BridgeIV Training

Chapter 36 of 62

Bridge | MedSource IV Catheter Product Training

IV Catheter Insertion — Bridge Best Practices

Successful IV catheter insertion combines proper vein selection, patient positioning, skin preparation, needle angle, and smooth catheter advancement. This module covers Bridge-specific best practices optimized for our ClearSafe and TrueSafe catheter product lines.

Step 1 — Vein Selection and Preparation: Apply the tourniquet 4-6 inches above the intended insertion site. Assess available veins visually and by palpation. Select a straight, resilient vein that is well-anchored by surrounding tissue. Prepare the site with chlorhexidine antiseptic using a 30-second friction scrub and allow to dry completely.

Step 2 — Insertion Angle and Technique: Anchor the vein by applying gentle traction distal to the insertion site. Insert the catheter bevel-up at a 15-30 degree angle for superficial veins. Watch for blood flash in the flash chamber — with TrueSafe RapidFlash needles, the notched needle design provides faster visualization.

Step 3 — Catheter Advancement: Once flash is confirmed, lower the angle to 10-15 degrees and advance the catheter 2-3mm further to ensure the catheter tip (not just the needle tip) is within the vein lumen. Then advance the catheter off the needle using a smooth, steady motion while maintaining vein stabilization.

Step 4 — Safety Activation and Securement: For ClearSafe — slide the safety mechanism forward until you hear the click. For TrueSafe — press the button to instantly retract the needle. Apply a transparent semi-permeable membrane dressing. Document the insertion: date, time, gauge, location, number of attempts, and patient response.

Key Points

  • Apply tourniquet 4-6 inches above site; prep with chlorhexidine for 30 seconds
  • Insert bevel-up at 15-30 degrees; watch for blood flash in chamber
  • Advance 2-3mm past flash to ensure catheter tip enters the vein lumen
  • ClearSafe: slide mechanism forward; TrueSafe: press the button to retract
  • Document insertion details including gauge, location, attempts, and patient response
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