BD Insyte-N Autoguard Shielded IV Catheters

More Information

• Preparation:
  - Prepare site according to facilitys policy and procedure
  - Prior to venipuncture, hold catheter hub and rotate barrel 360º
  - Make sure catheter is seated back in the notch
• Venipuncture:
  - Approach vein slowly at a low angle
  - Observe initial flashback along the catheter 
• Advancement:
  - Upon flashback visualization, lower catheter almost parallel to the skin
  - Advance entire unit slightly before threading catheter
  - Thread catheter into vein, while maintaining skin traction
• Needle removal:
  Before Pressing the Button
  - Release venous pressure
  - Apply digital pressure beyond the catheter tip
  - Gently stabilize the catheter hub
  - Press the white button
• Securement:
  - Secure catheter and apply sterile dressing according to facilitys policy and procedure
• Caution reminders:
  - Do not withdraw needle from catheter hub before pressing the white button
  - Needle should be retracted prior to disposal in a puncture resistany, leak proof sharps container
  - Never reinsert needle into the catheter as this could shear the catheter
  - Do not use scissors at or near the insertion site
• Insertion success:
  - Make sure tip seal is released before insertion, by rotating the barrel 360 degrees
  - Make sure catheter is seated back in the notch
  - Slow down the speed of insertion
  - Use less force to penetrate the skin
  - Lower the initial insertion angle, keeping the elbow low
  - After flash, lower the angle and advance slightly to ensure the catheter tip is within the vessel
• Seeing the flash:
  - Trust the instinct and take a pause
  - Look for initial flash along the catheter and then in the flash chamber (20, 22, and 24 gauge); in larger gauge sizes observe initial flash behind the white button
  - Be aware of patient factors such as small veins, small patient, low blood pressure, condition of vein, dehydration, etc., that may slow down flash
• Threading with ease:
  - After flash, lower the angle and advance slightly, before threading catheter off the needle
  - Avoid the push-pull technique when advancing
  - Maintain traction on the skin
• Retracting the needle:
  - Make sure tip seal is released before insertion, by rotating the barrel 360 degrees
  - Make sure to place digital pressure beyond the tip of the catheter
  - Make sure needle is not being inadvertently bent while attempting to activate the button
• Minimizing the blood:
  - Release tourniquet before pressing the button
  - Place digital pressure beyond the catheter tip
  - Have IV connector or tubing close by and ready
• Avoid early activation:
  - Be aware of where the fingers are
  - Remove needle cover in a straight, outward motion