How to fix iv backflow?

Now, while holding the IV tubing in your dominant hand, use your other hand to slide the clamp toward the narrow end to occlude the tubing and prevent backflow. If an IV pump is being used, hold the "channel off" button on the IV pump to shut off the machine. Next, disconnect the IV tubing from the patient and dispose of the fluid bag and tubing in the appropriate disposal receptacle based on the facility's policy.

Now, open two 2 x 2 sterile gauze packages and leave them on their sterile packing on the bedside table to ensure no contamination. Wash your hands and put on clean gloves. While holding the skin taut near the dressing removal site with your non-dominant hand, gently peel up one corner of the transparent dressing, toward the catheter and away from the patient.

Next, remove and discard the gloves, wash your hands, and don a new pair of gloves before proceeding. Now, grasp the IV catheter near its hub with your dominant hand, fold one gauze in half, and hold it gently over the IV insertion site with your non-dominant hand. Next, pull the catheter out along the line of the vein and away from the patient.

With your non-dominant hand, apply firm pressure to the gauze over the insertion site for 1 to 3 minutes, or until bleeding stops. Then, with your dominant hand, fold the remaining clean gauze in half, remove the soiled gauze, and then place the clean gauze over the insertion site. Subsequently, secure the clean gauze to the insertion site with tape or a non-adhesive self-adhering dressing. Monitor the IV site for bleeding and instruct the patient to apply pressure to the site if it begins to bleed again.

Assess the removed catheter to determine if it is intact. The catheter should not be shortened and should have a clean edge to the catheter tip. Next, dispose of the catheter and soiled gauze into the appropriate disposal receptacle, remove and discard your gloves, and wash your hands thoroughly. Lastly, document the discontinuation of the IV fluids and the removal of the catheter in the patient's EHR. It is important to include the patient's response to the peripheral intravenous catheter removal and any abnormal findings.

"While discontinuation of intravenous fluids and removal of a peripheral intravenous catheter appears to be a straight-forward process, the nurse should ensure an adequate preparation and assessment prior to the procedure and monitor the patient closely afterwards."

"Note if the patient's history indicates increased risk of bleeding following the peripheral line removal, including bleeding disorders, anticoagulant therapy, and low platelet counts. Redness can indicate irritation, inflammation, infection, or formation of a thrombus. Bruising at the insertion site could be a sign of a hematoma, which may cause a damage to the surrounding tissues."

"When removing the IV catheter, the catheter should not be shortened and should have a clean edge to the catheter tip."