Kristine’s story aligns with the 2021 Australian Commission on Safety and Quality in Health Care Management of Peripheral Intravenous Catheters Clinical Care Standard, particularly Quality Statements 5.
Quality Statement 5 – Maximise first insertion success
The likelihood of inserting a PIVC successfully on the first attempt is maximised for each patient, according to a health service organisation’s process for maximising first-time insertion success.
Following a bike accident, Kristine had a cannula inserted as routine practice despite questioning its necessity; after multiple failed attempts and being dismissed, the experience left her distressed and underscores the need to assess IV access carefully and partner with patients in decision-making.
Fiona went to the ED and had a cannula inserted quickly. Although successful on the first attempt, it was placed near her elbow, causing discomfort, and the nurse didn’t explain the procedure, seek her input, or discuss potential complications. Her experience highlights the importance of reviewing the ongoing need for cannulas and removing or replacing them safely if required.
Ken, a patient with a long history of cannulas due to haematological cancer and monthly venesections, urges clinicians to avoid the cubital fossa and use alternative forearm sites. Ignoring this not only risks veins with scarring but also restricts movement and comfort while waiting in the ED.
