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NURSING PROCEDURE
STANDARD OPERATING PROCEDURE Director Legalized

INSERTING IV CATHETER/ IV LINE

CODE EDITION PAGE 1/

1. Definition Puncture and inserting catheter in the peripheral vein vessel to
certain purpose. Usually the location of those use vein puncture are
cephalic vein and basilica vein
2. Goal 1. To maintain the daily requirenment fluid
2. To replace lost fluid
3. To provide large amount of fluid
4. To administer medication or blood transfussion
3. Equipments 1. Solution/iv fluid
2. Iv set (macro/micro/transfusion set)
3. Iv pole/ iv standad
4. Venvlon/abocath/iv cath
5. Antiseptic swab / alcohol swab
6. Underpad
7. Tourniquet
8. Transparent dressing / tape/ hypavic
9. Disposable gloves
10. Kidney basin
11. Specimen container (if needed)
12. Razorable (if needed)
13. Non bacterial ointment (optional)
14. Sharp container
4. Assessment 1. Review the physician’s order. The orders include the type of
fluid and amount of solution and additional investigation or
medication
2. Identify the patient to be sure you are performing the
procedure to right patient
3. Gains consent from the patient
5. Implementation 1. Wash your hand
2. Choose equipment to set up the iv line. Take the equipment
to the bedside
3. Set up the iv fluid and tubing. Clear all iv tubing and iv
catheter from the air. Push the container and fill a half with
fluid
4. Prepare the patient pgysically and psychologically. First
provide privacy by closing the curtain or the door. Look at
the gown or pijamas the patient is wearing and help the
patient to change to more convenient clothing if necessary.
Position the patient comfortable.
5. Wash your hand and put on gloves
6. Examine both hands and forearm, and select to a site to
begin. Place the tourniquet 10 cm from the insertion site.
7. Clean the area throroghly. Start from the point which you
want to enter and circulary the round.
8. Insert the needle/venvlon/abocath by 30o angle, by needle
bevel up.
9. When the blood coming, decrease the angle till parallel with
the skin, pool the needle little bit then insert the tube in full
length.
10. By the non dominant finger, hold the tube and connect to
the iv set quickly and securely.
 11. If need blood sample, take the blood before connecting to
the iv set.
12. Open the regulator to initiate the flow.
13. Put the transparent dressing / tape/hypavic to fix the
cannula
14. Remove your gloves and fix the cannula. Don’t forget to
write the date and initial name.
15. Adjust the flow rate as physician’s order.
16. Care the equipment properly
17. Wash your hand
6. Evaluation 1. Six right : name of patient, fluid, amount and flow rate, rute,
time, documentation
2. Patient’s response
3. Side effect
7. Documentation 1. Document the iv insertion, include the time, location, size,
type of fluid and initial name of the nurse