Download Clinical Policy for Peripheral Venous Cannula Insertion and

PERIPHERAL VENOUS CANNULATION POLICY (ADULTS)
Version
1
Name of responsible (ratifying) committee
Infection Prevention Management Committee
Date ratified
December 2014
Document Manager (job title)
Consultant in Infection Prevention
Date issued
09 December 2014
Review date
08 December 2016
Electronic location
Infection Control Policies
Related Procedural Documents
Hand hygiene, standard precautions, consent
Key Words (to aid with searching)
Peripheral venous cannulation, Cannulation, Cannulae,
Asepsis, AccuVein, IV site, Phlebitis, IV access
Version Tracking
Version
Date Ratified
Brief Summary of Changes
Author
1
December
2014
Rewrite of Clinical Policy for Peripheral Venous
Cannulation Insertion and Management
IPCT
Peripheral Venous Cannulation (Adults): Issue Number: 1, Issue Date: 09 December 2014
(Review date: 08 December 2016 (unless requirements change))
Page 1 of 17
CONTENTS
QUICK REFERENCE GUIDE....................................................................................................... 3
1. INTRODUCTION.......................................................................................................................... 5
2. PURPOSE ................................................................................................................................... 5
3. SCOPE ........................................................................................................................................ 5
4. DEFINITIONS .............................................................................................................................. 5
5. DUTIES AND RESPONSIBILITIES .............................................................................................. 5
6. PROCESS ................................................................................................................................... 6
7. TRAINING REQUIREMENTS .................................................................................................... 14
8. REFERENCES AND ASSOCIATED DOCUMENTATION .......................................................... 14
9. EQUALITY IMPACT STATEMENT ............................................................................................ 16
10. MONITORING COMPLIANCE WITH PROCEDURAL DOCUMENTS ........................................ 17
Peripheral Venous Cannulation (Adults): Issue Number: 1, Issue Date: 09 December 2014
(Review date: 08 December 2016 (unless requirements change))
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QUICK REFERENCE GUIDE
For quick reference the guide below is a summary of actions required. This does not negate the need
practitioners to be aware of and follow the detail of this policy.
1. Peripheral venous cannulation is an aseptic procedure and should only be undertaken when
there is a clear and immediate need for intravenous access, or there is significant risk of
haemorrhage. Cannulation should not be performed as a routine clinical intervention and should only
be carried out by suitably trained practitioners
2. Cannulae should be appropriate for the product to be delivered, the intended speed of delivery, the
duration of intended therapy and the condition and size of the vein
24
24
Catheter
length (mm)
14
19
22
25
35
28
20
20
18
18
16
14
25
32
32
45
50
50
65
60
105
100
210
345
15
17
9.5
10
5
3
Gauge
Flow Rate
(ml/min)
26
22
Time to infuse
1L N/S (mins)
38
45
Indication
Neonates / Paediatrics
Long-term medications / fluid therapy
Large fluid volumes/blood or contrast/dyes
Whole blood administration
Rapid infusion of blood or components
3. An upper extremity site is preferable for cannulation. Areas of flexion e.g. antecubital fossa should
be avoided where possible
4. A sterile cannulation pack must be used for all cannulation attempts
5. Skin must be prepared with 2% chlorhexidine gluconate in 70% isopropyl alcohol (2% CHG/70%
IPA) (Sanicloth) and allowed to dry between each and every cannulation attempt
6. During cannulation, never re-introduce the needle into the cannula sheath as this may damage the
sheath which then has the potential to break and lodge inside the vein
7. Peripheral venous cannulae insertion sites must be visually inspected and palpated for tenderness
a minimum of once per shift and a Visual Infusion Phlebitis(VIP) score recorded
Peripheral Venous Cannulation (Adults): Issue Number: 1, Issue Date: 09 December 2014
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8. Peripheral venous cannulae should be electively re-sited if a non-aseptic insertion is suspected
(e.g. emergency situation), if sited in a lower limb or if the cannula is more than 72 hours old
Peripheral Venous Cannulation (Adults): Issue Number: 1, Issue Date: 09 December 2014
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1.
INTRODUCTION
Peripheral venous cannulation is the process of inserting a small hollow catheter over a needle
into a peripheral vein. Peripheral venous cannulation is an invasive intervention that should
only be carried out by suitably trained practitioners.
2. PURPOSE
The purpose of this policy is to inform to all practitioners about the requirements and processes
for peripheral venous cannulation and appropriate aftercare and removal. By using this policy,
practitioners will act to reduce the risks to patients and staff associated with peripheral venous
cannulation. These include thrombosis, pain, local or systemic infection; occupational sharps
injury and inappropriate cannula insertion.
3. SCOPE
This document sets out the standards to be followed by medical and non-medical members of
staff employed by Portsmouth Hospitals NHS Trust whose role involves cannulation or cannula
aftercare. For the purpose of this policy a non-medical member of staff is defined as a
registered nurse, midwife or support worker.
‘In the event of an infection outbreak, flu pandemic or major incident, the Trust recognises
that it may not be possible to adhere to all aspects of this document. In such circumstances,
staff should take advice from their manager and all possible action must be taken to
maintain ongoing patient and staff safety’
4. DEFINITIONS
Adult: for the purpose of this policy this relates to a person over 16 years of age
Asepsis: is recognised as the state of being free from pathogenic microorganisms
Aseptic technique: is the means of preventing or minimising the risk of introducing harmful
micro-organisms onto key parts or key sites of the body when undertaking clinical procedures
Disposable Tourniquet - a disposable single use device that promotes vein distension for
insertion of a needle, it should remain taut for a maximum of 60 seconds
Extravasation: administration of vesicant solution into the surrounding tissue1
Infiltration: administration of non-vesicant solution into the surrounding tissue1
Phlebitis: inflammation of a vein, more specifically the inner lining (tunica intima). Signs of
phlebitis include; localised redness, heat, swelling and pain. Phlebitis may be mechanical
(physical trauma to the vein), chemical (irritation caused by strong medicines) or infection
(caused by infiltration of micro-organisms) in origin1
Vesicant: an agent or substance that causes blisters, burns and destruction of internal or
external tissue1
5. DUTIES AND RESPONSIBILITIES
Infection Prevention Team: are responsible for providing cannulation training, reviewing
competency and managing the peripheral venous cannulation policy. The Infection Prevention
team will also undertake monitoring and clinical audit of insertion and aftercare practice.
Ward/Department/Line Managers: need to ensure adequate stock of equipment for peripheral
venous cannulation is held and that all staff members who are required to perform cannulation
Peripheral Venous Cannulation (Adults): Issue Number: 1, Issue Date: 09 December 2014
(Review date: 08 December 2016 (unless requirements change))
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or care for cannulae post insertion are appropriately trained. Managers must report to the
Infection Prevention team any incidents of unsuitable or dangerous practice.
Medical Consultants: are responsible for ensuring that all peripheral venous cannulation is
clinically indicated and carried out in full accordance with this policy. Consultants are also
responsible for reviewing the need for existing devices daily and reporting any incidents of
unsuitable or dangerous practice.
Individuals undertaking peripheral venous cannulation: should ensure they meet the
training requirements, are safe and competent to undertake this skill and follow all relevant
Trust policies to support safe practice. Staff must be aware of their roles and responsibilities
and must identify and communicate any training needs to their Line Manager.
Healthcare Workers: are responsible for ensuring safe care, access and removal of peripheral
cannulae and reporting overdue or inappropriate devices to the Infection Prevention Team
6. PROCESS
6.1 Peripheral venous cannulation is an aseptic procedure and should only be undertaken
when there is a clear and immediate need for intravenous access, or there is significant risk of
haemorrhage. Cannulation should not be performed as a routine clinical intervention.
Indications for peripheral venous cannulation1:
Peripheral venous cannulation is generally indicated for:
 Short-term administration of intravenous fluid therapy of usually less than 3-4 days
 Administration of intravenous medication or blood and blood products
 Administration of dyes and contrast media
 Vascular access for emergency
Peripheral venous cannulation is not indicated at Portsmouth Hospitals NHS Trust for:
 The administration of Total Parentral Nutrition (TPN)
 Vesicant and irritant solutions which can cause blistering and tissue necrosis if they
leak into the tissue (sclerosing solutions, some chemotherapeutic agents, and
vasopressors)
 Longer term fluid or drug infusions (>3 days) or medications (>5 days) where multiple
attempts are required to establish peripheral venous access
An appropriate vascular device should be inserted to administer these solutions.
Intravenous device decision tree:
Peripheral Venous Cannulation (Adults): Issue Number: 1, Issue Date: 09 December 2014
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6.2 Cannula selection:
The cannula should be appropriate for:
 The type of infusion / medication / contrast to be delivered
 The intended or required speed of delivery
 The duration of intended therapy
 The condition and size of the vein
Non-ported cannulae may be associated with a reduced risk of infection and should be used for
the majority of patients2. Ported cannulae should only be used in main and maternity theatres,
where rapid sequence induction may be necessary.
Always select the smallest cannula necessary for the task.
Gauge
24
24
22
20
20
18
18
16
14
Catheter
length
(mm)
14
19
25
25
32
32
45
50
50
Flow
Rate
(ml/min)
26
22
35
65
60
105
100
210
345
Time to
infuse 1L
N/S (mins)
38
45
28
15
17
9.5
10
5
3
Indication
Neonates / Paediatrics
Long-term medications / fluid therapy
Large fluid volumes/blood or contrast/dyes
Whole blood administration
Rapid infusion of blood or components
6.3 Prevention and management of incidents and adverse events:
Peripheral venous cannulation carries a risk of inoculation injury with contaminated sharps.
The following must be adhered to at all times:
Used cannulae must be discarded immediately at the point of use by the person generating the
waste into a sharps bin that complies to UN 3921 and BS7320
Sharps bins must not be overfilled, and must have the temporary closure mechanism in place
when not in use
Practitioners should no work alone with confused or disoriented patients who may move
unexpectedly, contributing to inoculation injuries
6.4 Consent:
Informed consent must be obtained from all patients who have capacity prior to any cannulation
attempt3. Consent may be given verbally or non-verbally and may be the act of the patient holding
out their arm for the practitioner to carry out a procedure, providing the patient has received
appropriate information prior to this3.
The key principles of informed consent include:
 The patients right to consent voluntarily without pressure or coercion
 The patients right to withdraw consent at any time
 The provision of sufficient information to allow informed consent. This includes:
i. The reason for the procedure
ii. What the procedure involves
iii. Any significant potential complications
6.5 Complications:
Complications of peripheral venous cannulation include:
Peripheral Venous Cannulation (Adults): Issue Number: 1, Issue Date: 09 December 2014
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Prolonged bleeding time (caused by medical condition or drug therapy)
Haematoma (caused by puncturing the front and/or back wall of the vein or failure to apply correct
pressure post failed attempt or removal)
Infiltration (see definition)
Extravasation (see definition)
Phlebitis (see definition)
Accidental damage (of adjacent structures including nerves, tendon or artery)
Infection
6.6 Hand Hygiene:
Hand hygiene with liquid soap and water or alcohol hand-rub must be performed before and after
each patient procedure, before putting on gloves and after removing them4,5. The Trust standard
7-stage hygiene technique should be used at all times.
6.7 Personal protective equipment (PPE):
When cannulating, practitioners should wear well-fitting sterile gloves. These are single use items
and must be disposed of immediately after use4,5.
6.8 Skin Preparation:
Skin must be prepared with 2% chlorhexidine gluconate in 70% isopropyl alcohol (2% CHG/70%
IPA) (Sanicloth) 3. Cleaning should cover the whole area, ensuring that the skin area is in contact
with the disinfectant for at least 15-30 seconds4,6. The area should then be allowed to dry4. If
more than one attempt is made to access the vessel, the site must be re-cleaned with a new wipe
between attempts.
6.9 Number of attempts:
Only three attempts should be made to cannulate the patient, using new equipment on each
occasion.
 Never re-introduce the needle into the cannula sheath as this may damage the sheath
which then has the potential to break and lodge inside the vein
If unsuccessful, support should be obtained from another member of staff qualified in peripheral
venous cannulation. Failed attempts should be documented in the patient notes.
Use of the AccuVein device (available from the Infection Prevention Department) can
increase successful cannulation in difficult patients (e.g. IVDU, oncology patients) and show
valves and bifurcations in vessels.
6.10 Site selection:
To reduce the risk of device related infection and phlebitis, it is preferable to use an upper
extremity site for inserting a peripheral venous cannula in adults and to replace a device
inserted in a lower extremity to a site in the upper extremity as soon as possible4.
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Veins should be looked for in the following order:
 On the back of each hand
I. Metacarpal veins
 Lower arm
I. Cephalic or basilic veins
 Areas of flexion e.g. antecubital fossa should be avoided where possible for patient
comfort4,6
 Sites close to existing wounds, or limbs affected by lymph node dissection or renal
fistula should be avoided7,8
Inspection will reveal clinical conditions that may prevent the arm being used whilst palpation of
the veins will reveal the position of the veins, direction in which they run and their size and
other physical features. The vein should be straight and feel soft, cylindrical in shape and
‘bouncy’ when lightly pressed. Veins that are tender, sclerosed, thrombosed, fibrosed, hard or
bruised from previous use should be avoided.
6.11 Hair removal:
Hair removal may be required if excessive hair interferes with cannulation attempts or hinders
device fixation and application of an adhesive dressing.
 Hair removal around the insertion site should be accomplished using scissors or
clippers7
 Shaving with a razor should not be performed because of the potential for causing
microabrasions, which increase the risk of infection8
 Depilatories should not be used because of the potential for allergic reaction or irritation8
 Electric clippers should have disposable heads for single-patient use8
Peripheral Venous Cannulation (Adults): Issue Number: 1, Issue Date: 09 December 2014
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6. 12 Equipment required for insertion of a peripheral venous cannula:
 Cannulation pack, containing;

Sterile gloves

Sterile towels x2

2% chlorhexidine gluconate in 70% isopropyl alcohol wipe (2% CHG/70% IPA)
(Sanicloth)

10mL pre-filled Sodium Chloride 0.9% flush

Single use disposable tourniquet

Transparent sterile occlusive dressing
 Sterile gauze
 Clinical waste bag
 Appropriate sized cannulae x2
 Extension set
 Sharps container
 Dedicated tray or identified prepared area, cleaned with detergent wipe or soap and
warm water
6.13 Process:
 Approach patient, introduce yourself and check allergies (e.g. chlorhexidine)
 Give rationale for cannula insertion and ensure patient consents to the procedure
 Adjust environment to comfortable working height and ensure adequate lightingwherever possible
 Decontaminate hands following the Trust Hand Hygiene Procedure
 Clean tray or dedicated surface with detergent wipe or soap and warm water
 Open the sterile cannulation pack and arrange contents on field by placing hand inside
sterile waste bag
 Open the cannula, extension set and 2% chlorhexidine gluconate in 70% isopropyl
alcohol wipe onto the sterile field
 Open 10mL pre-filled Sodium Chloride 0.9% flush and place to the side of the sterile
field
 Identify/palpate suitable vessel
 When potential site is identified, position patient comfortably with appropriate limb below
the level of the heart
 Remove excess hair if required
 Place one sterile towel under the patients hand/arm
 Apply tournique
 Repeat hand decontamination with alcohol-based hand rub
 Apply sterile gloves
 Clean the site thoroughly with the 2% chlorhexidine gluconate in 70% isopropyl alcohol
wipe for at least 15 seconds and allow to air dry
 Place second sterile towel over the appropriate limb below the site of intended
cannulation
 Gently pull on skin, distal and lateral to insertion site. Do not touch the cannula or the
insertion site (at this point local anaesthetic may be administered if prescribed and
appropriate)
 Insert cannula (bevel uppermost) through the cleaned skin area at an angle of 20-30
degrees
 Advance until just in the vein and then lower the cannula until it is parallel with the skin
(a flashback of blood is usually but not always seen at this point)
 Hold the needle still and advance the cannula over the needle until the cannula is
inserted up to the hilt
 (In the event of unsuccessful cannulation of the vein withdraw the cannula from the
puncture site and apply pressure with sterile gauze swab)
 Release the tournique using a piece of sterile gauze to protect the integrity of the sterile
gloves
Peripheral Venous Cannulation (Adults): Issue Number: 1, Issue Date: 09 December 2014
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 Remove the needle (ensuring the sharps safe mechanism has activated) and dispose of
immediately into a sharps container, using the sterile cap to occlude the cannula
 Secure the device with steri-strips and the transparent occlusive dressing
 Using the pre-filled saline syringe, flush through the extension set and attach to the
cannula.
 Flush to the cannula with 5-10mLs of saline to check position
 Complete the time and date sticker from the occlusive dressing and apply near cannula
site (ensuring that the entry pint is not obscured)
 Dispose of gloves, aprons and used equipment into the clinical waste stream
 Decontaminate hands
 Complete insertion documentation on VitalPAC or cannula insertion care bundle
6.14 Cannula care (see appendix):
 Peripheral venous cannulae insertion sites must be visually inspected and palpated for
tenderness a minimum of once per shift and a Visual Infusion Phlebitis (VIP) score
recorded either on VitalPAC or a paper cannula care bundle4,6
 Practitioners must act immediately if the VIP score is >=1

Insertion sites and cannula components should be checked prior to the administration of
any intravenous medications or fluids with recording of these observations as best
practice
 All peripheral venous cannulae, prior to use, must have:
 No evidence of phlebitis, infiltration, extravasation
 No reported pain at the site
 An intact transparent dressing which completely covers the entry site and
secures the device
 Needle free extension set in situ
 A valid date and time on the dressing
 Cannula dressings should cover the entry site and device up to the notch
Peripheral Venous Cannulation (Adults): Issue Number: 1, Issue Date: 09 December 2014
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 Leave the transparent semipermeable membrane dressing applied to the peripheral
cannula insertion site in situ for the life of the cannula, provided that the integrity of the
dressing is retained.5
6.15 Changing a peripheral cannula dressing:
 Cannula dressings should be changed if they become soiled or their integrity is
compromised4,6,8
 If the peripheral cannula is older than 48 hours, consideration should be given to
removal and re-cannulation, rather than dressing change
 Dressing changes may be done by a lone practitioner if the patient understands the
procedure and is able to co-operate. Two practitioners should change dressings for
patients who are confused or disoriented and who may move unexpectedly
6.16 Equipment required for a peripheral cannula dressing change:
 Non-sterile gloves and apron
 Replacement transparent cannula dressing
 2% chlorhexidine gluconate in 70% isopropyl alcohol wipe (Sanicloth)
 Cleaned plastic tray
 Clinical waste bag or bin
6.17 Process:
 Approach patient, introduce yourself and check allergies (e.g. chlorhexidine)
 Give rationale for changing the cannula dressing and ensure patient consents to the
procedure
 Adjust environment to comfortable working height and ensure adequate lightingwherever possible
 Decontaminate hands following the Trust Hand Hygiene Procedure
 Clean tray with detergent wipe or soap and warm water
 Open the 2% chlorhexidine gluconate in 70% isopropyl alcohol wipe and transparent
dressing into the clean tray
 Repeat hand decontamination with alcohol-based hand rub
 Apply apron and non-sterile gloves
 Holding the cannula securely, gently remove soiled/non-intact dressing
 Once the dressing is removed (and ensuring not to touch any part of the cannula that
will be underneath the dressing), clean the site thoroughly with the 2% chlorhexidine
gluconate in 70% isopropyl alcohol wipe and allow to air dry
 Ensuring that the cannula has not moved and is stable, release the cannula and apply
the dressing, ensure that the cannula hub is covered
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 Date and time the new dressing with the date and time of the original cannula
insertion
 Dispose of gloves, aprons and used dressing into the clinical waste stream
 Decontaminate hands
6.18 Cannula access:
 Access of peripheral cannulae should be performed using a aseptic non-touch
technique
 Hands must be decontaminated with an alcohol-based hand rub or by washing with
liquid soap and water before and after any contact with the peripheral cannula or
insertion site
 Gloves must be worn for all procedures
 All hubs or ports must be cleaned using a single-use application of 2% chlorhexidine
gluconate in 70% isopropyl alcohol prior to access. The hub should be cleaned for a
minimum of 15 seconds and allowed to dry
 Primary and secondary solution administration sets used for a continuous infusion must
be changed every 72 hours and immediately upon suspected contamination or when
the integrity of the product or system has been compromised4,5
 Administration sets for blood and blood components should be changed every 12 hours,
or according to the manufacturer's recommendations 4,5
 Administration sets used for TPN should be changed every 24 hours or immediately
upon suspected contamination or when the integrity of the product or system has been
compromised 4,5
6.19 Cannula re-siting or removal:
 Peripheral venous cannulae should be electively re-sited:
 If a non-aseptic insertion is suspected (e.g. emergency situation)
 If sited in a lower limb (EPIC)
 If the cannula is more than 72 hours old
 The catheter should be removed when complications occur (or VIP >=1) or as soon as it
is no longer required4
6.20 Equipment required for removal of a peripheral cannula:
 Non-sterile gloves and apron
 Sterile gauze
 2% chlorhexidine gluconate in 70% isopropyl alcohol wipe (Sanicloth)
 clean plastic tray
 small adhesive plaster
6.21 Process:
 Approach patient, introduce yourself and check allergies (e.g. chlorhexidine)
 Give rationale for removing the cannula and ensure patient consents to the procedure
 Adjust environment to comfortable working height and ensure adequate lightingwherever possible
 Decontaminate hands following the Trust Hand Hygiene Procedure
 Clean tray with detergent wipe or soap and warm water
 Open the 2% chlorhexidine gluconate in 70% isopropyl alcohol wipe and sterile gauze
into the clean tray
 Repeat hand decontamination with alcohol-based hand rub
 Apply apron and non-sterile gloves
 Holding the cannula securely, gently remove soiled/non-intact dressing
 Once the dressing is removed, slide the cannula out and apply pressing using sterile
gauze to the puncture site. Do not press firmly on the puncture site until after the plastic
sheath has been removed to prevent shearing
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 Apply gentle pressure until bleeding has stopped and raise limb if required
 Apply small adhesive plaster to site (do not tape gauze over the site as this is not
secure)
 Dispose of gloves, aprons and gauze into the clinical waste stream
 Contaminated peripheral cannulae should be placed into sharps bins
 Decontaminate hands
7. TRAINING REQUIREMENTS
Prior to undertaking any cannulation procedure, all staff must be able to demonstrate clinical
competence and a clear understanding of the underlying principles of practice. This will be
achieved by:
Nursing and other health care staff;
a)
b)
c)
Completion of the Trust venous cannulation competency pack
Attendance at the trust cannulation study day
Completion of a period of supervised clinical practice
(Staff who have been trained and practised in a previous post may be allowed to demonstrate
an equivalent level of competence through a period of supervised practice only).
Medical staff;
Post registration house officer (PRHO) induction will include training by Trust trainers on local
policies and principles of practice. Senior House Officer’s and Registrars will be assumed
competent unless identified otherwise by their supervisor. If problems are identified, the staff
member will be required to:
a)
b)
c)
Completion of the Trust venous cannulation competency pack
Attendance at the trust cannulation study day
Completion of a period of supervised clinical practice
Cannula care training for clinical staff is available from the Infection Prevention Team.
8. REFERENCES AND ASSOCIATED DOCUMENTATION
1. McCallum L, Higgins D. (2012). Care of peripheral venous cannula sites. Nursing Times;
108: 34/35, 12-15.
2. Easterlow et al (2010). Implementing and standardising the use of peripheral vascular
access devices. Journal of Clinical Nursing. Vol 19; 5-6: pg 721–727
3. Department of Health (2010). Reference guide to consent for examination or treatment.
London: HMSO
4. Loveday et al (2014). epic3: National Evidence-Based Guidelines for Preventing HealthcareAssociated Infections in NHS Hospitals in England. Journal of Hospital Infection 86S1 (2014)
S1–S70
5. NICE (2012). Prevention and control of healthcare –associated infections in primary and
community care. Clinical guideline 139. National Institute for Health and Clinical Excellence
6.RCN (2010). Standards for infusion therapy. Third edition. Royal College of Nursing IV
Therapy Forum.
Peripheral Venous Cannulation (Adults): Issue Number: 1, Issue Date: 09 December 2014
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7. Dougherty L and Watson J (2008). ‘Vascular access devices’, in Dougherty L and Lister S
(editors) The Royal Marsden Hospital Manual of clinical nursing procedures (7th edition),
Oxford: Blackwell Publishing, Chapter 44. (III)
8. Infusion Nurses Society (2006). Infusion nursing standards of practice, Cambridge, MA: INS
and Becton Dickinson.
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9. EQUALITY IMPACT STATEMENT
Portsmouth Hospitals NHS Trust is committed to ensuring that, as far as is reasonably
practicable, the way we provide services to the public and the way we treat our staff reflects
their individual needs and does not discriminate against individuals or groups on any grounds.
This policy has been assessed accordingly.
All policies must include this standard equality impact statement. However, when sending for
ratification and publication, this must be accompanied by the full equality screening assessment
tool. The assessment tool can be found on the Trust Intranet -> Policies -> Policy
Documentation
Our values are the core of what Portsmouth Hospitals NHS Trust is and what we cherish. They
are beliefs that manifest in the behaviours our employees display in the workplace.
Our Values were developed after listening to our staff. They bring the Trust closer to its vision
to be the best hospital, providing the best care by the best people and ensure that our patients
are at the centre of all we do.
We are committed to promoting a culture founded on these values which form the ‘heart’ of our
Trust:
Respect and dignity
Quality of care
Working together
No waste
This policy should be read and implemented with the Trust Values in mind at all times.
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10. MONITORING COMPLIANCE WITH PROCEDURAL DOCUMENTS
Minimum requirement to
be monitored
Cannulation Training
Cannula care and removal
Cannula observations
Lead
Tool
Frequency of Report
of Compliance
Learning &
Development
(supported by
Infection
Prevention)
Study day register and
competency framework
Yearly
Infection
Prevention &
Control
TEAL audits of peripheral
venous cannula care,
use and removal
Monthly
Infection
Prevention
Management
Committee
VitalPAC reporting
Daily
Reporting arrangements
Policy audit report to:

Caroline Mitchell
Infection Prevention Management
Committee
Policy audit report to:
 Infection Prevention Management


Learning & Development
Infection Prevention Management
Committee
Policy audit report to:

Lead(s) for acting on
Recommendations
Committee
Heads of Nursing
Nursing Midwifery Committee
Peripheral Venous Cannulation (Adults): Issue Number: 1, Issue Date: 09 December 2014
(Review date: 08 December 2016 (unless requirements change))
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Caroline Mitchell