9 April 2013

IV cannula (Medical students)

Insertion
  • Perform hand hygiene using alcohol rub
  • Wear necessary PPE including disposable gloves
  • Wipe skin at insertion site with chlorhexidine in 70% isopropyl alcohol and allow to dry
  • Insert appropriately sized cannula
  • Apply a sterile transparent dressing after insertion to allow for easy inspection
  • Flush with normal saline
  • Document insertion details (date and site)
Complications
  • Thrombo/Phlebitis - redness, inflammation and discomfort at iv site. Later pain along path of cannula, erythema, induration, palpable venous cord and pyrexia. Cannula should be re-sited at the first signs of inflammation or discomfort or at least every 72 hours.
  • Infection – local and septicaemia.
  • Extravasation – the inadvertent administration of a solution or drug into the tissues. Tissue necrosis may follow.
  • Occlusion – occurs when infusion containers ‘run dry’ or the cannula is not flushed after insertion or use.
  • Dislodgement - poorly fixation.
IV Injections/Infusions
  • Perform hand hygiene using alcohol rub
  • Use an aseptic technique
  • Inspect iv cannula
  • Apply alcohol to injection port.
  • Flush with saline
  • Give correct drug, correct dosage, to correct patient, at correct time.
  • Slow injection or infusion as appropriate.
  • Flush with saline
  • Documentation