Cannulation

WIPERNA

Hello my name is _______
I'm a __________
How are you doing?

Is it alright if I put a cannula in your arm? Have you ever had one before?
It's a small plastic sterile tube that we insert into a vein, that acts like a port, that we leave there.
We use it to transport the fluids through.it's not painful, but you probably feel a small scratch. Do you have a problem with needles? Are you fine with me to go ahead?

Checks:
Nameband/dob/name/hospital number

I'm just going to get my equipment.

Equipment
Tray

Gloves

Tourniquet

Alco swab

Cannula (16G grey - 18G green - 20G pink)

10ml syringe

Saline 0.9%
Green needle

Bung
Tegiderm
Sharps bin

Prepare Equipment
Clean tray inside & out
Wash hands
Open cannula
Open bung
Draw up saline

CT/WH/Eq/Flu

Prepare Patient
Roll up sleeve
Pt comfortable?
Tourniquet (clench fist - promote venous filling)
Select vein and direction (distal to proximal)
Clean area with swab

Put on gloves/alcohol gel gloves/change gloves

Tq/V/Alc/W+G

Cannula Bit
Stabilise vein
'sharp scratch'!!!
Cannula - shallow angle 25-35
Flashback?
Lower cannula
Advance by 2mm
Withdraw needle slightly watch blood track along cannula
Advance plastic sheathing
Take off tourniquet
Press over vein above cannula
Remove needle
Bung over cannula

SS!/25-35/FBl/AdvPl/xTq/OutN/Bung/Flush

Secure
Needle into sharps bin
Apply tegiderm over cannula
Flush!

Sec/Sharps/Saline

Finishing Off
Thank pt, make sure they're comfortable

Document:
Cannula gauge
Location
Operator
Site

Dispose waste

Resite immed if signs of inf/phlebitis
Otherwise ev. 72hrs

T/Doc/Disp/Resite