How to Tape US-guided IV’s

(This post was first published on blog.5minsono.com on April 12, 2019)

Even if I work my fastest, it still takes me a few minutes to place my ultrasound-guided IV’s. Because of this, I would rather not have to place multiple IV’s when they pop out. I have a particular way of taping my IV’s to make sure they don’t come out. Check out my technique and let me know what you think!

 

  1. I don‘t use the gel, but instead alcohol that you would use to disinfect. Therefore there is no cleaning, as this dries.

  2. Hey Jacob, love the site and thank you for sharing your knowledge with us. I am an ED NP and former ED RN, I have placed and taped thousands of IVs. Your initial technique at the hub is awesome and what I do myself. The only comment have is: I have found more success in concentrating my anchor on the pigtail and IV line thus minimizing any strain at the hub itself. I think we could skip most of the hub tape with a well anchored pig and line. Just my 2 cents, thanks for all you.

    1. Nice!

      The reason I concentrate on the hub is because I feel much of the weight of the IV is there. I’ve seen the IV catheter pop out of the skin just enough for it to subsequently kink and stop working. Do you run into this issue?

      1. Don’t get me wrong, I still anchor the hub pretty well. Over the years I have had lines go bad that just baffled me. I have just found a good upstream anchor has reduced these instances. Can’t say I still don’t lose a line from time to time that leaves me scratching my head.

    1. Yea, definitely have considered that. My only concern is patient comfort when the IV needs to come out. What is your experience with that?

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