for hand, forearm, and therapy duration.
Importance of smaller cannula size to reduce complications and factors influencing cannula size selection.
Benefits of using extension tubing to facilitate infusion and maintain IV patency.
Techniques to aid vein dilation and positioning for IV start, especially in older patients.
Application techniques for tourniquets, aiming for vein engorgement for successful venipuncture.
Recommended clean techniques for the IV site, including video instructions for Chloraprep.
Common issues during venipuncture and techniques to prevent complications or issues.
Techniques for immobilizing the vein to ensure successful cannulation.
Guidelines for the use of local anesthetics during IV starts to ease patient discomfort.
Holy IV insertion techniques, angle considerations, and precautions to prevent vein damage.
Different methods to advance the IV cannula into the vein, advantages of various techniques.
Challenges with deep cannulation and troubleshooting backflow issues to maintain venous access.
Practical exercises to refine IV skills and techniques before hands-on training.