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Intravenous Cannulation

The document discusses intravenous cannulation, including defining it as inserting a needle or catheter into a vein. The objectives are to provide IV therapy and access to the circulatory system to administer medications, fluids, electrolytes, nutrition, and substitute oral intake. The policy requires nurses to be competency validated to perform IV cannulation, obtain a physician's order, make no more than two cannulation attempts, change tubing and sites regularly, inspect sites, and follow aseptic technique.

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362 views9 pages

Intravenous Cannulation

The document discusses intravenous cannulation, including defining it as inserting a needle or catheter into a vein. The objectives are to provide IV therapy and access to the circulatory system to administer medications, fluids, electrolytes, nutrition, and substitute oral intake. The policy requires nurses to be competency validated to perform IV cannulation, obtain a physician's order, make no more than two cannulation attempts, change tubing and sites regularly, inspect sites, and follow aseptic technique.

Uploaded by

jeorj
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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INTRAVENOUS CANNULATION

DEFINITION
 Intravenous Cannulation is a technique that
permits insertion of a needle or catheter into the
vein.
OBJECTIVES
 To provide adequate intravenous therapy as
prescribed.
 To provide access to the circulatory system in
anticipation of administering medication.
 To restore and maintain fluid and electrolytes balance.
 To administer medications and nutrition.
 To temporarily substitute inadequate oral intake.
 To provide safe and patent route of IVF
administration.
POLICY
 Only a nurse who has successfully completed the theoretical
component of the Hospital IV cannulation program and has been
competency validated can perform peripheral IV cannulation. 
 IV cannulation competency shall be re-assessed as determined by
the Nursing Competency IPP. 
 A physician’s order is required for insertion and discontinuation of
an IV cannula and IV therapy. The order must include
fluid/medication, date, time, amount given, and the rate of delivery.
 The nurse shall not make more than 2 attempts to insert an IV
cannula. If unsuccessful, a person with more experience will be
requested to make a further two attempts. If still unsuccessful, the
physician will be notified.
POLICY (CONT..)
 Adult patients should have cannula inserted in the upper extremities
only.
 In paediatric patients the upper extremities and the dorsum of the foot
can be used as the cannula insertion sites. 
 Never use a limb that has a fistula or graft for haemodialysis. Avoid
the affected side in cases of paralysis or mastectomy.
 All IV tubings must be changed every 72 hours except for blood,
blood products, TPN, lipids and chemotherapy. Label tubing with the
date and time initially hung. Replace tubing used to administer lipids,
TPN and blood products within 24 hours of initiating the infusion. IV
tubing used with chemotherapy must be discarded after the drug is
given.
POLICY (CONT..)
 Peripheral IV cannula has to be changed every 72 hours on adult
patient (Pediatic/Neonates are changed PRN) unless a written order
exists to the contrary.
 IV sites shall be inspected every 4-6 hours (Pediatric/Neonates every
hour) and each time line is accessed.
 IV cannula in use intermittently must be flushed with at least 2mls of
Normal Saline every 8 hours to KVO (Paediatric/Neonates use 1 ml) as
well as pre and post IV drug administration.
 Remove IV cannula immediately if infiltrated or there is sign of
phlebitis or infection. If exudate is present at site, swab and send to lab
for culture and sensitivity. The catheter tip should also be sent to lab
for culture and sensitivity.
 IV cannulation insertion must be carried out under aseptic technique
POLICY (CONT..)
 A cannula inserted under emergency
conditions with possible breaks in aseptic
technique should be removed within 24
hours and a new cannula is inserted at a
different site.
 Never reinsert stylet back into catheter
once it has been removed because of the
tendency of the catheter to be punctured or
damaged.
 Blood specimen may be drawn at the time
of catheter insertion
• IV solutions as prescribed
• IV administration set
• IV cannula of appropriate size
• Three way stopcock
• Gloves
• Alcohol swabs
• Tourniquet
• Adhesive tape
• IV stand
• Arm splint or board
• Kidney dish
• Protective sheet
• Sharp dispenser
• Sterile syringe
• IV tag

MATERIALS AND EQUIPMENT


PROCEDURE

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