IV Access

INDICATIONS

  • Failed Landmark Technique
  • Known Difficult Access

PREPARATION

  • Print out checklist if needed.
  • Obtain long angiocath, probe cover from Procedure cart
  • Position patient (arm above head if possible)
Positioning for Vascular Access
  • Place Machine on Left, Marker dots on Left
  • Locate Target Vein (Basilic Vein)
  • Prescan / Vein Mapping
  • Check Compressibility
  • Measure Depth

PROCEDURE

  • Out of Plane Needling Approach
  • In Plane Needling Approach
  • Confirmation
    • check long axis
    • disappearing target sign
    • bubble study

CLEAN UP

  • Clean and disinfect probe and machine per policy
  • Return US Machine to Room 11
  • Plug machine into wall power

PITFALLS

  • Using too much pressure
  • Mistaking Artery for Vein
  • Losing track of needle tip
  • Using normal sized angiocath

RESOURCES AND REFERANCES

5 Minute Sono Videos: Part One, Part Two, Part Three