Which vein is best for cannulation?

Which vein is best for cannulation?

The preferred site for cannula insertion is the dorsum of the hand. The antecubital fossa should generally be avoided unless there are no other appropriate sites. The chosen vein should be visible, straight, easily compressed and not over a joint (SCHN 2019).

What is the procedure for cannulation?

Procedure Steps

1. Introduce yourself to the patient.
2. Sanitise your hands using alcohol cleanser.
3. Re-check the vein.
4. Clean the patients skin with the alcohol wipe.
5. Remove the needle cover.
6. Flashback of blood is seen in the hub.
7. Advance the rest of the cannula into the vein.
8. Remove the needle.

What are the sites of cannulation?

The preferred sites for IV cannulation

• Hand. Dorsal arch veins.
• Wrist. Volar aspect.
• Cubital fossa. Median antecubital, cephalic and basilic veins.
• Foot. Dorsal arch.
• Scalp. Scalp veins should only be used once other alternatives are exhausted.

What veins should I avoid for cannulation?

The veins of choice are the cephalic or basilic. Avoid using the antecubital veins as this will restrict the patient’s movement and increase the risk of complications such as phlebitis and infiltration (Dougherty & Watson, 2011; RCN, 2010).

How do I get better at cannulation?

Hand hygiene is critical. Sterile no-touch technique is the best, although using the regular gloves with no-touch technique is also acceptable. Prepare the skin adequately with alcohol or chlorhexidine prior to cannulation. Always swab the bung with alcohol or chlorhexidine swabs before accessing the IVC.

How painful is a cannula?

When an IV needle is placed, it can cause some slight discomfort. You may feel a small sting or pinch for a few seconds when the needle is inserted in your arm or hand. If you’re particularly sensitive to needles, you may want to ask for a numbing cream, so you don’t feel the needle when it goes in.

How many times can you attempt cannulation?

There is an emerging trend for the use of this technology to aid in the insertion of PIVCs for patients with DiVA [16, 17].

How long do you leave the skin to dry after preparation for cannulation?

Prepare the site by wiping with an appropriate skin preparation/alcohol swab and allow to dry naturally before proceeding. (Do not re-palpate after preparing skin.) longer than 1 minute.

What can go wrong with cannulation?

Complications include infection, phlebitis and thrombophlebitis, emboli, pain, haematoma or haemorrhage, extravasation, arterial cannulation and needlestick injuries. Careful adherence to guidelines and procedures can minimise these risks.

How do you make cannulation less painful?

Although other manoeuvres can reduce the pain of cannulation, such as ‘darting’ the cannula through the skin or getting the patient to cough,16 and although other analgesics or drug delivery systems have also been shown to be effective,17,18 local anaesthetic injection is the only readily available method that allows …