NICUTipSheet.r5 7/25/03 08:59 AM Page 1 NICU Tip Sheet: QUESTION POSSIBLE CAUSE Flashback appears slower • Flashback appears in the FLASH-VUE® window before the flash chamber Insertion feels dull Blown vein IV Safety Catheter TIPS FOR SUCCESS • Look for the first sign of flashback in the FLASH-VUE window on top, about halfway down the needle • Pre flush the catheter since blood will be quickly seen in the flush fluid • Needle/catheter design different than what had been previously used (tactile differences) • Optimal insertion is with an appropriate insertion angle and skin traction • Catheter tip partially covering needle • Visually inspect that the catheter is fully seated prior to insertion • Needle tip bent • Pull needle cover straight off to prevent damage to the ultra thin needle • Angle of insertion too high • Lower angle of insertion • Catheter tip partially covering needle • Ensure that catheter is fully seated prior to insertion • Lower angle of insertion NICUTipSheet.r5 7/25/03 09:00 AM Page 2 NICU Tip Sheet: QUESTION Tough to thread catheter off needle Tough to thread catheter off needle IV Safety Catheter POSSIBLE CAUSE TIPS FOR SUCCESS • Only tip of needle in vein (catheter not yet in vein) • Slightly advance catheter and needle together after initial flashback • Pushing down on the hub • Lightly thread the catheter off the needle (push out, not down, on tab) • Hub seal feels snug • Loosen hub prior to insertion by slightly advancing catheter forward, then fully reseat catheter hub • Catheter is hitting valve • Consider floating catheter in with fluids (see inservice video) • Need to thread with needle support (all polyurethane materials are softer than FEP materials) For complete product details see Instructions for Use DSL# 02-0305 ©2003 Medex, Inc. • Thread the catheter up into the vein then remove the needle (not simultaneously) • If catheter is threaded without the needle, use fluid to support and thread the catheter VA517 2003.07
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