This episode looks at the procedure of Intravenous Cannulation.<\/p>\n
A cannula is a flexible plastic tube, which is inserted into a vein to allow medication and or fluid to be administered intravenously. When choosing the cannula size, you must take into account the intended use for the cannula and the accessibility of the patient’s veins. Aim to use the smallest appropriate cannula to meet the clinical need in order to minimise vascular complications.<\/p>\n
Once you have watched the video, please complete the multiple choice quiz to test your knowledge.<\/p>\n","protected":false},"excerpt":{"rendered":"
This episode looks at the procedure of Intravenous Cannulation. A cannula is a flexible plastic tube, which is inserted into a vein to allow medication and or fluid to be administered intravenously. When choosing the cannula size, you must take into account the intended use for the cannula and the accessibility of the patient’s veins. […]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2,1],"tags":[],"class_list":["post-17","post","type-post","status-publish","format-standard","hentry","category-tomorrows-clinicians","category-uncategorized","entry"],"youtubeVideo":"471384787\/6b0386a5d7","question1":"When cleaning the skin prior to intravenous cannula insertion, the skin should be cleaned for...","answers1":"30 seconds only | 60 seconds only | 30 seconds and allowed to dry for 30 seconds | 60 seconds and allowed to dry for 30 seconds","correctAnswer1":"2","correctAnswerText1":"Prior to intravenous cannula insertion, the skin should be cleaned for 30 seconds in a criss-cross motion, and then allowed to air dry for 30 seconds.","question2":"When inserting an intravenous cannula, which of the following skin cleansing solutions should be used to clean the skin over the insertion site?","answers2":"Soap and water | 2% chlorhexidine | 70% isopropyl alcohol | 2% chlorhexidine and 70% isopropyl alcohol","correctAnswer2":"3","correctAnswerText2":"Inserting a cannula carries a risk of developing a site infection, or bacteraemia. The 2% chlorhexidine gluconate \/ 70% isopropyl alcohol formulation acts fast on a broad spectrum of bacteria, including methicillin-resistant staphylococcus aureus (MRSA). It keeps fighting bacteria for at least 48 hours.","question3":"When inserting a cannula, the bevel should be facing in which direction?","answers3":"Up | Down | Left | Right","correctAnswerText3":"Inserting the cannula with the bevel facing up means that the sharp tip of the needle pierces and enters the skin first, allowing the rest of the needle to follow smoothly.","correctAnswer3":"0","question4":"At what angle should the cannula be inserted into the skin?","answers4":"0-15 degrees | 15-30 degrees | 30-45 degrees | 45-60 degrees","correctAnswer4":"1","correctAnswerText4":"","question5":"Immediately after cannula insertion, and removal of the needle the next thing you should do is\u2026","answers5":"Flush the cannula | Attach the bung | Attach an infusion | Dispose of the needle safely","correctAnswer5":"3","correctAnswerText5":"Once the sharp has been safely disposed, proceed to attach the bung and flush the cannula. An infusion should only be attached after the cannula has been flushed to ensure patency.","question6":"After removing the needle, you should\u2026","answers6":"Hand the needle to an assistant to dispose of | Place the needle on the tray whilst you attach the bung |Place the needle in a sharps bin | Place the needle in a clinical waste bin","correctAnswer6":"2","correctAnswerText6":"Sharps should never be passed to another person, placed down in a tray or on a surface, or put in a clinical waste bin. All of these increase the risk of sustaining a needle stick injury to yourself or another person. All sharps should be disposed of straight into the sharps bin immediately after use. ","question7":"Post insertion, what should the cannula be flushed with?","answers7":"Nothing | 5-10 ml 0.9% sodium chloride | 5-10 ml sterile water for injection | 5-10 ml 5% glucose","correctAnswer7":"1","correctAnswerText7":"If the cannula is not flushed, blood may clot in the channel immediately blocking the lumen. Water should not be administered directly intravenously, as it causes lysis of red blood cells. Glucose solution shouldn\u2019t be used in isolation to flush, as it provides a source for bacterial growth if left in the cannula.","question8":"After flushing what should you do with the empty flush syringe?","answers8":"Retain it for future reference | Dispose of it in the sharps bin | Dispose of it in the clinical waste bin | Dispose of it in the domestic waste bin","correctAnswer8":"2","correctAnswerText8":"The syringe does not need to be disposed of in the sharps bin, as it doesn\u2019t have a needle attached or any sharp edges. It should not be put in domestic waste as it has been in contact with bodily fluids.","question9":"The cannula should be secured by\u2026","answers9":"Sterile strips only | Sterile strips and sterile transparent waterproof dressing | Adhesive tape and sterile transparent waterproof dressing | Sterile strips and bandage","correctAnswer9":"1","correctAnswerText9":"The sterile transparent dressing allows the site to remain clean and be directly observed for VIP score without having to remove the dressing.","question10":"When documenting, which of the following does not need to be recorded?","answers10":"Lot\/batch number of the cannula | Date and time of insertion | Expiry date of the cannula pack | Date and time of cannula review","correctAnswer10":"1","correctAnswerText10":"The expiry date of the cannula pack must be checked, however, this doesn\u2019t need to be recorded on the VIP score form. If an information sticker is available on the cannulation pack, this should be put onto the VIP score form.","question11":"","answers11":"","correctAnswer11":"","correctAnswerText11":"","question12":"","answers12":"","correctAnswer12":"","correctAnswerText12":"","question13":"","answers13":"","correctAnswer13":"","correctAnswerText13":"","question14":"","answers14":"","correctAnswer14":"","correctAnswerText14":"","question15":"","answers15":"","correctAnswer15":"","correctAnswerText15":"","icon":"intravenous-cannulation","parentId":"","recapId":"444","_links":{"self":[{"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/posts\/17"}],"collection":[{"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=17"}],"version-history":[{"count":7,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/posts\/17\/revisions"}],"predecessor-version":[{"id":871,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/posts\/17\/revisions\/871"}],"wp:attachment":[{"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=17"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=17"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=17"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}