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How to Assess a Peripheral Intravenous (IV) Cannula

Speciality Classification
Nurses and Midwives
Location
Online
Delivery
Online
Duration
4 minutes
Provider
Ausmed

Most patients need at least one peripheral intravenous cannula (also known as an intravenous catheter) (PIVC) during their hospital stay for IV fluids and medications, blood products or nutrition (ACSQHC 2019).

PIVC complications are common but they can be prevented or minimised by routine assessment. This article discusses the key points of PIVC assessment.

Is an IV Cannula Needed?

Does the patient need this PIVC?

Many PIVCs are left in without orders for IV fluids or medications. Others are never used at all (Limm et al. 2013; New et al. 2014).

Some patients end up with two, three or even more concurrent PIVCs, despite only needing one in most cases (New et al., 2014).

There are even reports of patients being discharged home with an IV in place because no one noticed it was there! (The Nurse Path 2016)

PIVCs are often left in ‘just in case’ the patient might need it. But any IV cannula leads directly to the bloodstream and can be a source of infection (Ray-Barruel et al. 2017).

Assess the need for the PIVC every shift. If it wasn’t used in the past 24 hours or is not likely to be used in the next 24 hours, it should come out.

Exceptions might be an upcoming planned procedure, cardiac monitoring, history of seizures, unstable medical condition or recent rapid response call. If you’re unsure, check with the treating team.

Delivery
Title
How to Assess a Peripheral Intravenous (IV) Cannula
Speciality Classification
Interest Areas / Topics Covered
Intravenous therapy
Location
Provider Type
Education Provider
Duration
4 minutes
Start Date
22-Jun-2020
End Date
25-Jun-2023
CPD Points
4 minutes of CPD
Price
Free
Location
Online
Price:
Free
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