*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
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.
Performance Level Acheived