HCW performing insertion?

Patient cleans their hands & arms

Hand hygiene performed

Dressing packed used

Tray or kidney dish cleaned

All equipment gathered

Hand hygiene performed

Flush prepared

Patient arm placed on drape & pillow

Tourniquet applied

Vein located

Tourniquet released

Hand hygiene performed

Tourniquet reapplied

Gloves donned

Type of skin prep applied

Skin prep allowed to dry for min 30 seconds

No further repalpation

IV cannula successfully inserted

Sharp disposed immediately into container

Cannula flushed

Sterile dressing applied

Gloves removed & disposed

Hand hygiene performed

IV insertion site & date documented in medical records or care plan

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.