OSCE check list: Setting up an IV fluid infusion

  Tick relevant box





Collection of appropriate equipment




Drug chart, fluid balance chart, patient notes




Fluid bag – as on drug chart




Giving set – correct one to support the fluid




Alcohol wipe




Saline flush




Drip stand




Pair of gloves




Plastic tray for equipment




Bowl  (collects fluid when priming line)








Washes hands












Introduces themselves to patient




Explains procedure




Gains consent




Checks patient identity




Checks for allergies








Puts on gloves








Checking bag of fluid- make clear to examiner:




Checks it is the same fluid and quantity as prescribed on drug chart (and that prescribed properly)




Checks it is being given for the right reason and review risk of fluid overload with administration e.g. heart failure      

Checks if any additives required




Checks bag in date




Checks bag has not been tampered with / no leaks




Checks for bag contaminants








Connecting fluid to giving set:




Removes fluid bag from its outer casing




Removes giving set from bag – checks in date and closes valve




Removes cap from fluid bag and inserts giving set spike – while maintaining aseptic technique








Places fluid bag on drip stand




Squeezes giving set chamber until filled halfway with fluid




Primes the line by slowly opening valve to allow fluid to fill the line and drip into a bowl. Checks no bubbles in line.








Preparing cannula port:




Wipes port with alcohol wipe




Flushes port with saline








Connects line to cannula and opens line valve




Sets correct drip rate




Removes gloves, disposes equipment in clinical waste, washes hands








Documents date, start of infusion and batch number on drug chart and fluid chart and comments in patient notes




Advises patient to inform them should the infusion begin to cause pain or discomfort and asks if any questions.




Mention to examiner that would ask nurses to check the delivery rate on a regular basis and if drugs have been prescribed also regular observations to check for allergic reactions