👩🏻⚕️💉How many times a day to you UNDRESS & assess the IV catheter insertion site of patients?
I recommend that IV catheters are undressed (bandage materials removed), visualised and redressed at least TWICE daily. Why not make it protocol to do it 7am & 7pm? You should examine the site for swelling, inflammation or discharge....basically any signs of phlebitis! If you detect a problem speak to your Vet. My reason WHY I feel so strongly that the IV site should be visualised twice daily is because it doesn't matter how often you flush the catheter if the IV catheter isn't in the vein... also the bung or giving set could have detached under the bandage. 🤔Do we want perivascular fluids or medication? #NoThanks! 🤔Do we want our bandage to be medicated? #NoThanks!
The flushing FREQUENCY of IV catheters is still very much in discussion. Most texts suggest that flushing IV catheters every 4-8 hours should be sufficient to keep them patent. If your patient is undergoing anaesthesia ALWAYS undress the site you can clearly see the IV insertion site and can observe for problems or displacement. Remember to redress the site before the patient wakes up. There is also many opinions as to whether a heparinised saline or normal saline is more appropriate for flushing. The majority conclude that it is the act and frequency of flushing that is more important than the solution used. Remember aseptic practices when dealing with IVs - clean hands (gloves) & alcotip swabs 💪🏻 Here is an interesting article on IV catheter flushing practices;
Practice always makes improves your skills. I know you should always start distal on the extremity when starting an IV, but that cephalic vein in the upper arm was not visible and good practice. You have to feel it, not see it. It’s all in the technique.