静脉输液技术-英文

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time him have clinical skills for undergraduate central Manchester University Hospitals well with you a an introduction to peripheral IV cannulation this is generic picture to keep the principles behind what we do my we do it went for minuscule 36 generic rather than specific to the trust is that there's no we're only doing this kill practice and policy will vary with time hospital policy and even the different areas at the hospital the equipment used what is important however is the follow the guidelines or policies in the aerial working platform this procedure in clinical practice Kenya is East achieved which is inserted into left in vain using a needle and he's delivery intravenous fluids and drugs to patients he composes over the country itself which has a cover over the needle often has wings to the side to help secure it this needle which fits inside the cannula used to introduce the cannula was then removed has a building she spits on the end to the company office insisted to stop blood leaking out we can she had to give tough using a separate needless booking system could not this which is an extension line and is commonly used in practice Canada's combat relative sizes brothers deeply eases system sizes with the smaller the number the larger the size the cannula 16 gauge is actually bigger than the twins to gauge you find people tend to refer to them by color sometimes rather than signees orange is the largest size followed by gray green pink and blue this noise double size that would practically use large sizes tend to be used if we likely to need large volumes IV fluids giving fast to just roll with sepsis or surgery when the needle tip inside the color this is the vein blood will flow down hollow needle and appear in the Flash chamber this is named to the primary flashback in the case that we fans at the same putting the need to back slightly because the blood flowed down the cannula around the outside the needle and into second chamber this is known as the second flashback blaring and kill the cannula will allow it possibly into the vein hole in the needle still we convince the cum your body into the made all the way and then release the toolmaking pressing on the vein edited the cannula will prevent blood from flowing how the end of the cannula when you release the needle from it we've needed this lease the coming year in place withstand the stilts was touching combat inflation 3 with saline to prevent blood from clotting in the color complications that can leach into missing completely recommend more than two attempts to city Kenya as a medical student at this your confidence in the congress the patient and you will begin to dwindle blood in the veins in the risk League a speedy it decided the vein he's a giveaway by Bob love blood which appears under the skin serious complications infection at the site since phlebitis we do the best we can to limit the risk this by using a technique called AT&T T or aseptic mintage technique move which in a moment effects that means we don't handle any cost the device that we're gonna stick and patient with a review keneally's up to 72 hours in considering moving on placing them we specially created resting on the cannula which allows us to observe the point is I closely these are the devices like the Oscars which limits the movement to the cannula and therefore also reduces the risk mentioning TT to some doctors in a row through his those usually because they've come across somebody who may have been little bit overzealous about it the prince was behind a trustee very soon percent positive I say they'll be inserted into the patient's bloodstream will be parts and other devices to be touched these bills if these past get contaminated there is a high risk the patient developed an infection therefore it was touch these parts and don't let anything else that's not sterile 2x2 he still fairly logical these parts and then is keeping us McKellar they would be the length the cannula up to the main body and the needle is both went in the vein directly the fishing boat because anything injected in here would put into the patient's bloodstream the end of the cannula and the inside the white bone which connects to the cannula all these it covered we take around the packaging the flush with the course with a needle and syringe meet and the Neil itself was the cover is removed was the top is broken off the saline it's also the inside to the Salem vile on the octopus is the two fishing poles which is not protected and the tip for it comes into contact with the cannula which is already protected by cover when you need it in the packaging before inserting the cannula as with anything to do with patients we should introduce ourselves explained who we are what we'd like to do why we need to do it tourists visit the benefits again and verbal consent for the to undertake the procedure it's absolutely vital that we'll search and we have the correct patient might give them that name they to bed that political on the hospital number on a mound this may seem like overkill but mistakes do happen all too frequently we should do as much as practically possible to eliminate a risk I was Jewish stations non-dominant on the news that if I possibly can as it more convenient for the patient and reduces the chance to the canyon getting pulled out accidentally as the patient Newsround routine cannulas is opposed to emergencies we usually is set to dis iz dis is possible he's in veins in the doors to the home first in russia now for this is that we can then continue to move approximately to the public pain runs cue to foster if we need to change cannulas wash your house in this but you propose site to the like can fail I could veins you can't empirically the vein proximate see how it feels. give you a better indication the suitability the vein was he selected you vein get it their imprint build kits get the equipment you gonna need betrayed put everything in refer to it as the AT&T tea tray so that clean the tray with the cannula an appropriate sony's only used to take a couple in case and miss we can either dressing so that gains came with and the corporate friends am cyclic steam base white some goals which he so from a PR Herman blood in remote chance and messing things up saline flush and you need to check this with somebody thirst before and delivering it to a patient estranged royal flush it with and needles dramatic but as well has now whilst on the subjective this you will see people during the past lush hope directly using the syringe with needle on the end of the play you can see on the screen now and the such considerable practice national shouldn't be done then you need a second needle or needless bill which is what we're gonna use in this case disposable to Mackay shops been an apron on the computer pairs of disposable non sterile gloves those in need a an appropriate role is to put everything on Sabian by washing the house he's in the a seven-step process the EC if a doing here was the Trinity easterly with some cloths up and then clean your tray is visibly dirty that you said from water thing the ATT change through early including am the inside of it the edges ovitz from the bottom says you be cleaning then it's pretty good idea to wash your hands again he's in the seven-step process with abbreviated this let's go ahead to save some time at the equipment into the etrade taking care to ensure the keep Austin not commence contact with anything and remain covered leased to drop into the am tree itself found when people have heard a pin from great heights and they're keeping also recommended disconnected uncontaminated said it was felt that it was best to try to take my hand must this is less than ideal is safe the majority as I said before the keep us the kind that are already covered in their 40 protected however in case the needle a strange with Redfin the key parts are exposed and therefore it's important before placing them both into the tray that connected over now protect their keep felons your could instill it's packaging and extra stuff just in case in clothes should be pleased to the side to the ATT trade routes and place them in the AT&T T trainee also your equipment is open the tray it wash your hands as he been 2g potentially dated packaging and then had put on pair of gloves and grew up you flush should but top of the saline and and sheet needle inserted devised a slight angle not too far in turned upside down an aspect back on the plunger was the first been drawn up for me the needed from the end placed in the shop spin and you've now got your key part to feel strange expected to be careful with it and take your octopus and touch the strange to be candid upskirts and first both goals with sale a nurturing called me do this it was really there in the octopus which reflect patient's situation and doesn't mix well when introduced that way into patience yet faced bedside wash your hands again as you been walking through doors into gym things by the tone Kenny about the hounds breaks above your proposed incision site land in vain to fill by excluding venous return nice visible bouncy veins the best was he happy with the site released it on cable was going a little bit painful for the patients complete on too long wash your hands and put on new gloves some people do this after cleaning the site but scientific matters too much break corporate by with wife by squeezing the wings together you here crack in the shake its been down to say the sponge clean site thoroughly using ascribing nation has recommended by the manufacturer is for 30 seconds yes thirty seconds on that seems like a long time a very long time relieve really long time and then leave it to dry for 30 seconds join this set 30 seconds you can reapply the tone okay take annular filled out the wings remove she men host is situate the fingers cannot to keep house the thumb resting behind the cannula to the skin with your non-dominant how not to use towards and the idea of this he's just a living is moving around as you press the clinton needle against them base to tip the canoe the incision .0 like this and give about 30 degrees to the skin committed found the cannula the tip is it the skin and into the vein into the range see the primary flashbacks withdrew the needle back from inside the canyons slightly and look for the second reflects back hope the cannula keeping need to wait is this the county left in one smooth motion into the vein but now release the tunic a you can place piece that goes into the cannula to catch any spills that might happen as you move the needle placed thumb or finger on the vein tipper the cannula stop but from the King outs to remove the needle play six straight hits the shelves take the octopus and being careful not to me deserves the key part to me the protective cap of the end when they connect the octopus to the cannula first cannula I one patient that it might be a little bit cold an injection of you few moves assailant maybe a little resistance at first finish it plays smoothly with no telltale buffet Lee appearing under the skin indicates that wouldn't issue rather than in that vein all dressings differ slightly in its best to be shown by festive how to put them on at the area should be want to spill blood drawn a before you do that catholic and should be succeed killed an with a cable to the dressing if the incisions Sin City can be inspected the sinus infection so that city and principles of cannulation and good practice in the Skills Lab I control my sessions and have a go price on each other twice in the models on then go off air onto the walls found under strict supervision print some patients you find it very very different a questions please use the block or a concert myself alone skills team in person and good luck