5.2.5. INSERTION PROCEDURE INSERTION PROCEDURE RATIONALE 1. Identify the patient as per Liverpool To ensure correct patient. Community Health NHS Trust policy. 2. Explain the procedure to the patient; To ensure patient ask for preference regarding site and understanding Link to obtain verbal consent and co- consent policy. operation. 3. Discuss previous experiences and To establish venous history. check need for local anaesthetic. 4. Prior to selection of equipment: To minimise risk of cross Hand wash with soap and water. infection Select the correct cannula size To reduce unnecessary choosing the smallest gauge that will trauma to the vein. accommodate the infusion patient’s needs. 5. Decontaminate hands using alcohol To minimise risk of cross hand rub or by hand washing with infection. liquid soap as per Liverpool Community Health NHS Trust Hand Hygiene Policy 6. Check integrity of packaging and expiry To maintain asepsis. date before opening pack onto clean trolley/surface. 7. Wash and dry patients arm if visibly Clean skin required. dirty. 8. Position the patient with arm supported To ensure patient comfort by pillow or if required ensure and safety. assistance from a colleague. Place the drape under the patients arm. 9. Choose site according to patient To dilate veins by obstructing condition and apply tourniquet at least venous return. 10cms above selected site. 10. Find the PALPABLE vein. To reduce trauma to the vein. 11. Decontaminate hands using To minimise risk of cross alcohol hand rub; infection.
5.2.5. INSERTION PROCEDURE INSERTION PROCEDURE RATIONALE 1. Identify the patient as per Liverpool Community Health NHS Trust policy. To ensure correct patient. 2. Explain the procedure to the patient; ask for preference regarding site and obtain verbal consent and co- operation. To ensure patient understanding Link to consent policy. 3. Discuss previous experiences and check need for local anaesthetic. To establish venous history. 4. Prior to selection of equipment: Hand wash with soap and water. Select the correct cannula size choosing the smallest gauge that will accommodate the patient’s infusion needs. To minimise risk of cross infection To reduce unnecessary trauma to the vein. 5. Decontaminate hands using alcohol hand rub or by hand washing with liquid soap as per Liverpool Community Health NHS Trust Hand Hygiene Policy To minimise risk of cross infection. 6. Check integrity of packaging and expiry date before opening pack onto clean trolley/surface. To maintain asepsis. 7. Wash and dry patients arm if visibly dirty. Clean skin required. 8. Position the patient with arm supported by pillow or if required ensure assistance from a colleague. Place the drape under the patients arm. To ensure patient comfort and safety. 9. Choose site according to patient condition and apply tourniquet at least 10cms above selected site. To dilate veins by obstructing venous return. 10. Find the PALPABLE vein. To reduce trauma to the vein. 11. Decontaminate hands using alcohol hand rub; To minimise risk of cross infection.