PERIPHERAL INTRA VENOUS CANNULA INSERTION.pptx

PERIPHERAL INTRA VENOUS CANNULA INSERTION.pptx

1. PERIPHERAL INTRA VENOUS CANNULA INSERTION K.W.K.K. Roopathilake Nursing officer

2. Objectives To improve knowledge about benefits of intra venous cannulation. To understanding anatomy and physiology of vein including identifying suitable veins . To facilitate patient comfort, safety and ethical considerations during the procedure. To demonstrate the ability to do IV cannulation.

3. Indwelling single-lumen plastic tubes that allow fluids, medicines, and other treatments such as blood products to be injected directly into a peripheral vein are known as peripheral intravenous (IV) lines, catheters, or cannulas. Beecham, G. B., Tackling, G. ( 2023) “ The aim of intravenous management is safe, effective delivery of treatment without discomfort or tissue damage and without compromising venous access, specially if long term therapy is proposed’’ (The Royal Marsden, NHS Trust Manual of Clinical Nursing Procedures, 4 th edition) What is peripheral intra venous cannulation?

4. Preparation Explain procedure to patient. Review patient’s history for allergies to antiseptic solutions, latex, and anesthetic agents and skin alterations such as scars and tattoos. Raise the patient's bed to waist level. Place the patient in a comfortable sitting or reclining position. Place the arm in a dependent position to increase venous fill. Assess the patient’s veins & determine start location. Prepare supplies.

5. How to identify a suitable vein Bouncy Soft Above previous sites Refills when depressed Visible Has a larger lumen Well supported Straight Easily palpable Thrombosed / sclerosed / fibrosed Inflamed/ briused Thin/Fragile Mobile Near bony prominences Areas or sites of infection, oedema or phlebitis Have undergone multiple previous punctures What veins should you avoid?

6. Video demonstration on how to perform procedure …

7. Document the procedure including… Date and time Site and size of cannula Any problems encountered Review date ( cannula should be situ no longer than 72 hours without appropriate risk management ) Special Considerations… No more than two attempts at insertion should be made by one nurse Total attempts should be limited to no more than four. Do not perform blind attempts. Seek out super starters. Save at least one attempts for IV nurse if unsuccessful attempts occur.

8. References 1. Peripheral Line Placement Beecham , G. B., Tackling, G. (2023). Peripheral Line Placement. Stat Pearls [online].https://www.ncbi.nlm.nih.gov/books/NBK539795/#article-27010.s2. Accessed ; 10th September 2023. 2. Defining risk factors associated with difficult peripheral venous Cannulation : A systematic review and meta-analysis Rodríguez- Calero , M.A., Blanco- Mavillard , I., Morales- Asencio , J.M., Fernandez-Fernandez, I., Castro-Sánchez, E. and de Pedro-Gómez, J.E., 2020. Defining risk factors associated with difficult peripheral venous Cannulation : A systematic review and meta-analysis. Heart & Lung, 49(3), pp.273-286. 3. Insertion & Removal of a Peripheral Venous Cannula Brearley , S. (2016) Insertion & Removal of a Peripheral Intravenous Cannula. Scottish Diabetes Research Network. https://www.nhsresearchscotland.org.uk/uploads/tinymce/SOPs_SDRN_pending_review/SOP%2020%20-%20Insertion%20&%20Removal%20of%20a%20Peripheral%20Intravenous%20Cannula[1].pdf (accessed on 9th september 2023) 4. Peripheral Venous Cannula (PVC ) Management Guidlines Lead Nurse Infection Prevention & Control. Peripheral Venous Cannula (PVC) Management Guidelines. March 2017. (online) https://www.dbth.nhs.uk/wp-content/uploads/2017/07/PAT-T-45-v-3-Peripheral-Venous-Cannula-Management-Guidelines-final.pdf. (accessed on 10th September 2023) 5. OSCE Checklist: Intravenous Cannulation : Geeky Medics Geeky Medics. OSCE Checklist: Intravenous Cannulation . Geeky Medics. https://geekymedics.com/wp-content/uploads/2020/06/OSCE-Checklist-Intravenous-Cannulation.pdf (Accessed on 8th September 2023)