A pilot intravenous cannulation team: an Irish perspective

Br J Nurs. 2010;19(10):S19-27. doi: 10.12968/bjon.2010.19.Sup3.48214.

Abstract

Peripheral intravenous cannulation (PIVC) is a potentially painful and distressing procedure for patients, and is traditionally carried out by medical personnel. A university hospital in Ireland was chosen to initiate a pilot intravenous (IV) cannulation team, to ascertain whether this procedure could be performed effectively by a team of nurses. The team was introduced to support the implementation of the European working time directive (EWTD). A team of four registered general nurses, led by a senior phlebotomist, provided PIVC. Request books were placed on each ward and data was recorded before and after each insertion. A constantly increasing percentage of first-time cannulation success is displayed from the first five months of the study. In-depth analysis on an orthopaedic ward reveal a preference for distal site insertion and routine change at 72 hours. IV teams performing IV cannulation can effectively reduce insertion rate attempts, and potentially offer a solution to the manpower issues arising as a result of implementation of the EWTD.

MeSH terms

  • Catheterization
  • Infusions, Intravenous*
  • Ireland
  • Patient Care Team
  • Pilot Projects
  • Quality of Health Care