2015 Trumbull Memorial Hospital Demo

Adult IV/IO Adult IV/IO

Universal Patient Assessment

IV Therapy  Administer fluids  Administer medications

Clinical Considerations  Inform patient of IV insertion  Use aseptic technique  Assess patient and equipment  Prepare dressings and ensure safe practices  Instructions to patient  Documentation  The preferred site for EZ- IO and NIO devices is the proximal humerus

Assess need for IV 0.9 NS Emergent or potentially emergent medical or trauma condition

Use warmed fluids for hypothermic patients

If patient is in cardiac arrest, go immediately to IO

If patient is critical consider IO after (2) IV attempts

Peripheral IV No more than four (4) attempts unless patient is critical

Successful

If patient is critical or in cardiac arrest and has an external venous catheter, see Central Venous Catheter Access Protocol

Intraosseous EZ-IO ®

Monitor infusion

Clinical Considerations EZ-IO Insertion Sites (Adult)  Proximal Humerus  Proximal Tibia  Distal Tibia

Conscious patient with an IO

Clinical Considerations Approved Adult Devices  EZ-IO ®

 NIO ®  BIG ®  FASTResponder ®

NIO Insertion Sites  Proximal Humerus  Proximal Tibia

Administer 20mg of Lidocaine over 2 minutes prior to infusing fluids or other medications.

26

EMR

EMT

AEMT

Paramedic

Extended