Reflective_Log_IV_Cannulation_Observation_800Words.docx

Iv cannulation log

1. Reflective Log: IV Cannulation Observation (Gibbs Reflective Cycle)
Description:
One morning during my ward duty, a patient was prescribed intravenous antibiotics and
fluids. The staff nurse prepared for IV cannulation using all aseptic precautions. She
gathered the necessary equipment including gloves, tourniquet, IV cannula, alcohol
swabs, sterile gauze, and adhesive tape. After greeting and explaining the procedure to
the patient, she selected a vein in the patient’s forearm. She applied the tourniquet,
cleaned the area with an alcohol swab, and inserted the cannula smoothly. Once the
blood flashback appeared, she advanced the cannula, removed the needle, and secured
it properly with adhesive tape. Finally, she flushed the cannula with normal saline to
confirm patency and connected the IV line. I carefully observed each step and noted
how communication, confidence, and technique combined to ensure patient safety and
comfort.
Feelings:
Initially, I felt a mix of curiosity and nervousness. I was excited to see a procedure I had
only read about in textbooks but also anxious that the patient might feel discomfort. As
I watched the nurse’s calm and professional manner, I felt inspired and more confident.
I realized how important it is to maintain composure, especially when dealing with
invasive procedures. After the successful insertion, I felt proud to have witnessed a
smooth and safe procedure and motivated to learn this skill myself in the future.
Evaluation:
The overall experience was positive. The nurse followed all infection control measures
and explained each step to the patient, which built trust. The patient remained calm and
cooperative throughout. I observed how important it was to prepare all materials
beforehand to avoid delays. However, I noticed one challenge: finding a good vein in
dehydrated or elderly patients can be difficult. The nurse also emphasized the
importance of checking the patency of the cannula after insertion. From this
observation, I learned the significance of both technical skills and good communication
in nursing practice.
Analysis:
IV cannulation is a fundamental nursing skill that requires precision, knowledge, and

2. aseptic technique. It allows the administration of fluids, medications, and blood
products directly into the bloodstream, which makes it essential in patient care.
According to the Royal College of Nursing (RCN, 2019), maintaining asepsis and patient
comfort are key principles during venipuncture and cannulation. The nurse’s approach
demonstrated these principles effectively. She maintained hand hygiene, wore gloves,
and minimized patient anxiety through reassurance and clear communication. This
aligns with nursing standards that emphasize holistic care — addressing not only
physical but also emotional needs. Observing this procedure enhanced my
understanding of clinical judgment, infection control, and professional behavior.
Conclusion:
This experience was very educational and motivating. I learned that IV cannulation is not
only a technical procedure but also an interaction that requires empathy and
communication. I understood that patient comfort and safety depend on proper
preparation, skill, and confidence. I also realized that practice under supervision is
necessary to develop competence. Observing this procedure has strengthened my
desire to master IV cannulation through guided practice in future clinical rotations.
Action Plan:
1. Study the anatomy of veins and the types and sizes of cannulas commonly used in
hospital settings.
2. Review the hospital policy and infection control guidelines for IV cannulation.
3. Observe more procedures and take notes on technique, patient positioning, and
communication.
4. Practice IV insertion on mannequins or simulation arms under supervision.
5. Seek feedback from mentors and staff nurses to identify areas of improvement.
Reflect on each future attempt to continuously improve my skill and confidence.
Reference:
Gibbs, G. (1988). *Learning by Doing: A Guide to Teaching and Learning Methods.*
Oxford Polytechnic: Oxford. Royal College of Nursing (RCN). (2019). *Standards for
Infusion Therapy (4th ed.).* London: RCN.