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Points to Practice - BD

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<strong>BD</strong> Nexiva Closed IV Catheter System<br />

<strong>Points</strong> <strong>to</strong> Practise<br />

Stage 1 Insertion<br />

<strong>BD</strong> Nexiva accommodates a variety of grip techniques, so hold as preferred<br />

Ported technique Winged technique Straight technique Insert needle in<strong>to</strong> vein as normal. Look for initial fl ashback along the<br />

cannula.<br />

Stage 2 Advancement<br />

Advance the cannula in<strong>to</strong> the vein using your preferred technique. Then release <strong>to</strong>urniquet before proceeding further.<br />

Hooded technique One handed technique Two handed feed off technique<br />

Stage 4 Dressing<br />

Apply your preferred dressing as shown, ensuring the rear septum is covered.<br />

If dressing is supplied with securing strips, you may use one <strong>to</strong> secure extension tubing.<br />

<strong>BD</strong> Veca-C dressing Ported dressing Non-ported dressing<br />

Lower the device and advance<br />

the entire system slightly (approx<br />

2mm) <strong>to</strong> ensure cannula tip is<br />

inside the vein.<br />

Stage 3 Needle removal<br />

CAUTION: Do not hold<br />

push tab on removing<br />

needle<br />

Place one fi nger on the wing and one on the<br />

needle safety shield. Pull back needle until audible<br />

click is heard.<br />

10<br />

3<br />

1<br />

9<br />

8 8<br />

4<br />

7<br />

6<br />

7<br />

6<br />

2<br />

5<br />

1<br />

Note continued fl ashback along<br />

the extension tube confi rming vein<br />

entry.<br />

Remove fi nger from needle safety shield, but<br />

continue <strong>to</strong> support wing and withdraw needle fully<br />

until the needle separates from the cannula hub.<br />

Dispose of needle in<strong>to</strong> a nearby sharps container.<br />

1<br />

2<br />

3<br />

4<br />

5<br />

6<br />

7<br />

8<br />

9<br />

10<br />

<strong>BD</strong> Q-Syte closed luer access<br />

Air vent<br />

Y adapter<br />

Pinch clamp<br />

Extension tubing<br />

Finger grips<br />

Needle safety shield (when activated)<br />

Flexible wings<br />

<strong>BD</strong> Vialon catheter<br />

Notched needle


<strong>BD</strong> Nexiva Closed IV Catheter System<br />

<strong>Points</strong> <strong>to</strong> Practise<br />

Stage 5 Preparation for Use<br />

Y-Type Version<br />

S<strong>to</strong>pcock Version<br />

Engage pinch clamp or turn tap <strong>to</strong><br />

OFF position.<br />

Stage 6 Care and Maintenance<br />

Flushing the <strong>BD</strong> Q-Syte Closed Luer Access<br />

Disinfect access port with an appropriate<br />

cleaning agent. Allow <strong>to</strong> dry.<br />

Attach syringe until secure.<br />

Do not over-tighten or push luer <strong>to</strong>o far<br />

in<strong>to</strong> device.<br />

<strong>BD</strong>, <strong>BD</strong> logo and all other trademarks are the property of Bec<strong>to</strong>n, Dickinson and Company ©2011 <strong>BD</strong>.<br />

Remove vent plug. Attach fl ushing syringe and<br />

disengage pinch clamp or turn<br />

tap <strong>to</strong> ON position. Then fl ush as<br />

normal.<br />

Flush until clear using pulsating<br />

technique <strong>to</strong> generate turbulant fl ow.<br />

IMPORTANT<br />

To avoid catheter refl ux, maintain<br />

pressure when fl ushing complete...<br />

Partially withdraw the syringe half a turn<br />

and fl ush again <strong>to</strong> clear the device fully.<br />

TIP: Engage clamp using<br />

your dominant hand and<br />

fl ush using other hand<br />

...and at the same time re-engage<br />

pinch clamp or turn tap <strong>to</strong> OFF<br />

position prior <strong>to</strong> disconnecting<br />

To avoid catheter refl ux, maintain syringe<br />

pressure when fl ushing complete...<br />

Attach white end cap or other<br />

needlefree device or administration<br />

set.<br />

Your <strong>BD</strong> Nexiva is now ready for<br />

use.<br />

... and at the same time re-engage pinch<br />

clamp or turn tap <strong>to</strong> OFF position prior<br />

<strong>to</strong> disconnecting.<br />

<strong>BD</strong> Medical<br />

The Danby Building, Edmund Halley Road,<br />

Oxford Science Park, Oxford OX4 4DQ<br />

Tel: 01865 748844 Fax: 01865 781503<br />

www.bd.com

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