Peripheral Intravenous Infusions
This skill unit will teach you how to start a peripheral intravenous (PIV) line on a baby. Not
everyone will be required to start PIV lines. Everyone should read this skill unit, however, to
learn the equipment and sequence of steps to assist with starting a PIV line.
Because it is impossible to practice on babies, you will need to demonstrate mastery of the skill
by inserting and stabilizing an intravenous (IV) line for a baby in your nursery the next time a
baby needs an IV. Preliminary practice may be possible on certain manikins.
To master the skill, you will need to demonstrate each of the following steps correctly:
1. Collect and prepare proper equipment.
2. Demonstrate IV insertion technique.
3. Secure IV catheter.
4. Monitor IV site and fluid intake.
Note: Illustrated in this skill unit are conventional IV equipment and insertion devices. More
and more, shielded catheters for PIV insertion and IV tubing with needleless access ports
are becoming available to protect the practitioner from exposure to blood and needle
sticks. Shielded catheters are ones where the needle can be withdrawn into the insertion
hub and locked within a cover, once the catheter has been inserted.
Insertion and taping of these devices is essentially the same as shown in this unit, but
each brand of IV insertion device requires its own insertion technique. These techniques
are very similar to each other, but also slightly, but importantly, different from each
other. You will need to become familiar with the speciﬁc insertion devices used in your
hospital and master the speciﬁc technique to insert each device.