Thursday, July 16, 2009

Learn IV canulation__ for pre-medical students

1. Assemble all the equipment required:
Gloves
Sharps bin
2. Prime 3 way tap and extension with saline:
3. Explain to the patient what you intend to do and why. Obtain verbal consent.
4. Tighten a tourniquet around he appropriate limb and identify an appropriate vein:
5. Clean the insertion site with the alcohol wipe:
6. Infiltrate the insertion site with local anaesthetic:
7. Hold the cannula so that you will be able to see blood entering the transparent flashback chamber. Keep the bevel facing upwards. Stretch the skin with the thumb of your non-dominant hand.
8. Insert the cannula, aiming for the vein, until you get a flashback of blood
9. Insert the cannula slightly further - remember that the plastic sleeve of the cannula does not extend right to the tip of the trocar:
10. Hold the trocar still with your dominant hand and slide the plastic cannula forward with your other hand
11. Compress the vein over the tip of the cannula to prevent blood entering the cannula, withdraw the trocar and dispose of it immediately in the sharps bin.
12. Continue to compress the vein and connect the extension tubing
13. Secure the cannula in place with a transparent adhesive dressing

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