IV cannulation Flashcards Preview

Phase 2a Clinical skills > IV cannulation > Flashcards

Flashcards in IV cannulation Deck (16)
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1
Q

What do you do first?

A

Wash your hands

2
Q

3 I’s

A

Introduction, identification, informed consent

3
Q

Contraindications

A

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

4
Q

Risks

A

Pain
Bleeding
Bruising
Infection

5
Q

Explaining procedure: Why are you cannulating?

A

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

6
Q

Equipment required

A
Gloves and apron
Kidney dish and sharps bin
Tourniquet, wipes, gauze and swabs
Cannula, cap and cannula dressing
Saline and syringe
7
Q

Preparation of equipment

4 steps

A

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
Q

Identifying and preparing a vein

4 steps

A

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

9
Q

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

A

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

10
Q

Inserting cannula

8 steps

A

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
Q

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

A

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

12
Q

Flushing the cannula

3 steps

A

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

13
Q

While flushing, what should you look for?

A

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

14
Q

Once the cannula has been successfully flushed you would…

A

1) Tape it down

2) Record on the cannula when it was inserted

15
Q

To conclude you would?

4 things

A

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

16
Q

What would you document?

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