6.
Apply Tourniquet and Drape
• Apply the tourniquet above the intended insertion site to distend
the vessel.
• Drape the patient by placing the fenestrated drape over the anticipated
puncture site.
6
7
4.
Modification of Catheter Length
Note: Catheters can be cut to length if
a different length is desired due to patient
size and desired point of insertion
according to hospital protocol. Catheter
depth markings are in centimeters.
• Measure the distance from the zero mark to the desired tip location.
• Retract the stylet to well behind the point the catheter is to be cut.
• Using a sterile scalpel or scissors, carefully cut the catheter according to
institutional policy if necessary.
• Caution: Do not cut stylet.
• Inspect cut surface to assure there is no loose material.
• Re-advance the stylet to the distal end of the trimmed catheter.
5.
Prepare for Insertion
• Set-up the sterile field.
• Prepare the site with the ChloraPrep
*
One-Step Applicator or according to
institutional policy using sterile technique.
- Pinch the wings on the ChloraPrep
*
One-Step Applicator to break the
ampule and release the antiseptic. Do not touch the sponge.
- Wet the sponge by repeatedly pressing and releasing the sponge
against the treatment area until fluid is visible on the skin.
- Use repeated back-and-forth strokes of the sponge for approximately 30
seconds. Completely wet the treatment area with antiseptic. Allow the
area to dry for approximately 30 seconds. Do not blot or wipe away.
- Maximum treatment area for one applicator is approximately 130 cm
2
(approximately 4 x 5 in). Discard the applicator after a single use.
• Remove and discard gloves.
• When alcohol is used as a skin prep, it must be allowed to completely
air dry.
7.
Perform Venipuncture
• Remove the needle guard.
• Grip only the needle hub during insertion. Do not apply excessive
pressure to the wings.
• Perform venipuncture and observe for flashback.
• Holding the needle stationary, advance the Safety Excalibur
*
Introducer
sheath into the vessel by pushing forward.
Precaution: Avoid placement or securement of the catheter where kinking may occur,
to minimize stress on the catheter, patency problems or patient discomfort.
Caution: The Poly Per-Q-Cath
*
catheter features a reverse-taper catheter design.
Placement of larger catheters at or below antecubital fossa may result in an increased
incidence of phlebitis. Placement of PICC above antecubital fossa is recommended.
8.
Withdraw the Safety Excalibur
*
Introducer Needle
• Support the Safety Excalibur
*
Introducer sheath to avoid displacement.
• Apply slight pressure on the vessel above the insertion site to minimize
blood flow.
• Release the tourniquet.
P
e
r-
Q
-C
a
th
*
Catheter
P
e
r-
Q
-C
a
th
*
Catheter
Above antecubital fossa
Below antecubital fossa