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SECURE
IV® - INSTRUCTIONS FOR USE
Short Peripheral Intravenous Catheter
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Description:
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When you
remove Secure IV® from its sterile package, you will see:
1. End Cap,
2. Packaging Guard,
3. Sliding Needle Hub, which contains the flash chamber,
4. Needle Guard. |
You can safely
remove the packaging guard while keeping your hands behind the needle
either by giving the top of the packaging guard a small push with your
thumb, or pull back slightly on the sliding needle hub. Either method
causes the packaging guard to just pop off.
If you pull back on the sliding needle hub, be sure to push it forward
to its starting position prior to insertion. And don't forget to keep
the end cap if you intend to use it later.
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Secure
IV® is designed with a needle stick protection device. Part of this
mechanism is the sliding needle hub. The sliding needle hub should be
gripped at the forward end
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With the packaging
guard removed you can see:
5. Needle Tip
6. Catheter Tube
7. Catheter Check Valve, also known as the automatic occlusion valve, and
the push-off tab. |
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Note that the proximal
end of the automatic occlusion valve is color-coded to identify the catheter’s
gauge. It’s also enclosed to help prevent contamination during handling.
Facets around the sides provide you with an easy grip, while the smooth,
flat bottom is more comfortable for patients and makes taping easier. |
Procedure:
- Begin by washing
your hands and gloving. Consider the type and duration of the IV therapy
when selecting the catheter gauge and site.
- Prepare the site
per hospital protocol. This may include applying a tourniquet and palpating
the vein.
- Clean the site
with the appropriate antiseptic, and make sure the needle bevel is facing
up. You can confirm this by noting that the push-off tab is in the up
position.
- Grasp Secure IV™
by placing the thumb and index finger of your dominant hand in the proper
forward position on the ribbed side sections of the sliding needle hub.
- Anchor the vein
with gentle skin tension and insert the needle into the vein at a 15
to 30 degree angle to the skin.
- Be sure to watch
the flash chamber for blood to confirm vein penetration.
- When venous access
is confirmed, decrease the angle of the catheter body to the skin. At
this lower angle, but not resting or dragging the catheter body on the
skin, insert the needle and catheter an additional 1/8 inch.
- Single
Hand Technique: Holding the sliding needle hub with
your thumb and middle finger, place your forefinger on top of the
needle guard against the front tab and push forward, threading the
catheter into the vein. Be careful not to drag or press the device
against the skin. Once the catheter is fully inserted, pull back
the sliding needle hub until you hear an audible "click"
and feel the sliding needle hub lock into place.
- Two
Hand Technique: Holding the sliding needle hub with
your thumb and middle finger, place your thumb behind the catheter
check valve and push forward, threading the catheter into the vein.
Keep the hand holding the sliding needle hub stationary. Be careful
not to drag or press the device against the skin. Once the catheter
is fully inserted, hold the catheter check valve in place with one
hand, and with your other hand pull back the sliding needle hub
until you hear an audible "click" and and feel the sliding
needle hub lock into place.
- Alternate
Two Hand Technique:
Holding the sliding needle hub with your thumb and middle finger,
grab the catheter check valve and pull forward, threading the catheter
into the vein. Keep the hand holding the sliding needle hub stationary.
Be careful not to drag or press the device against the skin. Once
the catheter is fully inserted, hold the catheter check valve in
place with one hand, and with your other hand pull back the sliding
needle hub until you hear an audible "click" and and feel
the sliding needle hub lock into place.
There
is no need to apply distal pressure. The catheter check valve prevents
blood spill.
Remember, you may feel a little more resistance than you're used to
as the needle retracts through the automatic occlusion valve.
CAUTION:
DO NOT REINSERT NEEDLE INTO CATHETER AT ANY TIME
- Give the needle
guard a half turn counter-clockwise to release it from the catheter
with the sharp enclosed. Because of Secure IVTM’s patented automatic
occlusion valve, there is no need to occlude the vein with distal pressure.
- After safely disposing
of the needle guard in the proper sharps container, you now have two
hands free to attach any ISO standard luer connection to actuate two-way
flow.
- Use a luer lock
connection, a spin luer connection, or a syringe.
- Do not use a luer
without a lock. A slip fit luer does not offer enough friction for a
properly tight connection that will not leak.
- After proper flushing,
you can also attach the end cap provided if you choose not to use the
site immediately. Be sure to remove the cap prior to venous access in
the future.
- And don’t
forget to follow your standard dressing protocol to secure the device
for your patent’s safety and comfort.
©
2004, Span-America Medical Systems, Inc.
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