This protocol outlines guidelines for inserting, maintaining, and removing peripheral vascular devices (PVDs). It aims to standardize practices to improve patient care. The document defines relevant terms and lists indications for PVD insertion, such as blood sampling or IV medication administration. Contraindications are also noted, such as inserting a device in an injured extremity. Equipment, patient preparation, insertion procedure, maintenance including dressing changes, and removal are described. The goal is to provide standards for proper PVD care while allowing for clinical judgement in individual cases.

1. Protocol for Insertion, Maintenance and
Removal of Peripheral Vascular Device
Dr. Tanmoy Roy
Consultant Anaesthesiologist
CMRI

2. This protocol does not override the
individual responsibility of health
professionals to make appropriate
decision according to the
circumstances of the individual
patient in consultation with the
patient and /or carer. Health care
professionals must be prepared to
justify any deviation from this
guidance

3. AIM
The aim of this guideline is to
provide an outline of the ongoing
maintenance and management of the
PIVC for patients in hospital,
outpatient, and home healthcare
settings and is intended to improve
patient care in the insertion and
management of Peripheral Vascular
Devices (PVD’s) by standardizing
practice

4. Definitions & Acronyms
• PIVD
• Aseptic Technique
• Sterile Technique
• Decontaminate
hands
• Key sites
• Key parts
• Extravasation
• Infiltration
• Phlebitis
• ANTT

5. Indications
• Repeated blood sampling
• IV administration of fluid
• IV administration of medications
• IV administration of chemotherapeutic agents
• IV nutritional support
• IV administration of blood or blood products
• IV administration of radiologic contrast agents
for computed tomography (CT), magnetic resonance
imaging (MRI), or nuclear imaging

6. Contraindications
• No absolute contraindications for IV
cannulation exist....Patient
refusal ???????
• Peripheral venous access in an injured,
infected, or burned extremity should be
avoided if possible.
• Sclerosing solutions, some
chemotherapeutic agents, and vasopressors
are more safely infused into a central
vein.

8. Equipment
• Gloves….appropriate size
• Tourniquet
• Antiseptic solution (2%
chlorhexidine in 70%
isopropyl alcohol)
• Local anesthetic solution
• 1-mL syringe with a 30-gauge
needle
• 2×2in.gauze
• Venous access device
• Vacuum collection tubes and
adaptor
• Saline or heparin lock
• Saline or heparin solution
• Transparent dressing
• Paper tape

9. Patient Preparation
• Anaesthesia
• Positioning
• Part exposure and illumination
• Removal of visible dirt and
cleanliness

14. Maintenance
• Peripheral Cannula Insertion
and Ongoing Care Record
• Postinsertion care:
a) ANTT
b) Decontaminate hands prior access
c) Access via needle free device on the extension set
d) Scrub clean port prior to access
e) Flush pre and post drug administration
f) Regular monitoring and inspection of site

15. • PIVC dressing change: PIVC
dressings must be replaced when
they become; damp, loosened, no
longer occlusive or adherent,
visibly soiled, or if there is
excessive accumulation of fluid
under the dressing.

16. • Rem ovalofperipheralIV cannula:Removed ≤
72 hours or when clinically
indicated, and to be done under
aseptic conditions
• Training: All Trust staff are
responsible for accessing Infection
Prevention and Control (IPC)
policies in order to ensure correct
management of their patients.

17. Thank You