BMS327 CANNULATION

Procedure continued: Prepare the site by cleansing it with an aseptic swab. Aseptic ? Shave the patient, if necessary You can also use a local anesthetic Allow the site to dry And pull skin taut as this will anchor the vein Insert the cannula with ?? Warn patient first

(circular motion going from centre to outwards) bevel up at 10-30 degree angle

Procedure: Select the site Place the tourniquet on the patient to occlude venous flow only. Apply within ? of selected site Not too close nor too far Don't cut off a pulse either (check distal pulses) Inspect and assess the insertion site Ask patient to ?

10 cms clench or pump fist

What size? Gauges 10G (larger) to 24 gauge (smaller) Ideally, for trauma/hypovolemia ?, medicalpatients ? and paeds?

14-18 gauge, for medical patients 18-20 gauge, for paediatrics above 20 gauge

Review Veins have ? layers with a large central lumen- ?, ? AND ?. Veins have ? that encourage one directional flow towards the heart Veins are collapsible and extremity locations can vary from person to person

three Tunica Adventitia, Media & Intima valves

Complications of IV Cannulation (7)

Extravasation Phlebitis Haematoma Air Embolism Disconnection Blood Loss Other Infection Risks including Sepsis

Indications for IV cannulation - 4 REASONS

Fluid Administration Medication Administration Blood Product Administration Repeated Venous Sampling

6 signs of good veins

Soft and easily palpable Collapsible and then refills Visible Large lumen (or diameter) Well supported by surrounding anatomy Straight

Why Fluid Administration?

Some examples of why are Blood loss or volume replacement Hydration or nutrition Maintenance

Equipment Needed: 11 things

Tourniquet Aseptic swab (alcohol or chlorhexidine) 2 × 2 gauze pad 1-inch tape Tegaderm (occlusive dressing) Sharps Container Equipment Needed: Luer Lock/Hub/Bung or Extension tubing Appropriate IV fluid or flush Appropriate administration set Appropriate indwelling catheter

Secure with occlusive dressing and then tape Tape in multiple positions across the hub and then tubing if you used it. If in ASNSW, apply yellow ambulance sticker Record ? and ? Dispose of waste/gloves

date and time of insertion

Alternative veins we can cannulate Another vein that is easily accessible on a supine patient is the ? Remember, you can cannulate veins in the ? as well, but does take a certain amount of skill, time, and patience with your patient.

external jugular. foot

Procedure continued: Observe ? and then advance the catheter. Advancement should be 2-4 mm Advance the catheter, not the needle Retract the needle and ? Position 2x2 gauze under hub Occlude the vein with your hand and remove the needle hub (self-locked sheath) Immediately ?

flashback release the tourniquet dispose of the needle into the sharps bin

Intravenous (IV) cannulation is a procedure where a ? is inserted into a vein via a metal needle. Many catheters are designed with an ? and will retract into a safety cover after use

flexible catheter over the needle system

Preliminary Steps for IV Cannulation Confirm the ? Get Consent and check the patient for ? Explain procedure to patient Don protective eye wear and gloves Sanitise hands prior Prepare the equipment Make the patient comfortable as well Ensure ?and ?

indication allergies good lighting and surroundings

Procedure continued: Then attach either IV tubing and flush. Flush: Normal saline syringe of 10 mL usually Reflex valve/bung/hub and flush Alternative: Secure then flush When flushing Observe for ? or ? ? ?

patency or signs of infiltration, pain or swelling