• IV Cannulation Competence Declaration

  • I,   *   *   declare that I am competent to independently insert peripheral intravenous (IV) cannulas.

    I confirm that:

    • I have received appropriate education and training in peripheral IV cannulation, including infection prevention and control principles.
    • I have maintained my competency through clinical practice and/or refresher training.
    • I am familiar with, and practise in accordance with, relevant clinical guidelines, policies, and scope of practice requirements applicable in Australia.
    • I understand the indications, contraindications, risks, and potential complications associated with IV cannulation and am able to recognise and appropriately manage or escalate these.
    • I will only perform IV cannulation in clinical settings where it is permitted, within my scope of practice, and in accordance with organisational policies.
    • I acknowledge that it is my professional responsibility to practise safely and to decline or cease performing IV cannulation if I do not feel competent to do so at any time.


    I declare that the information provided in this declaration is true and correct to the best of my knowledge.

  • Format: 0000000000.
  • Date*
     - -
    2 digit day, 2 digit month, 4 digit year
  • Should be Empty: