Skill 5: Establishing a Peripheral Intravenous Line for Infusion
of fluids
Task: Insert a cannula into a peripheral vein for fluid infusion, correctly and
safely
Criteria for satisfactory completion of task: when all relevant aspects of the task,
governed by the following principles, are demonstrated:
adequate preparation of the patient and tools for the procedure
conduct of the procedure adheres strictly to principles of asepsis and
standard precautions
consideration of patient safety and comfort
adequate documentation of the procedure
recognition of limitations and possible complications
Checklist
Expected Actions
1 Preparation
IV cannula for venous access
Infusion set connected to a bottle of IV fluid (e.g. Normal Saline)
Other necessary items
2 Inform patient verbal consent
3 Prepare the patient and select an appropriate peripheral vein (usually
on upper limb)
4 Wash hands /hand rubs
5 Don clean gloves
6 Apply a tourniquet above selected site of insertion
7 Disinfect the site
8 Cannulation:
Steady the selected vein
Inserts about of the cannula into the vein at an angle of about
30 degrees
Pull back the needle slightly
IMU CSSC CS Students checklist (Competency Profile March 2013 ) 1
Check for backflow of blood, indicating that the needle is in
Advance the full length of cannula into the vein without moving
the needle
9 Release tourniquet
10 Using the non-dominant hand, steady the cannula between the thumb
and index finger, and press over the tip of cannula with the middle
finger , withdraw the needle from the cannula with the other hand
11 Dispose the used needle immediately into the Sharps Bin
12 Connect the infusion set to the cannula
13 Release pressure over the tip of the cannula
14 Confirm good flow through the infusion set before anchoring/fastening
the cannula to the skin
15 Ensure the cannula is fixed and steady
16 Adjust flow rate
17 Ensure patient s comfort
18 Clear used equipment
19 Remove gloves
20 Wash hands
21 Document
22 Continue monitoring
YAW/TS/RL Aug 2013
2
IMU CSSC CS Students checklist (Competency Profile