Cannulation

Introduces self	0	1
Confirms name & date of birth of patient (against wristband if present)	0	1
Explains & gains consent	0	1
Checks if patient is on anticoagulants, feels dizzy or faints at the site of blood	0	1
Collects equipment (correct size cannula, alcohol swab, tourniquet, 0.9% saline and syringe for flush, sharps bin, cannula dressing, cotton wool, gauze, tape)	0	1
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	0	1
Applies dressing and writes date	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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