References

Association for Safe Aseptic Practice. Aseptic non-touch technique: the ANTT clinical practice framework … for all invasive clinical procedures from surgery to community care. 2015. https//tinyurl.com/mrx7u5pk (accessed 11 October 2023)

Boyd C. Clinical skills for nurses, 2nd edn. Chichester: Wiley; 2022

Buowari OY. Complications of venepuncture. Advances in Bioscience and Biotechnology. 2013; 4:(1A)126-128 https://doi.org/10.4236/abb.2013.41A018

Curr S, Fordham-Clarke C. Clinical nursing skills: at a glance.Chichester: Wiley; 2022

European Biosafety Network. Prevention of sharps injuries in the hospital and healthcare sector. Implementation guidance for the EU Framework Agreement, Council Directive and associated national legislation. 2011. https//tinyurl.com/yynrstp2 (accessed 11 October 2023)

Ford C. Adult pain assessment and management. Br J Nurs. 2019; 28:(7)421-423 https://doi.org/10.12968/bjon.2019.28.7.421

Ford C, Park LJ. Hand hygiene and handwashing: key to preventing the transfer of pathogens. Br J Nurs. 2018; 27:(20)1164-1166 https://doi.org/10.12968/bjon.2018.27.20.1164

Ford C, J Park L. How to apply and remove medical gloves. Br J Nurs. 2019; 28:(1)26-28 https://doi.org/10.12968/bjon.2019.28.1.26

Gottlieb M, O'Brien JR, Schraft EK. What is the role of ultrasound guidance versus the landmark-based technique for peripheral intravenous cannulation?. Ann Emerg Med. 2023; 82:(3)366-368 https://doi.org/10.1016/j.annemergmed.2023.02.018

Hallam C, Weston V, Denton A Development of the UK Vessel Health and Preservation (VHP) framework: a multi-organisational collaborative. J Infect Prev. 2016; 17:(2)65-72 https://doi.org/10.1177/1757177415624752

Health and Safety Executive. Sharp instrument in healthcare regulations 2013: guidance for employers and employees. 2013. https//www.hse.gov.uk/pubns/hsis7.htm (accessed 11 October 2023)

Helm RE, Klausner JD, Klemperer JD, Flint LM, Huang E. Accepted but unacceptable. J Infus Nurs. 2015; 38:(3)189-203 https://doi.org/10.1097/NAN.0000000000000100

Kinlin LM, Mittleman MA, Harris AD, Rubin MA, Fisman DN. Use of gloves and reduction of risk of injury caused by needles or sharp medical devices in healthcare workers: results from a case-crossover study. Infect Control Hosp Epidemiol. 2010; 31:(9)908-917 https://doi.org/10.1086/655839

Lister SE, Hofland J, Grafton H, Wilson C. The Royal Marsden manual of clinical nursing procedures, 10th edn. Chichester: John Wiley & Sons; 2021

National Institute for Health and Care Excellence. Intravenous fluid therapy in adults in hospital. Clinical guideline CG174. 2017. https//www.nice.org.uk/guidance/cg174 (accessed 11 October 2023)

The code.London: NMC; 2018

Nursing and Midwifery Council. Standards framework for nursing and midwifery education. 2023. https//tinyurl.com/4duz65p5 (accessed 11 October 2023)

Pan CT, Francisco MD, Yen CK, Wang SY, Shiue YL. Vein pattern locating technology for cannulation: a review of the low-cost vein finder prototypes utilizing near infrared (NIR) light to improve peripheral subcutaneous vein selection for phlebotomy. Sensors (Basel). 2019; 19:(16) https://doi.org/10.3390/s19163573

Phillips LD, Gorski LA. Manual of IV therapeutics: evidence-based practice for infusion therapy, 6th edn. Philadelphia: F.A. Davis Company; 2014

Rickard CM, Webster J, Wallis MC Routine versus clinically indicated replacement of peripheral intravenous catheters: a randomised controlled equivalence trial. Lancet. 2012; 380:(9847)1066-1074 https://doi.org/10.1016/S0140-6736(12)61082-4

Standards for infusion therapy, 2nd edn. London: RCN; 2016

Skarparis K, Ford C. Venepuncture in adults. Br J Nurs. 2018; 27:(22)1312-1315 https://doi.org/10.12968/bjon.2018.27.22.1312

Tada M, Yamada N, Matsumoto T, Takeda C, Furukawa TA, Watanabe N. Ultrasound guidance versus landmark method for peripheral venous cannulation in adults. Cochrane Database Syst Rev. 2022; 12:(12)

Thomas RK. Practical medical procedures at a glance.Chichester: Wiley; 2015

UK Oncology Nursing Society. Acute oncology initial management guidelines. 2023. https//tinyurl.com/3xhmj66y (accessed 11 October 2023)

Wallis MC, McGrail M, Webster J Risk factors for peripheral intravenous catheter failure: a multivariate analysis of data from a randomized controlled trial. Infect Control Hosp Epidemiol. 2014; 35:(1)63-68 https://doi.org/10.1086/674398

Woode Owusu M, Wellington E, Canvin M, Gilbart V, Ncube F. Bloodborne viruses and workplace injury risk. Nurs Times. 2015; 111:(7)12-14

A guide to cannulation in adults

26 October 2023
Volume 32 · Issue 19

Abstract

This article provides clinical guidance on performing cannulation on an adult. The site, equipment selection and aseptic non-touch technique will be discussed. The clinical procedural technique of cannulation will be explained and the article will also provide an awareness of the dangers and complications of this invasive technique for both the patient and the health professional.

Intravenous cannulation is a widely practised invasive procedure globally, involving the insertion of a slender, flexible tube containing a retractable needle into a peripheral vein (Boyd, 2022). This technique serves as a gateway for various medical interventions, including the delivery of fluids, medications, dyes, contrast agents and blood products, as well as the collection of blood for diagnostic purposes (Helm et al, 2015). Nonetheless, conducting cannulation involves inherent risks. Hence, it becomes crucial for health professionals to ensure safe practice by recognising their own limitations, comprehending the theoretical foundations of the insertion procedure, and maintaining awareness of the associated risks in this clinical skill (Nursing and Midwifery Council (NMC), 2018; 2023).

When performing cannulation on individuals with compromised immune systems, it is of utmost importance to take additional precautions to reduce the risk of infection and safeguard their health. Immunocompromised individuals possess weakened immune defences, making them more susceptible to infections. As a result, there may be a need for extra precautions, which could involve maintaining rigorous aseptic non-contact methods and creating a sterile environment (UK Oncology Nursing Society (UKONS), 2023).

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