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  1. If you have any concerns, please contact the team caring for you. If it is after 5pm, please call the Out of Hours services via 111. Let them know as soon as possible if you experience one or all of the following: Pain or stinging around the cannula site. Fluid or blood leaking from the cannula site.

  2. Appropriate personal protective equipment (PPE) should be worn and standard infection control precautions followed. Best practice is to use a blood spillage kit, which should be used following the manufacturer’s guidance and within expiry date. Alternatively, prepare a chlorine-based solution or granules as below.

  3. Extravasation can result in mild skin reactions to severe tissue death and sometimes amputation is the only treatment option. Other possible complications associated with an extravasation injury include infection, complex regional pain syndrome, and loss of limb function.

  4. Dealing with blood and body fluid spillages. Clean up blood and body fluid spillage promptly to reduce the risk of infection to other people. Appropriate personal protective equipment (PPE) should be worn, e.g. non-sterile disposable gloves and apron, and SICPs followed.

    • Gather Equipment
    • Introduction
    • Preparation
    • Choosing A Vein
    • Inserting The Cannula
    • Flushing The Cannula
    • To Complete The Procedure…
    • References

    Collect the equipmentrequired for the procedure and place it within reach on a tray or trolley, ensuring that all the items are clearly visible: 1. Clean procedure tray 2. Non-sterile gloves 3. Disposable apron (optional) 4. Tourniquet 5. Cannula (size appropriate to the indication for cannulation) 6. Sterile dressing pack (to provide a sterile fie...

    Wash your handsusing alcohol gel. If your hands are visibly soiled, wash them with soap and water. Don PPEif appropriate. Introduce yourself to the patient including your name and role. Confirm the patient’s name and date of birth. Briefly explain what the procedure will involve using patient-friendly language: “Today I need to perform cannulation,...

    1.Don gloves (if not already wearing some). 2.Open the dressing pack and place the cannula, cannula dressing and other items onto the field. 3.Prepare the normal saline flush by drawing the saline into your syringe (if you have a pre-filled flush you can ignore this step). 4.If you are planning on using an extension set, you should attach this to t...

    1.Inspect the patient’s arm for an appropriate cannulation site: 1. You should select a site that is the least restrictive for the patient such as the posterior forearm or dorsum of the hand. In an emergency situation, any large peripheral vein may be used. 2. Avoid areas near the elbow and wrist joints (to reduce the likelihood of dislodgement as ...

    1.Wash your hands again, removing gloves if these were worn for setting up the saline flush. 2. Don a new pair of non-sterile gloves. 3. Re-apply the tourniquet if removed previously. 4.Remove the cannula sheath. 5.Prepare the cannula: 1. Open the cannula wings if present. 2. Slightly withdraw and replace the needle (this will allow it to glide eas...

    1.Inject the normal saline into the cannula using the flush you prepared earlier: 1. The flush should be easy to administer with minimal resistance. 2. Observe for signs of swelling around the site or pain during administration and stop if this occurs. 2.Close the cannula port (if ported). 3. Secure the cannula with a dressing if the cannula flush ...

    Explain to the patient that the procedure is now complete and that they should seek review if the cannulation site becomes painful or inflamed. Thank the patientfor their time. Dispose of your PPE and other clinical waste into an appropriate clinical waste bin. Wash your hands. Documentthe details of the procedure on a cannulation chart or in the p...

    WHO Guidelines on Hand Hygiene in Healthcare: a Summary. Published in 2009. Available from: [LINK].
    WHO guidelines on drawing blood: best practices in phlebotomy. Published in 2010. Available from: [LINK].
    Health service executive. National Clinical Policy and Procedural Guideline for Nurses and Midwives undertaking Peripheral Cannulation in Adults. Published in 2010. Available from: [LINK].
  5. If a specimen leaks into a specimen transport box, tell the laboratory reception staff and ask them to make it safe. If you drop and break a specimen do not touch it or try to clear up the mess. Stay with the specimen to prevent other people touching it and send to the laboratory for assistance.

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  7. Sep 17, 2016 · The most common way of diagnosing and following aortic insufficiency is the echocardiogram, an ultrasound scan of the heart. Acute vs. Chronic Aortic Regurgitation. Acute aortic regurgitation is where there is a sudden event that causes the leak to happen.

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