@Gemmalouiselea I know a lot of people doing Access To Nursing courses which is good for mature students or those that don't have the required qualifications. However, as nursing is getting really competitive, some experience would also be necessary (like volunteering in a hospital or working in a caring home). But each university's requirements vary so it's best to do a bit of research and look around :)
Im a HCA in the UK and Ive just been signed off on both cannulation and venepuncture, I really enjoy performing both and practice (lots and lots!) makes perfect!
aaa yes..and you forgot to say..that after inserting the canulla and the protective sheet on it..you have to write on it the date of insertion..to know when to remove..
but its ok..i like it.I`m in nurse school now..and we are learning this procedure and practiceing it tomorrow
I am considering pursuing a career in the medical field, but watching this makes me want to throw up... :( I can also feel a familiar similar tingle and deadness in my own left arm which occurs when I get shots or blood tested.
I agree with pmarsh1986. Often the easiest insertion location is the ante-cubital fossa, but it's all-too-often the wrong location—positional IV line occlusions being the most problematic reason. With the patient bending their arm at the elbow the infusion is easily stopped, or the infusion rate is reduced.
The hand should be the first location to search for an adequate vein, then the forearm.
I'm in the hospital quite frequently, but I always get an IV, never a cannula. Is there a significant difference to the effectiveness of one over the other? Also, from so many hospitalizations, my veins aren't in the best shape and it's hard to get IV's to stay in longer than a day or two - would a cannula last longer with less damage?
Once you get used to doing it, you kind of go on auto pilot and do the routine without thinking. Once you find your own technique its easy..but you need to remember that different people have different access and therefore some veins are more tolerant than others so size of venflon is important xx
@limburaju I had a cannula yesterday, in the same place as this guy, and my arm is in a sling all swollen and I can't move my arm. You are definately right. :(
@tinjmail I think catheters are primarily used to drain excess liquid from certain parts of the body. A cannula only goes into a vein. A catheter can be inserted into a body cavity, duct or vessel.
@pmarsh1986- cannulating at the ante-cubital fossa is the most appropriate option as it allows for larger amounts of fluid to be administered over a smaller amount of time. I work in a radiology dept where we inject 100mls of contrast over 30 secs, we try to avoid cannulation distally & find that luckily most nurses & doctors cannulate at the elbow joint where possible. It is also more painful to insert a cannula in a patients hand.
i think that cannulation was done nicely, neatly. however, i wish to see what happens if the client flexes his arm. also, i just want to ask how pmarsh 1986 saw the iv cannula port turned to 180 degrees by the demonstrator? and how shall we put the date on cannula?
i want to take up a career in medicine and do find this stuff quite squeamish, but do you think you can become conditioned? I think i'd be able to condition myself but i do find it quite squeamish
@funkinmyeye Hi - its amazing what you can become accustomed to in pursuit of your career! If you really want to pursue medecine I'm sure your body will adapt. What do others think?
Great video very informative. Just done a session on cannulation. We were taught all equipment must be emptied out of its packaging and tipped onto a sterile paper sheet. Then hands disinfected gloves put on. Then anytime the gloves touch anything unsterile they must be changed first disinfecting the hands before donning a fresh pair of gloves. We all laughed at this but were told we would fail the OSCE if we didnt do it..........
@funkinmyeye Before I began my training as a midwife 5 years ago, I was terrified of puke. 5 years later, I'm not phased at all by holding a bowl in front of a puking woman, holding her hair back and getting rid of the puke. Its amazing what you can become accustomed too when you are expose to it all the time !
@funkinmyeye I was the same, i still pass out when i'm getting my blood taken and the though of having an injection makes my heart rate shoot up. but i got used to taking blood from others and dealing with my fear of needles/blood. good luck :)
@funkinmyeye Yeah, definitely. I used to be terified of needles, but since I've started shooting Heroin I've never been less squeamish! I suggest you start shooting up Heroin ASAP!
pmarsh...great! I think that the diameter of cannula is small for the dimensions of the vein that is cannulating....and the patient should be lyng down during the application.
"Ante-cubital fossa...nice and easy to access" Typical doctor! You should cannulate from the hand up. Should it tissue, veins distal to the insertion site become useless. Also, flush prior to applying the dressing, you can re-site without inflicting pain and less wasteage. The date of insertion should be put on the cannula so it can be re-sited in 72-96 hours. Last thing, when flushing through the port, turining it 180 degrees locks it and stops future flushing (no longer sterile).
well, , u can use distal veins even after tissuing ,, all it takes for veins to heal from double puncturing and tissuing is 3-5 mins,, So , u can still use the distal veins..
cannulation is so over-rated in nursing streams and para-medics.. seriously.. all u need is a working cannula.. and btw , that doctor was jus demostrating now to cannulate - not where , whats the best site,, whats the best size,, whether to attach a three-way infuser attache or what not..
@pmarsh1986 yes we were taught this also go distal first because if the ante cubital fossa goes pair shaped and you try for the dorsum of the hand or cephalic the drug will have to travel past the previous site which may be bleeding wasting the drug you just put in....
thanks a lot for this useful video... so u actually have to put the dressing first before flushing with the hep saline? I'm asking cz the first time I inserted a cannula on a pt, the area was swollen when i flushed with saline
Ah this is really useful thanks - so the needle is removed permanently after the cannula is inserted? I ask because i saw one (for anaesthetic) removed in a hospital and wondered if the needle had fallen out somewhere?
because sometimes the cannula can come dislodged from the vein causing what ever the liquid dere is to store in the patients arm around the vein (causing swelling)
I want to become a nurse. I am 26 i have no GCSE due to pregnancy and was unable to finish my exams. Is ths still possible?
Gemmalouiselea 3 weeks ago
@Gemmalouiselea I know a lot of people doing Access To Nursing courses which is good for mature students or those that don't have the required qualifications. However, as nursing is getting really competitive, some experience would also be necessary (like volunteering in a hospital or working in a caring home). But each university's requirements vary so it's best to do a bit of research and look around :)
sugarnutter 2 days ago
@sugarnutter Thanks for the advice. I really do want to do this :)
Gemmalouiselea 2 days ago
Thanks for this video. I'm about to start CT training including IV cannulation and found this video most educational.
slippyg 1 month ago
Comment removed
JSRDN 1 month ago
Anyone that gets squeamish at this should check out the video on here for sub-tenon block..... wow
1Kelbag1 2 months ago
:))
alexalex692 3 months ago
Im a HCA in the UK and Ive just been signed off on both cannulation and venepuncture, I really enjoy performing both and practice (lots and lots!) makes perfect!
harveydogtennant 7 months ago
why don't you flush the venflon? it's raccomended if you want it to stay clear from blood..
Frengo69 7 months ago
aaa yes..and you forgot to say..that after inserting the canulla and the protective sheet on it..you have to write on it the date of insertion..to know when to remove..
but its ok..i like it.I`m in nurse school now..and we are learning this procedure and practiceing it tomorrow
PREDATOR0140 8 months ago
I wish we can use those tegoderms to hold the needle in place for dialysis.
Passhun4Fasshun 8 months ago
You guys are in the medical field and scared of blood and needles. For me love it and been in this field for 1 year.
Passhun4Fasshun 8 months ago
I am considering pursuing a career in the medical field, but watching this makes me want to throw up... :( I can also feel a familiar similar tingle and deadness in my own left arm which occurs when I get shots or blood tested.
smartjingle 8 months ago
I agree with pmarsh1986. Often the easiest insertion location is the ante-cubital fossa, but it's all-too-often the wrong location—positional IV line occlusions being the most problematic reason. With the patient bending their arm at the elbow the infusion is easily stopped, or the infusion rate is reduced.
The hand should be the first location to search for an adequate vein, then the forearm.
buckrogerstoo 9 months ago
I'm in the hospital quite frequently, but I always get an IV, never a cannula. Is there a significant difference to the effectiveness of one over the other? Also, from so many hospitalizations, my veins aren't in the best shape and it's hard to get IV's to stay in longer than a day or two - would a cannula last longer with less damage?
Zzoee211 10 months ago
Date the venflon please x
heva36 1 year ago
Plus, he is a young guy...why not go for the hand as his veins will be good...its restrictive to put the venflon at the elbow xx
heva36 1 year ago
Once you get used to doing it, you kind of go on auto pilot and do the routine without thinking. Once you find your own technique its easy..but you need to remember that different people have different access and therefore some veins are more tolerant than others so size of venflon is important xx
heva36 1 year ago
I need a guy like this to come help me with my heroin.
pyrosk8ur123 1 year ago
stupid....doesn't know wot he is doin
limburaju 1 year ago
i dont think this guy knows what he is doin.....
he is putting the IV cannula at the joint site...now the patient cannot bend his elbow...
again...he is putting the sharps here and there...waste in the sharps bin....puttin the tegaderm with his gloved hand....oh my oh...
think what you are doin,,,,
limburaju 1 year ago
@limburaju I had a cannula yesterday, in the same place as this guy, and my arm is in a sling all swollen and I can't move my arm. You are definately right. :(
TheKoiStudios 1 year ago
i dont think this guy knows what he is doin.....
he is putting the IV cannula at the joint site...now the patient cannot bend his elbow...
again...he is putting the sharps here and there...waste in the sharps bin....puttin the tegaderm with his gloved hand....oh my oh...
think what you are doin,,,,
limburaju 1 year ago
HATE IVs:(
grettagrids 1 year ago
can someone tell me what's the difference between a cannula and a catheter?
tinjmail 1 year ago
@tinjmail I think catheters are primarily used to drain excess liquid from certain parts of the body. A cannula only goes into a vein. A catheter can be inserted into a body cavity, duct or vessel.
But don't quote me on that. hahaha
joepbailey 1 year ago
@pmarsh1986- cannulating at the ante-cubital fossa is the most appropriate option as it allows for larger amounts of fluid to be administered over a smaller amount of time. I work in a radiology dept where we inject 100mls of contrast over 30 secs, we try to avoid cannulation distally & find that luckily most nurses & doctors cannulate at the elbow joint where possible. It is also more painful to insert a cannula in a patients hand.
mrsfifibee 1 year ago
Nurses hate my viens! Narrow and very deep... It usualy takes 5 or 6 stabs to get into a vein.
Three days later my arms are black!
fodsaks 1 year ago
very good
memmo14 1 year ago
i think that cannulation was done nicely, neatly. however, i wish to see what happens if the client flexes his arm. also, i just want to ask how pmarsh 1986 saw the iv cannula port turned to 180 degrees by the demonstrator? and how shall we put the date on cannula?
neriz30 1 year ago
i want to take up a career in medicine and do find this stuff quite squeamish, but do you think you can become conditioned? I think i'd be able to condition myself but i do find it quite squeamish
funkinmyeye 1 year ago 2
@funkinmyeye Hi - its amazing what you can become accustomed to in pursuit of your career! If you really want to pursue medecine I'm sure your body will adapt. What do others think?
MedicalEducator 1 year ago 6
@MedicalEducator: Medicine introduces you slowly to such things. If you think this is squeamish you should see a paediatric bone marrow aspiration.
SuperflyKingsleyK 1 year ago
@MedicalEducator you also have 1 of these put in when u have operations
Cazkumali 1 year ago
@MedicalEducator how do you take cannulas out
Cazkumali 1 year ago
@Cazkumali
You just pull them out and put a dressing over it till it stops bleeding
Rnexen 11 months ago
@MedicalEducator was that man going to have an operation or something
Cazkumali 10 months ago
Great video very informative. Just done a session on cannulation. We were taught all equipment must be emptied out of its packaging and tipped onto a sterile paper sheet. Then hands disinfected gloves put on. Then anytime the gloves touch anything unsterile they must be changed first disinfecting the hands before donning a fresh pair of gloves. We all laughed at this but were told we would fail the OSCE if we didnt do it..........
johnp7620 1 year ago
@funkinmyeye Before I began my training as a midwife 5 years ago, I was terrified of puke. 5 years later, I'm not phased at all by holding a bowl in front of a puking woman, holding her hair back and getting rid of the puke. Its amazing what you can become accustomed too when you are expose to it all the time !
EmmelineJM 11 months ago
@funkinmyeye I was the same, i still pass out when i'm getting my blood taken and the though of having an injection makes my heart rate shoot up. but i got used to taking blood from others and dealing with my fear of needles/blood. good luck :)
shakitty1 6 months ago
@funkinmyeye Yeah, definitely. I used to be terified of needles, but since I've started shooting Heroin I've never been less squeamish! I suggest you start shooting up Heroin ASAP!
anonimation1234 4 months ago
@anonimation1234 Yes it's a very intelligent idea to take up an addictive drug that can kill you to get over an injection phobia /sarcasm.
benjuzic 2 months ago
@funkinmyeye Become a GP !!
davidsweeney111 3 weeks ago
pmarsh...great! I think that the diameter of cannula is small for the dimensions of the vein that is cannulating....and the patient should be lyng down during the application.
Innamoratacozza 1 year ago
magari se toglie la mano si vede meglio!!!!
pierpy73 1 year ago
i like this video.....sounds good...lol...
liezle1 1 year ago
omg - I gotta have one of these again tomorrow - make me cringe so much - Im dreading it.
Luciannaminx 2 years ago
Feel sorry for the patient if it's not even for his benefit!
saxophoneman23 2 years ago
cannula dressing...haha...it's called Micropore! ...lol, wow. Nice job though still. Poor guy, wonder how he must've felt.
missymillie 2 years ago
is it strange i like watching these kind of videos but im not even in the medical field and have so intention on joining it?
042591 2 years ago 10
No, I do it too.
kbdb1243 2 years ago
@042591 Same Here ;D xx
casbeen 1 year ago
@042591 IKR
micajoeh 7 months ago
@042591 kinky...
nashstruck 4 months ago
Pink is for girls - especially in ACF.
Shavenuw129 2 years ago
"Ante-cubital fossa...nice and easy to access" Typical doctor! You should cannulate from the hand up. Should it tissue, veins distal to the insertion site become useless. Also, flush prior to applying the dressing, you can re-site without inflicting pain and less wasteage. The date of insertion should be put on the cannula so it can be re-sited in 72-96 hours. Last thing, when flushing through the port, turining it 180 degrees locks it and stops future flushing (no longer sterile).
pmarsh1986 2 years ago 16
well, , u can use distal veins even after tissuing ,, all it takes for veins to heal from double puncturing and tissuing is 3-5 mins,, So , u can still use the distal veins..
cannulation is so over-rated in nursing streams and para-medics.. seriously.. all u need is a working cannula.. and btw , that doctor was jus demostrating now to cannulate - not where , whats the best site,, whats the best size,, whether to attach a three-way infuser attache or what not..
balucandy 1 year ago
@pmarsh1986 Thank you nurse.
jonathanalexand 1 year ago
@pmarsh1986 yes we were taught this also go distal first because if the ante cubital fossa goes pair shaped and you try for the dorsum of the hand or cephalic the drug will have to travel past the previous site which may be bleeding wasting the drug you just put in....
johnp7620 1 year ago
thx alot mr medical educator :D
mislubna 2 years ago
thanks a lot for this useful video... so u actually have to put the dressing first before flushing with the hep saline? I'm asking cz the first time I inserted a cannula on a pt, the area was swollen when i flushed with saline
Missbunny2104 2 years ago
Ah this is really useful thanks - so the needle is removed permanently after the cannula is inserted? I ask because i saw one (for anaesthetic) removed in a hospital and wondered if the needle had fallen out somewhere?
tubeduck 2 years ago
The patient's thinking "how long does this torniquet have to be on....hurry up, hurry up hahaha. Great video thanks.
97059934 2 years ago
infiltration, extravasation, phlebitis, mechnaical phlebitis, chemical phlebitis, thrombophlebitis & haematomas are complications of cannulation.
Nice vid.
akhand83 2 years ago
nice video!
Eduardrd 2 years ago
Vasovagal syncope usualy occurs by an injury and profuse bleeding...
dz1n2a 2 years ago
that is not true.
vasovagal syncope will be an unlikely differential of the cause of syncope if the person has profuse bleeding.
rogersmackinson 2 years ago
Nicely demonstrated but only thing, may be have the subject lying down to avoid Vaso-vagal syncope jus in-case. but, neways, nice video
balucandy 3 years ago
why do some sites swell just after the insertion??
davejohnambo 3 years ago
because sometimes the cannula can come dislodged from the vein causing what ever the liquid dere is to store in the patients arm around the vein (causing swelling)
truscot 2 years ago
yeah termed as infiltration as a result of fluids going to adjascent tissues
x24lubina 2 years ago
I've found this video very useful , It's been demonstrated step by step.... Very nice sir.
jamshoro76 3 years ago