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The Art of the IV Start - December 2014 - Subscribe to Outpatient Surgery Magazine

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5 5 D E C E M B E R 2 0 1 4 | O U T P AT I E N T S U R G E R Y M A G A Z I N E O N L I N E patients to make a fist and applying a tourniquet. Milissa Roper, BSN, of Pardee Hospital in Hendersonville, N.C., shares her step-by-step system. After she warms the patient's arms, she lets 1 arm hang off the side of bed. She places a tourniquet tightly about 6 inches above the selected vein site, and then injects 0.05 cc of buffered lidocaine. She then immediately inserts a safety IV catheter, raises the arm above the patient's heart and connects the tubing. "I have the best luck squatting or kneeling close to the selected vein to get a good look at what I'm about to stick," says Ms. Roper. "Rub the arm hard, and a lot. When you locate the vein, tap, tap, tap," says Cheryl L. Robb-Genevich, MSN, CRNA, a nurse anes- thetist from Southfield, Mich. Adds Ms. Overcash: Before you V E N I P U N C T U R E SITE~RITE PREVUE+ ® ULTRASOUND SYSTEM LIGHTWEIGHT. PORTABLE. ULTRASOUND. Designed for Vascular Access Up to 4cm of image depth Ultrasound Increases PIV placement success rate over traditional blind sticks 1 5.9 in 2.0 lbs. 4.6 in Indications for use: The Site-Rite Prevue+ ® Ultrasound System is intended to provide ultrasound imaging of the human body. Specific clinical applications include: Adult Cephalic, Neonatal Cephalic, Pediatric, and Peripheral Vessel. Warnings: This product should only be operated by qulified medical personnel. Do not use for ophthalmic indications. Ophthamic use may cause patient injury 1 Success rate was greater for the ultrasonographic group vs. the control group (97% vs. 33%) Constantino, "Ultrasonography-Guided peripheral Intravenous Access Versus Traditional Approaches in Patients With Diffcult Intravenous Access, Annals of Emergency Medicine, Vol 46, no. 5, November 2005. Bard, Pinpoint, and Site-Rite Prevue are trademarks and/or registered trademarks of C. R. Bard, Inc. © 2014 C. R. Bard, Inc. All Rights Reserved. MC-1301-00 1402R WWW.BARDACCESS.COM

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