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Cannula guide Pre pare and assemble all equipment Explain the procedure and gain consent Consent can be given orally or by co -operation RCN Check patient ? s identification Hospital n umber on wristband Name DOB Wash and dry hands as per trust policy pri

Pre pare and assemble all equipment Explain the procedure and gain consent Consent can be given orally or by co -operation RCN Check patient ? s identification Hospital n umber on wristband Name DOB Wash and dry hands as per trust policy prior to commencement of procedure Non sterile gloves and a disposable apron should be worn Use the cann ula selection guide to select a suitable cannula pack based on vein type and treatment to be administered Always select smallest gauge possible Macklin Chernecky Assess both upper limbs and choose a suitable vein Veins in the lower extremities feet legs should not be used routinely due to risk of thrombus INS Wash and dry hands as per trust policy Cannula Gauge Colour Flow rate mls min Flow rate litres hr Blue Pink Green Gray Orange Open the cannula pack using Aseptic Non Touch Technique Apply disposable tourniquet to the selected arm tight enough to impede venous flow but not too tight as to affect arterial flow and palpate for an appropriate vein N B The use of a rubber glove or hands as a tourniquet is strictly prohibited Clean the ski n at the intended insertion site with Chlorhexidine in alcohol for seconds and allow to dry Do not touch or re -palpate the vein after skin cleansing Insert the cannula with the bevel up and observe for flashback If successful advance the cannula keeping the stylet still Release the tourniquet before removing the needle to avoid bruising Apply digital pressure to the vein above the cannula tip and remove the stylet and place in sharps bin immediately ATTACH PRIMED NEEDLE FREE DEVICE TO CANNULA ?? do not connect plain white cap OR Secure the cannula with a sterile permeable semi -transparent cannula dressing which enables clear observation of the insertion site The ? tram lines ? secure each wing horizontally and should not obstruct the view of the insertion site Write the date of insertion on the cannula A competently trained practitioner in IV therapy must then flush the cannula using a ml syringe and mls of Normal saline ENSURE THIS IS PRESCRIBED The flush must be drawn up using a blunt fill needle F lush via the needle free device Dispose of all sharps in accordance with trust policy Disposal of waste in accordance with trust policy using yellow bag in the pack Decontaminate hands according to trust policy NB Should you fail to cannulate after two attempts you must escalate to a more experienced colleague or doctor Complete the bright ly coloured sticker from the cannula pack and put into the medical notes immediately You MUST inform the Nurse of the insertion so they can document on the VitalPac CANNULA AUDITS ARE CONDUCTED MONTHLY EVERY CANNULA MUST ADHERE TO THE ABOVE PROCESSES INCLUDING NEEDLE FREE DEVICE ATTACHMENT DRESSING PLACEMENT AND DOCUMENTATION