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Intravenous Cannulation
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Authorised by: Charge Nurse - Newborn |
| April 2006 |
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Step |
Action |
| 1 |
Administer sucrose per unit protocol prior to procedure for all infants >31 wks & >1500 gm for pain relief. |
| 2 |
Position infant appropriately. Use comfort measures as needed. |
| 3 |
Visually assess condition of veins to ascertain suitability. |
| 4 |
Prepare cannula and tape. Twist cannula slightly around the stylet to loosen it. Do not pull straight off as this can cause pieces from the tip to shear off. |
| 5 |
Using an appropriate disinfectant, clean the skin thoroughly in a circular motion. Swab for at least 30 seconds. Allow to dry. Do not re-palpate. |
| 6 |
Stabilize vein below the site of insertion and pull the skin taut. |
| 7 |
Hold cannula at the sides to allow view of flashback chamber. |
| 8 |
Insert cannula smoothly through the skin at about a 10-degree
angle with point of introducer down and bevel up. If cannula is completely removed through the skin, a new cannula MUST be used. |
| Note: |
MAXIMUM three attempts allowed– then you must seek help. |
9 |
Observe for flash back. |
10 |
Gently inject fluid to distend the walls of the vein as you advance the
cannula. Optional: Gently thread the cannula into the vein without fluid. |
11 |
Tape IV securely. Splint the limb if appropriate. |
12 |
Attach extension with luer plug and pall filter |
13 |
Dispose of sharps and other IV equipment in a safe, appropriate manner. |
14 |
Document all insertions on observation chart. If IV is to be discontinued, state reason for discontinuation and state of IV site. |
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