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Questions and Answers
What is the main cause of needlestick injuries according to the content?
What is the main cause of needlestick injuries according to the content?
Which of the following statements about retractable safety IVs is true?
Which of the following statements about retractable safety IVs is true?
When should a needle be disposed of to reduce the risk of injury?
When should a needle be disposed of to reduce the risk of injury?
What treatments might be required for a person who suffers from a bite injury?
What treatments might be required for a person who suffers from a bite injury?
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How can the occurrence of needlestick injuries be effectively reduced?
How can the occurrence of needlestick injuries be effectively reduced?
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Where is the epidermis thickest?
Where is the epidermis thickest?
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What is the primary function of the epidermis?
What is the primary function of the epidermis?
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Which layer of blood vessels contains smooth muscle and responds to temperature changes?
Which layer of blood vessels contains smooth muscle and responds to temperature changes?
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What structural feature is unique to veins to facilitate blood flow?
What structural feature is unique to veins to facilitate blood flow?
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What percentage of the vessel diameter does the tunica intima account for?
What percentage of the vessel diameter does the tunica intima account for?
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What type of tissue primarily makes up the tunica externa?
What type of tissue primarily makes up the tunica externa?
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How many venous valves are typically found between the hand and axilla?
How many venous valves are typically found between the hand and axilla?
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What is the outermost layer of blood vessels called?
What is the outermost layer of blood vessels called?
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What aspect of vein insertion is highlighted as a key consideration in the video?
What aspect of vein insertion is highlighted as a key consideration in the video?
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What is recommended to do with sharps immediately after use?
What is recommended to do with sharps immediately after use?
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What is the potential risk if the needle is not fully retracted into the barrel before disposal?
What is the potential risk if the needle is not fully retracted into the barrel before disposal?
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What should one ensure before advancing the catheter?
What should one ensure before advancing the catheter?
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Which best describes the approach to working with the vein as mentioned in the video?
Which best describes the approach to working with the vein as mentioned in the video?
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How is the packaging suggested to be used in vein insertion procedures?
How is the packaging suggested to be used in vein insertion procedures?
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What is NOT a recommended practice while handling needles during IV insertion?
What is NOT a recommended practice while handling needles during IV insertion?
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Documentation discussed in the video focuses on what aspect of the procedure?
Documentation discussed in the video focuses on what aspect of the procedure?
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What was the percentage of peripheral vascular access (PVA) placements that were unused in the pre-hospital setting?
What was the percentage of peripheral vascular access (PVA) placements that were unused in the pre-hospital setting?
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What proportion of the unused PVAs were associated with patients having a lower case severity?
What proportion of the unused PVAs were associated with patients having a lower case severity?
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During the study period, what percentage of patients had a PVA inserted?
During the study period, what percentage of patients had a PVA inserted?
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Approximately how many patients had a PVA placed over the 12-month study period?
Approximately how many patients had a PVA placed over the 12-month study period?
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What does the study suggest about the expectation of EMS personnel regarding catheter use by hospital staff?
What does the study suggest about the expectation of EMS personnel regarding catheter use by hospital staff?
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What was the case severity score threshold that indicated lower case severity in the study?
What was the case severity score threshold that indicated lower case severity in the study?
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What is a possible reason for the high percentage of unused peripheral vascular access?
What is a possible reason for the high percentage of unused peripheral vascular access?
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Which statement best summarizes the findings related to the placement of PVAs?
Which statement best summarizes the findings related to the placement of PVAs?
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Which site is the most appropriate for locating a venepuncture for IV insertion?
Which site is the most appropriate for locating a venepuncture for IV insertion?
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What characteristics must a suitable vein have for IV cannulation?
What characteristics must a suitable vein have for IV cannulation?
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Why is it important to select veins that are proximal to previous IV sites?
Why is it important to select veins that are proximal to previous IV sites?
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Which of the following veins is NOT ideal for IV cannulation?
Which of the following veins is NOT ideal for IV cannulation?
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What is the best strategy when selecting a vein for IV cannulation?
What is the best strategy when selecting a vein for IV cannulation?
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Which statement about vein characteristics is true for IV cannulation?
Which statement about vein characteristics is true for IV cannulation?
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What type of veins should be avoided for IV cannulation?
What type of veins should be avoided for IV cannulation?
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Which condition is important for veins selected for IV cannulation?
Which condition is important for veins selected for IV cannulation?
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What can lead to the introduction of skin flora into the system during cannulation?
What can lead to the introduction of skin flora into the system during cannulation?
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Which of the following is a method to prevent infection in medical procedures?
Which of the following is a method to prevent infection in medical procedures?
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What does inadequate flushing of an IV device contribute to?
What does inadequate flushing of an IV device contribute to?
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Which factor is crucial for preventing contamination of the catheter hub?
Which factor is crucial for preventing contamination of the catheter hub?
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What practice should be followed when handling infusates to avoid infection?
What practice should be followed when handling infusates to avoid infection?
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What is essential during cannulation preparation according to best practices?
What is essential during cannulation preparation according to best practices?
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What does the term 'non-touch technique' refer to in infection prevention?
What does the term 'non-touch technique' refer to in infection prevention?
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What role do paramedics play in the context of hospital-acquired infections?
What role do paramedics play in the context of hospital-acquired infections?
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What is a major risk associated with contamination of an infusate?
What is a major risk associated with contamination of an infusate?
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What is emphasized as crucial to developing a good cannulation technique?
What is emphasized as crucial to developing a good cannulation technique?
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Study Notes
Introduction to IV Cannulation
- IV cannulation is a core skill for paramedics.
- It involves inserting a catheter into a vein to deliver fluids and medications directly into the bloodstream.
- The introductory material covers the theory and background information required before practicing IV cannulation.
- Successful completion of a summative assessment allows for supervised practice.
Study Goals
- Describe the anatomy and physiology of blood vessels, including the three layers and function of each layer.
- Understand the structure and function of veins, how they differ from arteries and venous valves, and the location and function of nerves in the peripheral limbs, especially the arms and hands.
- Understand the crucial role of infection control, emphasizing asepsis and hand hygiene, for safe IV practice.
- Identify the importance and indications of IV cannulation, especially for specific populations like the elderly or children.
- Know and apply safe practices for selecting and accessing veins in different scenarios and locations, avoiding compromised areas.
- Be familiar with potential risks and complications like needle-stick injuries or thrombosis
Anatomy and Physiology Review
- Blood vessels, like veins and arteries, are composed of three layers ('tunica').
- The outermost layer is the tunica externa, which supports the vessel.
- The middle layer (tunica media) contains smooth muscle for blood vessel contraction or relaxation.
- The innermost layer, tunica intima, is a thin layer that lines the vessel lumen.
- Veins contain one-way valves to prevent backflow of blood.
Infection Control
- IV cannulation breaches the skin's protective barrier and carries a risk of infection.
- Maintaining strict infection control protocols during and before insertion is vital.
- Aseptic technique is mandatory during preparation, procedure, and post-procedure.
Vein Selection
- Proper vein selection is essential to success.
- Ideal veins are soft, straight, elastic, easily palpated and stabilized.
- The antecubital fossa is the most common location, but other suitable veins exist up the arm.
- Veins used before need to be considered, and areas like mastectomies/CVA hemiparesis, AV fistulas, or lower extremities require caution.
Preparing the Patient
- Patients must provide informed consent for procedures.
- Prior to cannulation, consider the patient's circumstances and position to reduce anxiety and increase the chances of success.
- Proper positioning, preparation, and communication are essential.
Cannulation Technique and Safety
- Detailed cannulation techniques have been covered in available videos.
- Safety precautions outlined by the text include sharps disposal and maintaining appropriate care standards throughout.
- Comprehensive documentation of each cannulation procedure is required for quality assurance.
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Description
This quiz covers the fundamental concepts of IV cannulation, a vital skill for paramedics. It includes the anatomy of blood vessels, infection control practices, and the specific needs of different populations. Successfully completing this assessment prepares you for supervised practice in IV cannulation.