RDHM IV cannula insertion competency audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Preparation

• Perform hand hygiene

  Yes

  No

  N/A

• Wipe a clean tray or use cannula pack

  Yes

  No

  N/A

• Gather equipment

  Yes

  No

  N/A

• Perform hand hygiene

  Yes

  No

  N/A

• Open equipment protect key sites I.e. syringe hubs, cannula

  Yes

  No

  N/A

• prepare flush and extension set ensuring key parts are protected from contamination at all times

  Yes

  No

  N/A

Patient Zone

• Determine site and apply tourniquet preferably disposable otherwise clean before applying

  Yes

  No

  N/A

• Perform hand hygiene

  Yes

  No

  N/A

• Apply non sterile gloves, asepsis is maintained if key parts are not touched

  Yes

  No

  N/A

• Clean skin with chlorhexidine alcohol swab, allow to dry.

  Yes

  No

  N/A

• Once dry insert cannula ensuring tip and site of entry are not touched

  Yes

  No

  N/A

• Flush cannula ensure tip of syringe and hub of cannula are not touched. Disinfect with chlorhexidine alcohol swab if touched

  Yes

  No

  N/A

• Attach extension tubing maintaining non touch to key parts

  Yes

  No

  N/A

• Discard sharps into sharps container

  Yes

  No

  N/A

Decontamination

• Remove glove perform hand hygiene

  Yes

  No

  N/A

• Discard all used equipment as per policy. Wipe down trolley if used

  Yes

  No

  N/A

• Perform hand hygiene

  Yes

  No

  N/A