IV insertion (15 points)
Cleans site prior to IV insertion(2 points); Places tourniquet on arm prior to insertion(2 point); Properly inserts IV catheter (bevel up)(4 points); Removes tourniquet after placement of IV line(2 points); Checks patency of IV line with saline flush( 3 p
Preforming venipuncture
1. Check physician's orders. Gather equipment. VERIFY CLIENT. Explain procedure and why. Privacy. HAND HYGEINE. Clean gloves. Raising bed.
2. Assisted pt to comfortable position -sitting or lying- exposed limb to be used(nondominant arm) 3. Applied tourni
IV Pump(15 points)
Wears clean gloves(1 point); Properly primes primary and secondary tubing(2 points); Properly programs primary infusion rate(4 points); Cleans secondary injection port with antiseptic pad prior to attaching secondary tubing(2 point); Opens roller clamp an
IV primary
1. Check physician's orders. Gather equipment. VERIFY CLIENT. Explain procedure and why. Privacy. HAND HYGEINE. Clean gloves. Raising bed.
2. Opened IV container. Clamp tubing. Spiked container. Placed IV on pole; filled drip chamber 1/3 full. Primed tubi
Dressing change(15 points)
Removes old packing with clean gloves(3 point); Proper donning of sterile gloves(4 points); Maintaining sterile technique throughout wound packing(8 points); For each contamination, student will lose 1 point
Dressing change
1. Check physician's orders. Gather equipment. VERIFY CLIENT. Explain procedure and why. Privacy. HAND HYGEINE. Clean gloves. Raising bed.
2. Remove tape by pulling toward wound
3. Clean gloves
4. Remove wound packing by gently grasping and pulling at rig
Foley catheter placement/insertion(15 points)
Dons gloves and demonstrates proper cleaning of perineal area(2 point); Proper opening of sterile catheter kit without contamination(3 point); Removes sterile under pad from kit before donning sterile gloves(2 point); Maintaining sterile technique through
Foley Cath
1. Check physician's orders. Gather equipment. VERIFY CLIENT. Explain procedure and why. Privacy. HAND HYGEINE. Clean gloves. Raising bed
2. Assist client in preforming perineal care; remove gloves. Hand hygiene.
3. Appropriate position (female: supine; k
Tracheostomy Suctioning and Tracheostomy Care(25 points)
Dons clean gloves(0.5); Opens the suction catheter kit and pours sterile saline into sterile container(0.5); Dons Sterile gloves (considers dominant hand sterile and nondominant hand nonsterile (clean)(1); attaches suction catheter to the connection tubin
Tracheostomy care
1. check physician's orders. Gather equipment. Explain procedure and why. HAND HYGEINE. VERIFY CLIENT. Raising bed.
2. Prepared client and equipment (semi-flowers or fowlers position to promote lung expansion) SUCTION. Opened trach kit. Established steril
Trach suctioning
1. check physician's orders. Gather equipment. Explain procedure and why. HAND HYGEINE. VERIFY CLIENT. Raising bed
2. Placed in SEMIFLOWLERS position
3. Adjusted O2 flow to 100%
4. Opened sterile supplies; poured NS into cup; placed sterile towel across c
Nasogastric Tube Insertion(15 points)
Dons gloves(1); Measures tube length correctly(3); Instructs patient(3); Inserts NG tube(5); Checks for placement(3)
NG tube insertion
1.check physicians orders. Gather equipment. Explain procedure and why. HAND HYGEINE. VERIFY CLIENT. Raising bed. High fowlers 90. Place towel across pt chest.
2. ASSESSED pt nares (hyperextend head and using flash light. Observed intactness of tissues of