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Registered Nurse - IV Therapy Admin/Infusion | ||||||
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| LAST 4 OF SSN | |||||||
| DATE | |||||||
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I hereby certify that ALL information I have provided to Calibre Talent Group on this skills checklist and all other documentation, is true and accurate. I understand and acknowledge that any misrepresentation or omission may result in disqualification from employment and/or immediate termination. | ||||||
| Instructions: This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale below to describe your experience/expertise in each area listed below. | |||||||
| Proficiency Scale: |
1 = No Experience 2 = Need Training 3 = Able to perform with supervision 4 = Able to perform independently |
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| Rating Stars (Click) | The employee demonstrates skills and competence in the following: | 1 | 2 | 3 | 4 | ||
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Goal - The access device is inserted on the first attempt, using sterile technique. | ||||||
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1.
Gather Equipment/Supplies: • IV Solution • IV Tubing Administration Set • Extension Set (Piggyback) • IV Pump • Alcohol Swabs • Gloves |
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2. Perform hand hygiene and don gloves. | ||||||
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3. Identify the patient per hospital policy. | ||||||
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4. Verify the IV solution order on the eMAR with the medical order. Clarify any inconsistencies. Check the patient's chart for allergies | ||||||
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5. Remove IV bag from outer wrapper and check expiration dates. Scan bar code on container and label the solution container with the patient's ame, solution type, additives, date, and time. | ||||||
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6.
Remove administration set from package. • Apply label to tubing reflecting the day/date for next set change. |
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7.
Spike the IV solution container: • Close the roller clamp or slide clamp on the IV administration set. • Invert the IV solution container and remove the cap on the entry site, taking care to not touch the exposed entry site. • Remove the cap from the spike on the administration set. • Using a twisting and pushing motion, insert the administration set spike into the entry site of the IV container. |
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8. Hang the IV container on the IV pole. Squeeze the drip chamber and fill at least halfway. | ||||||
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9.
Open the IV tubing clamp and allow fluid to move through tubing. • Allow fluid to flow until all air bubbles have disappeared and the entire Length of the tubing is primed (filled) with IV solution. |
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10.
Using an antimicrobial swab, cleanse access cap on extension tubing. • Remove the end cap from the administration set. • Insert the end of the administration set into the end cap. Loop the administration set tubing near the site of entry, and anchor with tape (nonallergenic) close to site. |
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11.
Open the clamp on the administration set. • Set the rate of flow and begin the fluid infusion. Adjust until the correct drop rate is achieved. • Assess the flow of the solution and function of the infusion device. |
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12. Inspect the insertion site for signs of infiltration. | ||||||
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13. Cover the patient and help him or her to a position of comfort. | ||||||
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14. Remove gloves and perform hand hygiene | ||||||
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15. Return to check flow rate and observe IV site for infiltration 30 minutes after starting infusion, and at least hourly thereafter. Ask the patient if he or she is experiencing any pain or discomfort related to the IV infusion. | ||||||
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Employee is competent to perform the above tasks independently and without supervision | ||||||
| Rating Stars (Click) | EMR | 1 | 2 | 3 | 4 | ||
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Epic | ||||||
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Cerner | ||||||
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Eclipsys | ||||||
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McKesson | ||||||
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Meditech | ||||||
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Other Computerized System | ||||||
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Computerized Physician Order Entry | ||||||
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Bar Coding for Medication Administration | ||||||
| MY EXPERIENCE IS PRIMARILY IN: | |||||||
| Unit | No. of Years | Unit | No. of Years | ||||
| BURN | POST PARTUM | ||||||
| CRITICAL UNIT | LABOR & DELIVERY | ||||||
| PACU | NEWBORN NURSERY | ||||||
| NEUROLOGY | LEVEL II NICU | ||||||
| TELEMETRY | LEVEL III NICU | ||||||
| MEDICAL | PICU | ||||||
| SURGICAL | PEDIATRICS | ||||||
| ONCOLOGY | OB/GYN | ||||||
| ORTHOPEDICS | PSYCHIATRY | ||||||
| OPERATING ROOM | RRT | ||||||
| EMERGENCY ROOM | CRT | ||||||
| TRAUMA CENTER LEV | |||||||
| COMMUNITY ER | |||||||
| RURAL ER | |||||||
| Rating Stars (Click) | AGE APPROPRIATE CARE | 1 | 2 | 3 | 4 | ||
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Newborn/Neonatal (birth – 30 days) | ||||||
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Infant (30 days-1 year) | ||||||
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Toddler (1-3 years) | ||||||
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Preschool (3-5 years) | ||||||
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School Age Children (5-12 years) | ||||||
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Adolescent (12-17 years) | ||||||
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Young Adults (18-44 years) | ||||||
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Middle Adults (45-64 years) | ||||||
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Older Adults (>65 years) | ||||||