With plenty of gauze
Sterile Gloves
Sterile Gown
E.g. Chlorhexidine + alcohol swabs
1% lignocaine in a 5mL syringe with small needle
Needle, guide wire, cannula
Suture material, scissors, forceps
Sterile transparent occlusive dressing
Line, transducer, pressure bag
Bin + sharps disposal close by
Explain the procedure and ask for patient's consent
Raise the bed to waist level, expose the area
Scrub, don sterile gloves and gown
Draw up local, place everything in the order it will be used
Decontaminate a wide area e.g. with chlorhexidine + alcohol
Apply the fenestrated drape
Radial, brachial or femoral
Adjacent to the pulsation + 2cm distal to insertion site
Using dominant hand, non-dominant hand on pulse
Pencil grip, bevel up, 45 degrees from skin until pulsating flashback
If the needle or catheter must be removed at any time, place pressure on the insertion site for at least three minutes in order to prevent haematoma formation.
Through the needle, soft & flexible end first
While holding onto guidewire, apply pressure to site using gauze
Railroad over the guidewire, always with one hand holding the guidewire
Ensure flashback from the cannula, then stop the flow using a bung
On either site, approximately 2cm from the insertion site
Normal saline, then with dry gauze
Sterile, transparent occlusive dressing
Remove the drape
Connect the cannula to the transducer system and flush the line
Dispose of sharps and other waste