System | Altered behaviour |
---|---|
Environment | Lighting utilised Organise workspace Patient/inserter positioning Gather equipment before disturbing the patient |
Tools | Equipment familiarity Kit checks before procedure Tourniquet use Where to look for ‘flashback’ (a sign showing venous access) |
Tasks | Clean site Documentation Dressing application Patient identification check Successful cannulation |
Person | Clearer instructions Concerns explored Empathy Giving monitoring information Nurse interaction Patient interaction |
Organisation | Check saline expiry date Followed cannulation guidelines Informed consent Apologised on behalf of the team High number of cannulation attempts |