IV Cannula Flushing & Care

Circulation · All · 10–20 min

Maintain patency and prevent infection of peripheral cannula.

Indications

  • Between drugs
  • Every 12–24 h

Contraindications

  • Signs of phlebitis

Equipment

  • 10 mL saline syringe
  • Alcohol swab

Positioning

  • As appropriate for the procedure and patient comfort.

Consent

  • Explain indication, benefits, alternatives
  • Explain risks & complications
  • Obtain written/verbal consent as per SOP
  • Document consent

Universal precautions

  • Hand hygiene
  • PPE — gloves, mask, eye protection
  • Aseptic technique
  • Sharps safety
  • Verify patient identity & site

Step-by-step (0/4)

Tap to complete

1. Assess site

VIP score; if ≥2 remove.

2. Swab port

3. Push-pause flush

4. Cap

Immediate complications

  • Extravasation

Delayed complications

  • Phlebitis
  • BSI

Recognition

  • Pain, redness, swelling

Initial management

  • Remove cannula

Prevention

  • ANTT

Post-procedure observation

  • Vitals q15min × 1h then hourly

Monitoring

  • Site inspection
  • Symptom review

Documentation

  • Procedure note
  • Consent
  • Findings

Patient instructions

  • Report pain, bleeding, fever, worsening symptoms

Educational bedside guide. Perform only under supervision until competent. Follow local SOPs and consent policy.

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Clinical Decisions in Seconds