Pediatric scalp venipuncture is often used to improve the success rate of puncture by syringe suction back to the blood, but after the puncture is completed the syringe needs to be separated from the scalp needle, and then the infusion set is connected to the scalp needle, at this time, due to the physical air suction often produces tiny air bubbles in the scalp needle bolus, with the infusion into the scalp needle hose and then into the vein, the nursing staff adopted a remedial method, which is explained below.
I. Materials used
Sterile treatment tray, adhesive tape, cotton swabs, 2% tincture of iodine. 75% alcohol, 2 sterile disposable 4½ scalp needles, and 1 5 mI syringe containing saline.
Second, the operation process
If the air is found to enter the scalp needle hose, immediately fold the hose in front of the air, separate the infuser from the scalp needle, and pump back the air in the hose with the syringe containing saline, if the air can be fully pumped out, the infuser can be reconnected with the scalp needle, if it cannot be pumped or partially pumped out, the hose can be tied to a dead end in front of the air.
Take another scalp needle and open the package, flush the scalp needle with a syringe and check whether the needle is clear and whether the hose is leaking. Disinfect the hose before and after the puncture point with iodine and alcohol for more than 2.5cm, wait for dryness, hold the hose before the disinfection site with the left hand, middle finger, and hold the hose after the disinfection site with the thumb and ring finger, and puncture the hose at the midpoint of the disinfection site with the needle in the direction of the long axis of the hose at 10°-15° with the right hand, after all the scalp needle stems have entered the hose, use adhesive tape to re-puncture the scalp needle stem with the original scalp needle hose Fix as one, separate the infuser from the needle bolt, align the infuser nipple with the needle bolt and put 2-3 drops of liquid along one side wall. After the liquid fills the needle bolt, connect the infuser to the scalp needle and adjust the drip rate.
Third, the success of the remedy judgment criteria
No air enters the vein, no leakage at the hose puncture and no poor drip, and no infusion reaction occurs. 15 children were successfully remedied by the above methods, and no leakage at the hose puncture and no poor drip occurred.