Audit

Accessing Vascular Access Devices (Standard aseptic technique) Competency
*of note: the following workflow has been used as an example only. HCWs should be deemed compliant to aseptic practice providing individual technique does not breech the aseptic field.

Step 1. Perform hand hygiene

Step 2. Clean trolley or tray with alcohol wipe and gather required equipment - syringe, interlink connections, chlorhexidine & alcohol wipes, required drugs and any other associated equipment.

Step 3. > Open packaging and connect required interlink connection to syringe whilst maintains sterility of key parts
> Open normal saline or water for injection if required & connect syringe without contaminating key parts
> Clean top of drug vials using alcohol & chlorhexidine wipe and allow to dry before penetrating with interlink connection/syringe
> Place protective cap on interlink device
> Place prepared syringe/drug into clean injection tray with chlorhexidine & alcohol wipes & other connecting devices that may be required
> If adding drug to small bag of IV fluid, perform hand hygiene then clean port of bag with chlorhexidine & alcohol wipe using gentle friction and allow
port to dry before adding drug ensuring key parts are not contaminated

Step 4. Perform hand hygiene.

Step 5. After explaining procedure to patient pause any IV pumps

Step 6. Perform hand hygiene

Step 7. > Swab port to be accessed with chlorhexidine & alcohol wipe for 5 seconds using reasonable amount of friction
> Allow area to dry before connecting syringe/IV therapy ensuring key parts are not contaminated
> Visibly soiled ports should be changed

Step 8. Perform hand hygiene

Step 9. Recommended pump, document procedure, discard used equipment. Clean trolley or tray using a detergent or detergent/disinfectant wipe

Step 10. Perform hand hygiene

Note: if using gloves they must've changed prior to each hand hygiene moment.
Aseptic technique assessment
1. During the assessment, the assessor assigns a category corresponding to the performance level for each of the performance criteria (see below key)
2. If the performance falls into the category "NYC", comments must be included, comments are optional if category "C" is demonstrated/Acheived.
3. A copy of the completed assessment tool is provided for the nurse as well as filed in the health care worker's personnel file. (to provide a copy to the nurse at completion of competency email result to HR email address and the staff member's address, if the staff member does not have an email send a written request to HR to printout a copy to give to the staff member).
CATEGORY

C (Competent)
Performance level: Standard of practice is at or above the performed criteria outlined.
Action required: Aspects of performance that are satisfactory are documented and positive feedback given to the nurse.

NYC (Not Yet Competent)
Performance Level: Standard of practice is below the performance criteria outlined.
Action Required: All areas in which the standard of performance is below the criteria are discussed and documented through the use of examples of actual and expected practice. The nurse is provided with a learning program and times may be arranged for further practice so that the expected standard can be achieved within a prescribe timeframe.

Assessment Outcome

Performance Level Acheived

Comments:

Competency Assessment - Details
Employee Name

Unit/Department

Assessor Name
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.