Intraosseous needle placement

  1. List contraindications (fracture of bone, previous attempt in same bone, infection at site, bone disorder)
  2. Select appropriate bone
  3. Select an appropriately sized needle
  4. Identify anatomic landmarks and locates insertion site
  5. Prepare site
  6. Insert needle correctly
  7. Connect tubing
  8. Aspirate blood
  9. Infuse an appropriate fluid (may use 2% preservative-free lidocaine for anesthesia; adult/max dose is 2 mL)
  10. Assess for infiltration
  11. Secure the needle appropriately (gauze rolls on either side along length of bone)