IO Line

DOCUMENTATION

EQUIPMENT

  • IO Needle and Kit
  • Chloroprep
  • Sterile Drape
  • Faceshield

PROCEDURE NOTE

IO PLACEMENT

PROCEDURE NOTE: IO Placement

Performed by: [Provider Name]

Indication: [IV access required]. [Multiple attempts at peripheral IV placement were made by the nursing staff without success]

Consent: [Critical Intervention-unable to obtain]

 Procedure: The area was prepped in the usual fashion. The [R] [tibia] was cannulated with a [#] gauge IO angiocath. The patient tolerated the procedure well.

Post-Procedure Diagnosis: [  ]

Complications: [none]

Estimated Blood Loss:  [minimal]

Specimens Removed: [no]

Prosthetic devices/implants: [no]

Assistant(s): [none]