With plenty of gauze
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
Raise the bed to waist level, expose the area
Draw up local, place everything in the order it will be used
Decontaminate a wide area e.g. with chlorhexidine + alcohol
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
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
Dispose of sharps and other waste