Definition - Dissection of a vein for inserting I.V cannula or needle.
Purpose
• When vein puncture is difficult
• When pro longed, continuos infusion is needed
• When rapid infusion is important and emergency situation combine these indications.
Equipment
Sterile
• Dressing forceps (1)
• Cotton balls in a gallpot
• Solution for cleansing
• Gloves
• Hole sheet (Fenestrated towel)
• Syringe and needle
• Scalpel (surgical knife)
• Mosquito forceps (3)
• Aneurysm needle (1)
• Silk
• Intravenous cannula or vein flow (2)
• Small, straight scissors (1)
• Small, curved scissors (1)
• Needle holder (1)
• Round needle (1)
• Cutting needle (2)
• Tissue forceps (1)
• Gauze (slit at one end)
• Probe
• Fine dissecting forceps (1)
• Local anesthesia
Clean
• Receiver of dirty swab
• Stand light, if available
• Adhesive tape (plaster)
• Dressing scissors
Procedure
• Bring equipment to the bedside of the patient
• Explain procedure to the patient
• Shave the area, if needed
• Position the patient properly
• The nurse will then open the set and pour the cleaning lotion in to the galipot for the doctor
• The doctor then scrub his hands, put on gloves, clean and drape the area, he will insert the I.V
• The channel is securely tied with silk and skin is closed
• The nurse dresses the site and secure it with adhesive plaster
• Remove all equipment, wash and send for sterilization
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