Cannulation & Administration of an Intravenous Drug

Introduces self	0	1
Confirms name & date of birth of patient (against wristband if present) and drug chart	0	1
Explains & gains consent	0	1
Checks if patient is on anticoagulants, feels dizzy or faints at the site of blood	0	1
Checks drug chart and asks patient for any allergies e.g. penicillin	0	1
Confirms with the drug chart date, dose and route of the drug and whether it has  already been administered	0	1	2
Collects equipment (drug, correct size cannula, alcohol swab, tourniquet, 0.9% saline and syringe for flush, sharps bin, cannula dressing, cotton wool, gauze, tape)	0	1
Checks expiry, concentration, volume of drug. Confirms dosage with dosing formulary e.g. BNF	0	1	2
Washes hands	0	1
Exposes patient’s arm	0	1
Applies tourniquet and palpates vein	0	1
Cleans site with alcohol wipe, leaves to dry for 30 secs and does not touch this area again	0	1
Releases tourniquet and puts on gloves	0	1
Inspects cannula to ensure not defective and loosens needle from container	0	1
Anchors vein by pulling skin taut	0	1
Warns patient before inserting needle at 20 degrees	0	1
Looks for flashback and inserts 2-3mm further when seen	0	1
Withdraws needle whilst advancing plastic tube	0	1
Caps cannula and disposes appropriately in sharps bin	0	1
Flushes cannula with saline to assess patency	0	1
Applies dressing and writes date	0	1
Reconstitutes or draws up drug and confirms dose and drug with another member of staff	0	1
Administers via cannula and flushes cannula with saline to ensure the drug has been completely administered	0	1
Disposes of waste appropriately in clinical waste bin	0	1
Washes hands and answers any questions	0	1
Alerts other staff members that a cannula been placed	0	1
Examiner global score: confidence, methodical and proficient	0	1	2

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