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This document provides guidelines for nurses and midwives undertaking peripheral intravenous cannulation in children, detailing policy statements, procedural guidelines, and best practices for safety
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How to fill out national clinical policy and

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How to fill out National Clinical Policy and Procedural Guideline for Nurses and Midwives undertaking Peripheral Cannulation in Children

01
Review the National Clinical Policy and Procedural Guideline document thoroughly.
02
Ensure you are familiar with the definitions and terminologies used in the guidelines.
03
Identify the age range and specific conditions of the children for peripheral cannulation.
04
Gather all necessary equipment and ensure it meets the required standards.
05
Follow the step-by-step procedures outlined in the guideline for the insertion of the cannula.
06
Document each step taken during the procedure, including patient consent and any observations.
07
Consult with a supervisor or experienced colleague if you encounter any uncertainties during the process.
08
Adhere to safety protocols and infection control measures throughout the procedure.
09
Review and understand the guidelines for post-procedure care and monitoring.

Who needs National Clinical Policy and Procedural Guideline for Nurses and Midwives undertaking Peripheral Cannulation in Children?

01
Registered Nurses and Midwives working in pediatric settings.
02
Healthcare professionals involved in the intravenous access for children.
03
Training programs for nurses and midwives specializing in pediatric care.
04
Organizations and institutions providing clinical services to children.
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The scalp may be appropriate in neonates or infants, particularly where previous attempts at the limbs have failed or are likely to be unsuccessful. Frontal, occipital, superficial temporal or posterior auricular veins are an option.
Medication administered via IV route should never be forced through the IV cannula line. Pushing medication forcefully through a blocked IV cannula may force a clot into the client's circulatory system. Select an IV site with a large vein and IV cannula to use for IV push medication administration.
Peripheral vein cannulation (PVC) is one of the most frequently performed invasive skills by nurses working in hospitals, with up to 70–80 percent of hospitalised patients requiring medication delivered through a vein cannula [7, 8].
1. Demonstrate the ability to undertake venepuncture and PVC insertion competently using an aseptic or non-touch technique. 2. Explain the infection risks and appropriate preventative measures.
- Insert the IV cannula at a shallow angle (approximately 10-30 degrees) with the bevel facing up. - Advance the cannula gently into the vein and observe for a flashback of blood in the flashback chamber of the cannula. - Once blood is observed, lower the cannula to the skin level and advance it further into the vein.
Any dressing used for securing a peripheral cannula must be sterile, semi-permeable with good adhesive properties and provide good visibility of the site and surrounding area (RCN 2016; Campbell and Carrington 1999).
The following equipment is required for IV cannulation: clean trolley. sterile gloves (use standard precautions for all procedures where contact with blood possible) basic dressing pack. 24 g Optiva or Insyte neonatal catheter. blunt end drawing up needle. 10 ml ampoule of 0.9% sodium chloride.
19. Wash hands again. Don gloves. Remove cannula sheath. Open the cannula wings. Ensure the cannula mechanism slides smoothly. Secure the vein from below with your non-dominant hand. Ensure the needle bevel is facing upwards. Insert the cannula at an angle of 10-30º into the vein.

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The National Clinical Policy and Procedural Guideline for Nurses and Midwives undertaking Peripheral Cannulation in Children provides a framework and standardized procedures for safely performing peripheral cannulation in pediatric patients. It aims to ensure high-quality care and minimize risks during the process.
Registered nurses and midwives who are involved in performing peripheral cannulation on children are required to file the National Clinical Policy and Procedural Guideline. This ensures that they adhere to the established standards and protocols.
To fill out the National Clinical Policy and Procedural Guideline, practitioners must document the necessary patient information, the procedure performed, any assessments made, and adhere to the specific procedural steps outlined in the guideline. It's essential to ensure accuracy and completeness in the record.
The purpose of this guideline is to standardize the approach to peripheral cannulation in children, enhance patient safety, ensure effective pain management, and improve overall outcomes by providing clear protocols for healthcare professionals.
The information that must be reported includes the patient's identification details, the indication for cannulation, the site of cannulation, any complications encountered, and the post-procedure assessment. Additionally, the healthcare provider's name and qualifications should be documented.
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