■ 20–24 gauge over-the-needle catheters are most common.
IV Site Selection
■ Developmental stage should be considered during site selection.
■ Feet are more appropriate for infants who are not yet walking.
■ Most common sites are dorsal hand, wrist, and antecubital (AC).
■ Obtain IO (intraosseous) access when IV access is unavailable.
Special Considerations
■ In an emergency, if an IV can’t be obtained within 90 seconds, obtain IO access without delay.
■ Caution: Always use a burette (volume-control set) or infusion device for pediatric Pts.
■ Scalp veins have no valves and can be infused in either direction.
■ Avoid placement, if possible, into the dominant hand.
■ Use numbing gels and ointments to help minimize discomfort.
■ Utilize parental assistance when appropriate, but never insist that the parent restrain the child.
■ Using a doll will sometimes help distract the child and help you convey to the child what you need to do.
■ Use age-appropriate items (stickers, dolls, etc.) to reward child.
■ Change IV bags and tubing according to your facility’s policy.
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| Childhood Immunization Schedule |
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