Peripheral venous cayheter is placed in to the patients vein using asepting non touch technique.

1. Gather all equipment and bring to the bedside.
2. Perform hand hygiene and put on PPE, if indicated.
3. Correctly identify the patient.
4. Close curtains around bed and close the door to the room, if possible. Explain what you are going to do and why you are going to do it to the patient. Ask the patient about tape, or skin antiseptics. If considering using a local anesthetic, inquire about allergies for these substances as well.
5. If using a local anesthetic, explain the rationale and procedure to the patient. Apply the anesthetic to a few potential insertion sites. Allow sufficient time for the anesthetic to take effect.
6. Place patient in low Fowler’s position in bed. Place protective towel or pad under patient’s arm. Use extra pillow or special device to support arm.
7. Provide emotional support, as needed.
8. Open the short extension tubing package. Attach end cap, if not in place. Clean end cap with alcohol wipe. Insert syringe with normal saline into extension tubing. Fill extension tubing with normal saline and apply slide clamp if available and place extension tubing and syringe back on package, within easy reach.
9. Select and palpate for an appropriate vein.
10. Put on gloves.
11. Apply a tourniquet approximately 10 cm above the venipuncture site to obstruct venous blood flow and distend the vein. Direct the ends of the tourniquet away from the entry site.
12. Instruct the patient to hold the arm lower than the heart. Ask the patient to open and close the fist. Observe and pal-pate for a suitable vein. Try the following techniques if a vein cannot be felt:
13. a. Massage the patient’s arm from proximal to distal.
14. b. Remove tourniquet and place warm, moist compresses over intended vein for 10 to 15 minutes.
15. Cleanse site with an antiseptic solution such as chlorhexidine or according to facility policy. Press applicator against the skin and apply chlorhexidine using a back-and-forth friction scrub for at least 30 seconds. If using alcohol swab , clean the skin in spiral shape form inside to out and not crossing again to the insiden. Do not wipe or blot. Allow to dry completely.
16. Use the nondominant hand, place it below the entry site, to hold the skin taut against the vein. Avoid touching the prepared site. Ask the patient to remain still while performing the venipuncture.
17. Enter the skin gently, holding the catheter by the hub in your dominant hand, bevel side up, at a 15 to 45 -degree angle. Insert the catheter from directly over the vein or from the side of the vein. While following the course of the vein, advance the needle or catheter into the vein. A sensation of “give” can be felt when the needle enters the vein.
18. When blood returns through the lumen of the needle or the flashback chamber of the catheter, advance cannula into the vein until the hub is at the venipuncture while holding the needle part in the position.
19. Release the tourniquet. Quickly remove the protective cap from the extension tubing and attach it to the catheter stabilize the catheter with your nondominant hand.
20. Continue to stabilize the catheter or needle and flush gently with the saline using pulsating flushing technique, observing the site for infiltration and leaking.
21. Place sterile transparent dressing or catheter securing/stabilization device over venipuncture site.
22. Remove gloves.
23. Apply an IV securement/stabilization device if not already in place as part of dressing, as indicated, based on facility policy. Explain to patient the purpose of the device and the importance of safeguarding the site when using the extremity.
24. Remove equipment and return the patient to a position of comfort. Lower bed, if not in lowest position.
25. Remove additional PPE, if used. Perform hand hygiene.
26. Document the placement of cannula in patient chart.