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CINS workbook draft 9.1 (adult) 106 Supervised Practice Assessment Record

Flushing a Peripheral Cannula

Instruction: Please tick (√) if performed, cross (X) if not performed, or write N/A if deemed not applicable

Surname Forename Ward / Area / Department Assessment

Sterile towel or Gauze (if required) Gloves

Chlorhexidine 2% in alcohol solution

Plastic tray cleaned with 70% alcohol based solution Syringes, needles, 0.9% normal saline

Checks packaging and expiry dates Transporting Safely transfers equipment to patient Preparing the

patient

Identifies patient and explains procedure Obtains valid consent from patient Encourages questions

Establishes comfort and privacy of patient Hand washing Decontaminates hands

Performs procedure

Opens equipment, maintains Aseptic Non-Touch Technique Put on gloves and apron

Places sterile towel / gauze under port (if applicable) Prepares flushing solution in an aseptic a manner

Cleanses needle free system / port with chloxhexidine 2% in alcohol swab

Flushes lumen (using push / pause technique) with 0.9% normal saline

Clamps lumen if applicable

Disposes of equipment and sharps as per trust policy Patient comfort &

safety

Ensures line is secure and comfortable Explains care of peripheral cannula to patient Infection Control

Disposes of equipment & sharps as per trust policy Maintains aseptic technique throughout

Decontaminates hands as per trust policy Documentation

Documents procedure in patients records Completes VIP Score

Documents any other information in case

Initial of Supervisor:

Initial of Practitioner:

The number of supervised practices may vary between individuals. Further copies can be obtained from your training department if required

CINS workbook draft 9.1 (adult) 107 Final Assessment of Practice

Flushing a Peripheral Cannula

The final assessment must be undertaken by a member of the Learning & Development team, Specialist Nurse Practitioner or person approved by them

Name:

Job Title:

Department:

Organisation:

Assessor’s Name:

Date:

Activity Pass Refer Comments

Correct equipment collected Transporting

Preparing the patient Hand Hygiene

Correct positioning of patient and preparation of environment

Performs procedure correctly and safely (as per policy)

Patient comfort and safety Infection Control

Completes documentation in line with local policy

Outcome:

If Outcome of final assessment is refer Continue supervised practice

Review progress – Re-take final assessment again when ready (final assessment must be done before independent practice can occur)

Organise a 1 month review Date of review:

Practitioner: sign Assessor: sign Date:

CINS workbook draft 9.1 (adult) 108 Supervised Practice Assessment Record

Administration of IV drugs through a Peripheral Cannula

Instruction: Please tick (√) if performed, cross (X) if not performed, or write N/A if deemed not applicable

Continued over the page

Sterile towel or Gauze (if required) Gloves

Plastic tray cleaned with 70% alcohol based solution Appropriate sterile equipment

needles/straw/syringes/giving sets Chlorhexidine 2% in alcohol solution

Antibiotic, additive, infusion, diluents as prescribed

Preparation of drugs

Checks packaging and expiry dates

Checks patient identification on prescription chart and any medication

Checks Right patient, Right Medication, Right Dose, Right Time, Right Route

Checked any critical test results (eg blood results) Checks drug for any possible incompatibility issues Is aware of potential complications of the drug to be administered

Correctly performs calculations for dose and rate Prepares intravenous antibiotics/additives/infusor in an aseptic manner

Transporting Safely transfers equipment to patient

Preparing the patient

Identifies patient and explains procedure Obtains valid consent from patient Encourages questions

Checks for allergies

Check peripheral cannula site

Establishes comfort and privacy of patient Hand washing Decontaminates hands

Performs procedure

Put on gloves and apron

Places towel / gauze under port (if required)

Cleanses needle free system with Chlorhexidine 2% in alcohol solution

Flushes peripheral cannula with 0.9% Sodium Chloride prior to drug administration as per guidelines

Administers intravenous antibiotic/additive/infusor as per hospital policy.

Monitors for any adverse reaction

Flushes with 0.9% Sodium Chloride following drug administration as per policy

Disposes of equipment as per trust policy

CINS workbook draft 9.1 (adult) 109 Continued from over the page

Administration of IV drugs through a Peripheral Cannula

The number of supervised practices may vary between individuals. Further copies can be obtained from your training department if required

Surname Forename Ward / Area / Department

Assessment Dates

Supervisors Name: 1)

2) 3)

Skills Lab

Patient comfort &

safety

Ensures line is secure and comfortable Explains care of peripheral cannula to patient Infection Control

Disposes of equipment as per trust policy

Maintains aseptic non-touch technique throughout Decontaminates hands as per trust policy

Documentation

Documents procedure in patients records Completes VIP Score

Documents any other information in case

Initial of Supervisor:

Initial of Practitioner:

CINS workbook draft 9.1 (adult) 110 Final Assessment of Practice

Administration of IV drugs through a Peripheral Cannula

The final assessment must be undertaken by a member of the Learning & Development team, Specialist Nurse Practitioner or person approved by them

Name:

Job Title:

Department:

Organisation:

Assessor’s Name:

Date:

Activity Pass Refer Comments

Correct equipment collected Transporting

Preparing the patient Hand Hygiene

Correct positioning of patient and preparation of environment

Performs procedure correctly and safely (as per policy)

Patient comfort and safety Infection Control

Completes documentation in line with local policy

Outcome:

If Outcome of final assessment is refer Continue supervised practice

Review progress – Re-take final assessment again when ready (final assessment must be done before independent practice can occur)

Organise a 1 month review Date of review:

Practitioner: sign Assessor: sign Date:

CINS workbook draft 9.1 (adult) 111

CINS workbook draft 9.1 (adult) 112 Supervised Practice Assessment Record

Care and Maintenance of Peripheral Cannula

Instruction: Please tick (√) if performed, cross (X) if not performed, or write N/A if deemed not applicable

Surname Forename Ward / Area / Department

Assessment Dates

Supervisors Name: 1)

2) 3)

Skills Lab Only required if further practice

needed

Correct equipment collected

Sterile pack

Chlorhexidine 2% in alcohol solution Sterile Gloves x 1

Checks packaging and expiry dates Appropriate Dressings

Transporting Safely transfers equipment to patient Preparing the patient

Identifies patient and explains procedure Obtains valid consent from patient Encourages questions

Establishes comfort and privacy of patient

Hand washing Decontaminates hands using the Ayliffe technique as per trust policy

Performs procedure

Observes site using VIP scoring and takes appropriate action

Opens equipment, maintains sterile field

Removes existing dressing in an aseptic manner Places sterile dressing towel as close to peripheral cannula as possible

Cleanses skin covering surrounding peripheral cannula with Chlorhexidine 2% in alcohol solution Applies appropriate dressing

Disposes of equipment as per trust policy Patient comfort &

safety

Ensures line is secure and comfortable Explains care of peripheral cannula to patient Infection Control

Disposes of equipment as per trust policy Maintains aseptic technique throughout Decontaminates hands as per trust policy Documentation

Documents procedure in patients records Completes VIP Score

Documents any other information in case records Initial of Supervisor:

Initial of Practitioner:

The number of supervised practices may vary between individuals. Should you require more practice please use the two end columns

CINS workbook draft 9.1 (adult) 113 Final Assessment of Practice

Care and Maintenance of Peripheral Cannula

The final assessment must be undertaken by a member of the Learning & Development team, Specialist Nurse Practitioner or person approved by them

Name:

Job Title:

Department:

Organisation:

Assessor’s Name:

Date:

Activity Pass Refer Comments

Correct equipment collected Transporting

Preparing the patient Hand Hygiene

Correct positioning of patient and preparation of environment

Performs procedure correctly and safely (as per policy)

Patient comfort and safety Infection Control

Completes documentation in line with local policy

Outcome:

If Outcome of final assessment is refer Continue supervised practice

Review progress – Re-take final assessment again when ready (final assessment must be passed before independent practice can occur)

Organise a 1 month review Date of review:

Practitioner: sign Assessor: sign Date:

CINS workbook draft 9.1 (adult) 114

CINS workbook draft 9.1 (adult) 115