Process And Equipment

Question 1

Wash handing

Answer 1

Before process wash your hands efficiently and be bare below elbow

Question 2

Preparation of equipment

Answer 2

Clean your tray
Check allergy status

Venepuncture equipment:
Tourniquet
Skin decontamination wipe (2% chohexedine and 70 alcohol)
Winged safety infusion device
Safety needle and holder
Vacutainer
Blood collection tubes
Tapes
Sterile gauze

Question 3

Vein selection

Answer 3

Antecubital fossa and medial veins

Metacarpal veins

Question 4

Cannulation

Answer 4

Cannula
Tourniquet
Sterile gauze
Sterile IV dressing
Post flush 10mls of saline

Ensure when your cannulation to angle it 10-30 degrees

Question 5

Vein selection for cannula

Answer 5

Cephalic vein: can be used
Antecubital fossa and medial veins are used for venepuncture not cannula
Metacarpal veins can be used but for short term cannulation

Digital veins can be used if access elsewhere is not gained

Question 6

Cannula colours

Answer 6

Orange- rapid transfusion in theatres and emergency

Grey- same as orange but less flow rate

Green- 18g. TPN and large volume of fluids

Pink 20G- infusing blood components or large volumes of fluids or those on long term medications and those receiving 2-3L of fluids a day

Blue 22G- most common one

Yellow 24G- patients with fragile veins