|
Peripheral venous cannulation: procedural steps [19],
operationalised by Ravik et al. [9] |
|
| (1) Prepare all equipment |
| (2) Clean hands |
| (3) Ensure patient identity |
| (4) Select a vein |
| (5) If required, clip hair around the insertion site |
| (6) Apply a tourniquet to the chosen limb |
| (7) Assess the patient’s vein while selecting appropriate site |
| (8) Release the tourniquet |
| (9) Ensure that the skin to be anaesthetized is clean and dry |
| (10) Select device |
| (11) Clean hands |
| (12) Clean and establish workspace |
| (13) Empty equipment on cleaned workspace |
| (14) Wet sterile swabs with a 0,5% chlorhexidine solution |
| (15) Prepare a needleless bung with 0,9% sodium chloride |
| (16) Prepare an extension tubing |
| (17) Prepare a needleless bung with heparin 100 IE/ml |
| (18) Make the patient comfortable sitting or lying down |
| (19) Place a dressing towel under the patient’s arm |
| (20) Clean hands |
| (21) Clean the patient’s skin and vein with a 0,5% chlorhexidine solution |
| (22) Clean the skin and vein once more with a 0,5% chlorhexidine solution |
| (23) Allow the skin to air-dry for minimum 30 seconds |
| (24) Put on gloves |
| (25) Reapply the tourniquet |
| (26) Apply manual traction a few centimetres below the proposed insertion site |
| (27) Select site of insertion |
| (28) Use a three-point cannula grip |
| (29) Insert the cannula through the skin |
| (30) Once flashback is seen in the flashback chamber, advance the cannula a few millimetres into the vein before withdrawing the stylet a few millimetres |
| (31) Slowly advance the cannula forward into the vein in a smooth movement |
| (32) Release the tourniquet |
| (33) Apply firm pressure to the vein above the distal cannula tip |
| (34) Remove the stylet |
| (35) Discard the stylet into sharps container |
| (36) Connect an extension tubing |
| (37) Attach a needleless bung with 0,9% sodium chloride |
| (38) Flush the cannula with 0,9% sodium chloride |
| (39) Observe for signs of swelling or leakage |
| (40) Ask patient about discomfort or pain |
| (41) Flush the cannula with heparin 100 IE/ml |
| (42) Cover the insertion site with a transparent dressing |
| (43) Write date/initials on dressing |
| (44) Apply bandage |
| (45) Discard the waste |
| (46) Remove gloves |
| (47) Clean hands |
|
