Saturday, October 16, 2010

MOCK OSCE SURGERY - Peripheral Venous Cannula

EXAMPLE OSCE SURGERY

A 68 years old female is admitted to the ward.
Clinically she is dehydrated and requires intravenous hydration.
You are the house officer in charge.
Please demonstrate the insertion of peripheral venous cannula.

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SUGGESTION ANSWER

Introduce and greet
Explain to patient and obtain oral consent
Select appropriate site (where?)
Apply tourniquet
Clean with alcohol swab
Venepuncture made comfirmed by ‘flashback’
Advanced the cannula 2-3 mm into vein
Sheath advance into vein and needle withdrawn
Tourniquet released
Cannula secured with adhesive tape
Flush with saline prior to use to ensure cannula is in-situ

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