HLTHPS009 - Perform peripheral intravenous cannulation Competency Mapping Template

Unit of Competency Mapping – Information for Teachers/Assessors – Information for Learners

HLTHPS009 Mapping and Delivery Guide
Perform peripheral intravenous cannulation

Version 1.0
Issue Date: May 2024

Qualification	-	Unit of Competency	HLTHPS009 - Perform peripheral intravenous cannulation
Description
Employability Skills
Learning Outcomes and Application	This unit describes the skills and knowledge required to perform peripheral intravenous cannulation on clients. This unit applies to registered enrolled nurses, registered Aboriginal and/or Torres Strait Islander health practitioners and emergency workers for whom peripheral intravenous cannulation is part of the job role. They may be working in hospitals, primary health care in rural remote locations, pathology services, out-of-hospital settings or in other allied health care environments.The extent of the practitionerâ€™s role for peripheral intravenous cannulation may be subject to state/territory legislation and organisation policy, and competency should be demonstrated within the context of applicable legislation and organisation practice.The skills in this unit must be applied in accordance with Commonwealth and State/Territory legislation, Australian/New Zealand standards and industry codes of practice.
Duration and Setting	X weeks, nominally xx hours, delivered in a classroom/online/blended learning setting. Skills must have been demonstrated in the workplace with the addition of simulations and scenarios where the full range of contexts and situations has not been provided in the workplace. The following aspects of the performance evidence must have been demonstrated using simulation prior to demonstration in the workplace or with members of the general public and where state/territory legislation prevents this occurring: prepared equipment and performed peripheral intravenous cannulation for 3 different clients according to manufacturerâ€™s instructions and organisation procedures monitored 1 in-situ peripheral intravenous cannula, documenting assessment of the patency of the cannula and condition of the site safely removed 1 peripheral intravenous cannula from a client in accordance with organisation procedures The following conditions must be met for this unit: use of suitable facilities, equipment and resources, including: simulation learning equipment e.g. simulation limb suitable for peripheral intravenous cannulation dressing pack for aseptic technique solution for cleaning cannulation site tape for securing cannula suitable dressing to cover and allow visibility of entry site of cannula peripheral intravenous cannulation equipment personal protective equipment clinical waste disposal equipment tourniquet/blood pressure cuff organisation procedure used in the planning of the procedure Assessors must satisfy the Standards for Registered Training Organisations (RTOs) 2015/AQTF mandatory competency requirements for assessors.
Prerequisites/co-requisites
Competency Field

Development and validation strategy and guide for assessors and learners		Student Learning Resources	Handouts Activities	Slides PPT	Assessment 1	Assessment 2	Assessment 3	Assessment 4
Elements of Competency	Performance Criteria
Element: Elements define the essential outcomes
Element: Prepare for peripheral intravenous cannulation	Correctly identify client and authorised request/s for peripheral intravenous cannulation Explain procedure to client and obtain consent and check for allergies Identify any additional specific requests/tests relevant to the procedure before proceeding Ensure client is correctly and comfortably positioned to access the veins Work with multidisciplinary team to coordinate activities to ensure they do not impact on peripheral vascular cannulation Discuss with parent/carer/staff member appropriate holding and/or distraction technique for a client during cannulation Assemble and prepare peripheral intravenous cannulation equipment using standard precautions Apply tourniquet/blood pressure cuff to limb, palpate for identification of suitable vein and then release tourniquet/blood pressure cuff Prepare and clean insertion site for cannulation

Evidence Required

List the assessment methods to be used and the context and resources required for assessment. Copy and paste the relevant sections from the evidence guide below and then re-write these in plain English.

ELEMENT

Elements define the essential outcomes

PERFORMANCE CRITERIA

Performance criteria describe the performance needed to demonstrate achievement of the element

1. Prepare for peripheral intravenous cannulation

1.1 Correctly identify client and authorised request/s for peripheral intravenous cannulation

1.2 Explain procedure to client and obtain consent and check for allergies

1.3 Identify any additional specific requests/tests relevant to the procedure before proceeding

1.4 Ensure client is correctly and comfortably positioned to access the veins

1.5 Work with multidisciplinary team to coordinate activities to ensure they do not impact on peripheral vascular cannulation

1.6 Discuss with parent/carer/staff member appropriate holding and/or distraction technique for a client during cannulation

1.7 Assemble and prepare peripheral intravenous cannulation equipment using standard precautions

1.8 Apply tourniquet/blood pressure cuff to limb, palpate for identification of suitable vein and then release tourniquet/blood pressure cuff

1.9 Prepare and clean insertion site for cannulation

2. Perform peripheral intravenous cannulation

2.1 Identify own work health and safety (WHS) risks associated with poor posture during procedure and adjust clientâ€™s position

2.2 Use aseptic technique to insert peripheral intravenous cannula in accordance with manufacturerâ€™s instructions and organisation policies and procedures

2.3 Respond to complications in accordance with organisation policy and procedures and refer client to supervisor

2.4 Dress the site with visibility of cannula entry and secure cannula to limb.

2.5 Date the cannula in-situ dressing site, ensure client is left comfortable and is provided with relevant information and instructions

2.6 Dispose of wastes, taking into account opportunities to address waste minimisation, environmental responsibility and sustainable practice issues

2.7 Document in clientâ€™s health information the site of peripheral intravenous cannulation and number of attempts

3. Monitor peripheral intravenous cannula in-situ

3.1 Assess site and cannula patency regularly in accordance with organisation procedures

3.2 Refer to supervisor or authorised personnel observed indications for cannula removal

3.3 Upon authorised request, remove intravenous cannula, cover insertion site and check bleeding has stopped

The candidate must show evidence of the ability to complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the job role. There must be evidence that the candidate has:

prepared equipment and performed peripheral intravenous cannulation for 3 different clients according to manufacturerâ€™s instructions and organisation procedures

monitored 1 in-situ peripheral intravenous cannula, documenting assessment of the patency of the cannula and condition of the site

safely removed 1 peripheral intravenous cannula from a client in accordance with organisation procedures

The candidate must be able to demonstrate essential knowledge required to effectively complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the work role. This includes knowledge of:

basic anatomy and physiology of the circulatory system and first aid relevant to bleeding from peripheral vascular system

factors necessitating a client to need a peripheral intravenous cannula to be in-situ:

venous blood samples

intravenous fluids

medication

identification of suitable veins in the upper and lower limbs for peripheral intravenous cannulation including:

size and condition of clients vein

use of non-dominant limb if possible

avoid the cephalic vein in clients with chronic renal failure

expected duration of the in-situ intravenous cannula

identification of veins to avoid using for peripheral intravenous cannulation:

areas of flexion e.g. antecubital fossa or bony prominences

vein just below the previous cannulation site

bruised or phlebitis areas

areas of poor venous return

limb with arteriovenous fistulae or shunt

infected limb e.g. cellulitis

arm on the same side as a previous lymph node dissection, mastectomy or affected by a cerebrovascular accident

limb with an implanted venous access device

if surgical procedure is required on limb

basic medical terminology used in peripheral vascular cannulation and pathology laboratory requests

factors which may affect the chemical analysis of blood collected from an in-situ peripheral intravenous cannula:

appropriate times to collect

impact of drugs

timing of last dose

required fasting times

protecting the integrity of the specimen

how to position client for comfort and adjust chair or bed to reduce practitioners WHS risk factors associated with poor posture during repetitive tasks

clinical applications for sizes (gauge) of cannula required, selection should take into account:

previous cannulation sites

age of patient e.g. neonates, children and the older person

purpose of peripheral intravenous cannula:

rapid transfusion

intravenous fluids

long term medication

care and maintenance of peripheral intravenous cannula in- situ

complications associated with peripheral intravenous cannulation:

occlusion

infection

phlebitis

rupture

migration

extravasation

unsuccessful cannulation attempt, client discomfort or distress

how to safely use equipment associated with peripheral intravenous cannulation:

tourniquet and/or blood pressure cuff

chlorhexidine and alcohol swabs

peripheral intravenous cannula

local anaesthetic cream and dressings

extension set and/or three-way tap device & bung associated with intravenous therapy

flushing in-situ cannula with syringe

pre-collection criteria when peripheral intravenous cannulation is for the purpose of collecting blood including:

fasting and/or dietary restrictions

drug therapies administered to client

physical health status of client

referral of client to an appropriate health professional if pre-criteria is not met prior to cannulation

Submission Requirements

List each assessment task's title, type (eg project, observation/demonstration, essay, assignment, checklist) and due date here

Assessment task 1: [title] Due date:

(add new lines for each of the assessment tasks)

Assessment Tasks

Copy and paste from the following data to produce each assessment task. Write these in plain English and spell out how, when and where the task is to be carried out, under what conditions, and what resources are needed. Include guidelines about how well the candidate has to perform a task for it to be judged satisfactory.