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OSCE check list: Setting up an IV fluid infusion

  Tick relevant box

 

Good

Improve

Missed

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

 

 

 

 

 

 

 

Introduction:

 

 

 

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

 

 

 

 

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