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Inserting IV’s for Registered Nurses in 2021 Rationales for ER Nursing

Inserting IV’s for Registered Nurses in 2021 Rationales for ER Nursing. In this video I will talk about rationales for inserting IV’s for patients in hopes to provide clarification on a topic that I was  not 100% sure about.

As I have mentioned in the past, the E.D has a lot of autonomy for practice as a RN. Sometimes there are orders that are in place for inserting IV’s and other times it is up to the judgement of the nurse as they await for the physician to come see them. Now the physician may be a while before they get to see the patient as there are many people who are quite sick and require immediate attention while there are others that have time to spare. As an emergency room nurse one of the most important tasks you have is to act proactively and determine what is the most amount of intervention I can provide to better the care of the patient until the physician comes and assesses the patient.


Now this is the part of nursing that I enjoy, it is that critical thinking aspect where you have to decide what is best for the patient. However inserting IV’s was an intervention that I was never sure about until I learned about these things:

  1. Cardiac related event — Insert an IV
  2. Septic patient — Insert an IV
  3. Soft blood pressure — Insert an IV
  4. Anemic patent — Insert an IV
  5. Nausea/Vomiting — Insert an IV


These were some of the situations where IV insertion was absolutely crucial in ensuring the safety of the patient. If the patient was to have an arrhythmia that was not normal for them, then it was crucial to get an IV site as I do not want the rhythm to change to something that is lethal. Therefore for the safety of the patient it is always important to ensure a patent IV line so that you are able to give rhythm reversing drugs such as atropine or adenosine etc..


As for a septic patient, we want to try and promote more circulation in the veins so that we can ensure adequate perfusion to vital organs. That is a topic that will be discussed later, but if I see that a patient is febrile, has an elevated lactate and is symptomatic that could be signs of an infection, inserting a line and placing them on a drip to keep the line open until I get parameters from a physician is always a good idea.


The other reasons are quite obvious. Really soft blood pressures with symptoms associated that could indicate further deterioration such as lightheadedness or dizziness are classic indications to start an IV and place them on a bit of fluids until further guidance from the physician. If someone has chronic anemia and comes in with symptoms of anemia, another great indication to start an IV. Lastly, if the patient is nauseous and is vomiting, we want to provide active treatment to get it under control right away to further exacerbate a problem.


If you have any other reasons or situations you think it is necessary to put an IV, I would love to read them in the comment section below. Thank you for watching and I will catch you in the next video!




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