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Phase 2a Clinical skills > IV cannulation > Flashcards

Flashcards in IV cannulation Deck (16)
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1

What do you do first?

Wash your hands

2

3 I's

Introduction, identification, informed consent

3

Contraindications

AV fistula
Lymphodema
Surgery to chest and armpit
Broken, bruised or infected skin

4

Risks

Pain
Bleeding
Bruising
Infection

5

Explaining procedure: Why are you cannulating?

To allow us to give you fluids and medications straight into your circulation

6

Equipment required

Gloves and apron
Kidney dish and sharps bin
Tourniquet, wipes, gauze and swabs
Cannula, cap and cannula dressing
Saline and syringe

7

Preparation of equipment
(4 steps)

1) Prepare saline flush (checking date on saline)
2) Ask which arm the patient would prefer
3) Place patients arm in a comfortable position
4) Place gauze below the patients arm

8

Identifying and preparing a vein
(4 steps)

1) Inspect arm for visible vein
2) Apply tourniquet
3) Palpate vein
4) Clean area of puncture

9

Preparing to insert cannula (vein has been identified and cleaned)
(4 steps)

1) wash hands
2) Don gloves and apron
3) Open cannula wings
4) Remove cannula sheath

10

Inserting cannula
(8 steps)

1) Secure vein DISTALLY with other hand
2) "sharp scratch"
3) Push canulla in until flashback is seen
4) Withdraw needle and push cannula in simultaneously (not all the way yet)
5) Remove tourniquet
6) Apply gentle pressure to proximal vein
7) Remove needle
8) Dispose into sharps bin

11

Cannula is in the vein (blood is still coming out), now what? (2 steps)

1) Connect cap to cannula
2) Ensure tourniquet is removed
Note: don't tape it down yet

12

Flushing the cannula
(3 steps)

1) Wipe the surface of the cap
2) Push in and hold syringe
3) Depress plunger

13

While flushing, what should you look for?

1) Resistance
2) Swelling
3) Pain
If any of these happen, you stop immediately

14

Once the cannula has been successfully flushed you would...

1) Tape it down
2) Record on the cannula when it was inserted

15

To conclude you would?
(4 things)

1) Correctly dispose of all waste
2) Wash hands
3) Thank patient
4) Document correctly

16

What would you document?

Patient details
Date and time of cannulation
Date and time cannula will need replacing
Type of cannula used
Site of the cannula
Your details