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Venipuncture Skills Checklist for Nurses

This document is a skills checklist for venipuncture for peripheral intravenous insertion. It lists 11 criteria including maintaining universal precautions, explaining the procedure to the patient, selecting an appropriate site, gathering supplies, preparing the site, preparing the catheter, performing venipuncture, maintaining skin traction while advancing the catheter, releasing the tourniquet and retracting the needle, connecting an extension set and flushing, and securing the catheter with a dressing. For each criteria, the nurse must demonstrate competency on 3 attempts, which are evaluated and signed off by an evaluator.

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Erizza Santos
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175 views2 pages

Venipuncture Skills Checklist for Nurses

This document is a skills checklist for venipuncture for peripheral intravenous insertion. It lists 11 criteria including maintaining universal precautions, explaining the procedure to the patient, selecting an appropriate site, gathering supplies, preparing the site, preparing the catheter, performing venipuncture, maintaining skin traction while advancing the catheter, releasing the tourniquet and retracting the needle, connecting an extension set and flushing, and securing the catheter with a dressing. For each criteria, the nurse must demonstrate competency on 3 attempts, which are evaluated and signed off by an evaluator.

Uploaded by

Erizza Santos
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

SKILLS CHECKLIST – VENIPUNCTURE FOR PIV INSERTION

Please print off a copy of this checklist for yourself, and bring it with you to your “live insertion” pre-arranged experience for your
evaluator. Submit the completed checklist to your educator.

Nurse: ______________________ Department: _______ Manager: _____________________


Key: C = Competent NC = Not competent
Criteria Demo # C/NC (√) Comments/Evaluator Initials

1. Maintains routine practices and 1


universal precautions throughout
procedure 2

2. Explains procedure to patient 1


 Completes assessment to
determine appropriate venous
access device type (PIV vs. 2
CVAD)
 Considers IV therapy to be
infused
 Considers the patient: 3
o Age, Co-morbidities
o Contraindications (ex.
allergies, CVA, 2
mastectomy, AV Fistula,
impaired circulation, 3
wounds, pain, etc.)
3. Selects appropriate venipuncture site. 1
Considers:
 Dominant/non-dominant arm, 2
vein length/width, valves,
joints/nerves, avoids areas of 3
flexion (ex. wrist/ACF)
 Assesses patient to determine
cathlon size needed: (Dilates
veins appropriately. ex. tourniquet,
fist clenching, dependent position,
warm compress)
4. Gathers Supplies 1
Antiseptic wipe, tourniquet, appropriate
sized cathlon, tape, gauze, primed 2
extension set, dressing, clean gloves, NS
flush 3

5. Prepares site: 1
 Cleanses site with 2%CHG/70%
alcohol in back and forth motion
covering an area slightly larger
than size of the dressing. Does 2
not retouch site after cleansing
 Applies tourniquet 15 cm (~ 6”)
above venipuncture site (radial 3
pulse should still be palpable)

Page 1 of 2
Criteria Demo # C/NC (√) Comments/Evaluator Initials

6. Prepares Catheter 1
 Removes needle in straight
outward motion 2
 Ensures push tab is facing up and
catheter is seated back in notch 3

7. Stabilizes vein and performs 1


venipuncture
 Holds skin taught
 Inserts bevel up at approx. 10-30⁰ 2
angle depending on vein depth
 Observes for flashback 3
 Lowers angle after flashback
observed to almost parallel to
skin
 Advances needle (approx. 0.5cm)
slightly to ensure within vein
8. Maintains skin traction while 1
advancing plastic catheter only (one
hand or two hand technique) 2

9. Releases tourniquet, stabilizes the 1


catheter hub and presses button to retract
needle (while avoiding pulling needle out 2
of catheter hub). Discard needle into
sharps container. 3

10. Connects primed extension set and 1


flushes appropriately
2

11. Secures catheter with appropriate 1


IV Dressing and labels appropriately
with date, time and initials 2
 Avoids use of tape close to/on
insertion site 3
 Ensures insertion site visible

Date Demo # Evaluator’s Signature/Designation Print Evaluator’s Name /Initial

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