Venepuncture/Phlebotomy and IV cannulation is a procedure often performed by nurses working in the Emergency Department.
Venepuncture and IV cannulation is an advanced clinical skill. It is the ability to establish IV access and to withdraw blood for laboratory analysis.
Establishing vascular access or the taking of blood for investigation and diagnosis, is considered a clinical priority and crucial for IV fluid administration and medication administration.
While the insertion of an IV cannula maybe necessary, this procedure is considered invasive and carries risks to a patient’s well-being. You will not be permitted to participate in venepuncture or IV cannulation.
It is useful, however, to have a good understanding of best practice standards surrounding venepuncture and management of a peripheral IV cannula. This knowledge will enhance your ability to recognise potential complications and to communicate the situation to your mentor.
Resources to guide best practice are within this module.
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Cannulation - The right way
For educational purposes. -
Venepuncture - How to take a blood sample - OSCE Guide
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The ability to perform venepuncture (venipuncture) is something medical students, nursing students and other healthcare professionals are required to learn. This video aims to give you an idea of what's required in your exam (OSCE).
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Chapters:
- Introduction 00:00
- Gather equipment 00:37
- Choosing a vein 00:58
- Donning PPE and preparing the site 01:06
- Preparing and inserting the needle 01:27
- Attaching vacutainer tubes 01:44
- Removing the needle 02:37
- Completing the procedure 02:00
- Production disclaimer 02:58
- Credits 03:04
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Always adhere to your medical school/local hospital guidelines when performing examinations or clinical procedures. DO NOT perform any examination or procedure on patients based purely upon the content of these videos. Geeky Medics accepts no liability for loss of any kind incurred as a result of reliance upon the information provided in this video.
Some people have found this video useful for ASMR purposes. -
Phlebotomy: The Order of Veins
Preparing phlebotomy students for their state exam and training them with a correct understanding of CLEA, CLSI, OSHA and HIPPA procedures.
PhlebotomySolutions.org
How To Draw Blood Like A Pro: Step-By-Step Guide
Phlebotomy, the practice of drawing blood from a vein, is a proficiency that all nurses should learn in their career. While not commonly taught in nursing school, programs recommend nursing students take extra courses to hone this skill.
https://nurse.org/articles/how-nurses-professionally-draw-blood/
How to Draw Blood from Hard to Hit Veins
Drawing blood quickly and cleanly is an important skill for doctors, nurses, lab personnel, or phlebotomists. Many venipunctures are routine, but you may occasionally encounter some difficult veins.
https://www.wikihow.com/Draw-Blood-from-Hard-to-Hit-Veins
Peripheral Venous Cannulation
Techniques to increase chance of successful cannulation
https://lifeinthefastlane.com/procedures/peripheral-venous-cannulation/
BLOOD CULTURE COLLECTION – OSCE GUIDE
Taking blood cultures is a relatively common OSCE station. You’ll be expected to demonstrate your clinical skills and ability to communicate effectively.
https://geekymedics.com/blood-culture-collection-osce-guide/
BLOOD BOTTLES GUIDE
Knowing which blood bottles to use for different tests may not be that important for passing your finals, but will be absolutely essential when you start work on the wards afterwards.
https://geekymedics.com/blood-bottles-guide/
INTRAVENOUS CANNULATION (IV) – OSCE GUIDE
This cannulation OSCE guide provides a clear step by step approach to cannulation, with an included video demonstration.
https://geekymedics.com/how-to-perform-cannulation-osce-guide/
Ahlin, C., Klang-Söderkvist, B., Johansson, E., Björkholm, M., & Löfmark, A. (2017). Assessing nursing students’ knowledge and skills in performing venepuncture and inserting peripheral venous catheters. Nurse Education in Practice, 23, 8-14. doi:10.1016/j.nepr.2017.01.003
Asrar, M., Al-Habaibeh, A., Shakmak, B., & Shaw, S. J. (2018). A device for improving the visual clarity and dimension of veins. British Journal of Nursing, 27(19), S26-S36. doi:10.12968/bjon.2018.27.19.S26
Decker, K., Ireland, S., O’Sullivan, L., Boucher, S., Kite, L., Rhodes, D., & Mitra, B. (2016). Peripheral intravenous catheter insertion in the Emergency Department. Australasian Emergency Nursing Journal, 19(3), 138-142. doi:10.1016/j.aenj.2015.12.003
Foulkes, D. (2018). Needles and Nerves. Midwifery Matters(157), 8-9.
Gabriel, J. (2017). Understanding the challenges to vascular access in an ageing population. British Journal of Nursing, 26(14), S15-S23. doi:10.12968/bjon.2017.26.14.S15
Petersen, E. R. B., & Nybo, M. (2018). Hygiene of venepuncture tourniquets in Denmark. Scandinavian Journal of Clinical & Laboratory Investigation, 78(5), 417-420. doi:10.1080/00365513.2018.1480799
Shaw, S. J. (2017). Locating difficult veins for venepuncture and cannulation. Nursing Standard, 31(25), 62-71. doi:10.7748/ns.2017.e10778
Shaw, S. J. (2018). How to undertake venepuncture to obtain venous blood samples. Nursing Standard, 32(29), 41-47. doi:10.7748/ns.2018.e10531
Skarparis, K., & Ford, C. (2018). Venepuncture in adults. British Journal of Nursing, 27(22), 1312-1315. doi:10.12968/bjon.2018.27.22.1312