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Evidence Guide: HLTHPS009 - Perform peripheral intravenous cannulation

Student: __________________________________________________

Signature: _________________________________________________

Tips for gathering evidence to demonstrate your skills

The important thing to remember when gathering evidence is that the more evidence the better - that is, the more evidence you gather to demonstrate your skills, the more confident an assessor can be that you have learned the skills not just at one point in time, but are continuing to apply and develop those skills (as opposed to just learning for the test!). Furthermore, one piece of evidence that you collect will not usualy demonstrate all the required criteria for a unit of competency, whereas multiple overlapping pieces of evidence will usually do the trick!

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HLTHPS009 - Perform peripheral intravenous cannulation

What evidence can you provide to prove your understanding of each of the following citeria?

Elements define the essential outcomes

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Prepare for peripheral intravenous cannulation

  1. Correctly identify client and authorised request/s for peripheral intravenous cannulation
  2. Explain procedure to client and obtain consent and check for allergies
  3. Identify any additional specific requests/tests relevant to the procedure before proceeding
  4. Ensure client is correctly and comfortably positioned to access the veins
  5. Work with multidisciplinary team to coordinate activities to ensure they do not impact on peripheral vascular cannulation
  6. Discuss with parent/carer/staff member appropriate holding and/or distraction technique for a client during cannulation
  7. Assemble and prepare peripheral intravenous cannulation equipment using standard precautions
  8. Apply tourniquet/blood pressure cuff to limb, palpate for identification of suitable vein and then release tourniquet/blood pressure cuff
  9. Prepare and clean insertion site for cannulation
Correctly identify client and authorised request/s for peripheral intravenous cannulation

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Explain procedure to client and obtain consent and check for allergies

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

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

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Ensure client is correctly and comfortably positioned to access the veins

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

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

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

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

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Assemble and prepare peripheral intravenous cannulation equipment using standard precautions

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

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

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Prepare and clean insertion site for cannulation

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Assessed

Teacher: ___________________________________ Date: _________

Signature: ________________________________________________

Comments:

 

 

 

 

 

 

 

 

Instructions to Assessors

Evidence Guide

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 client’s position

2.2 Use aseptic technique to insert peripheral intravenous cannula in accordance with manufacturer’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 client’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

Required Skills and Knowledge

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 client’s position

2.2 Use aseptic technique to insert peripheral intravenous cannula in accordance with manufacturer’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 client’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 manufacturer’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