Venipuncture and IV insertion b. Techniques to get the 1) Venous Anatomy vein to ”rise to the a. Vein Structure surface” b. Valves 8) Tourniquet Placement c. Nomenclature a. Positioning i. Cephalic b. Securing ii. Basilic c. Tightness iii. Median d. When to release Cubital 2) Arterial anatomy 9) Use of syringe shields a. Arterial Structure 10) Injection technique (“straight b. Pressure difference stick”) c. Nomenclature a. Angle of attack i. Brachial b. Angle of insertion ii. Radial c. How far to advance iii. Ulnar the needle iv. Radial d. “Flashback” of blood Recurrent in the hub 3) Vein Selection e. “rinsing” the syringe a. Appearance f. Obtaining a sample b. Feel of blood c. What to avoid: 11) Injection Technique i. Scarring (Butterfly) ii. Kinks a. Fill line with saline iii. Valves b. Cap distal end of iv. Subcutaneou tubing s implants c. Remove plastic cap 4) Needle types taking care not to a. Gauge trigger guard b. Length d. Insert into vein using c. Butterfly proper technique 5) Syringe types e. Tape/secure needle a. Sizes (10cc, 5cc, 3cc, and line tuberculin) i. Tape b. Volume allergies c. Units (cc, ml) vs ii. Maintaining concentration visualization 6) Route of Administration using a. Intravenously adhesive b. Intramuscularly window c. Subcutaneously 12) Infusion Technique d. Subdermally a. Preventing 7) Vein preparation infiltration/extravaza a. Ensuring a sterile tion environment b. Slow infusion i. Alcohol c. Bolus injection swab d. Post-injection ii. Alcohol technique swab i. 3-way technique stopcock iii. Betadine ii. Rinsing iii. Flushing with saline 13) IV and Butterfly attachments 16) IV insertion a. Needleless ports 17) Maintaining the line b. Adapters a. Establishing flow if c. Caps saline is being 14) Anticoagulants infused 15) IV Preparation b. Clamping butterfly a. Inserting into Saline or IV bag c. Heparinizing the line b. Flushing the line 18) Disposal with saline a. Sharps trash c. Removing all b. Biological hazards bubbles c. Radioactive Waste