Audit

Peripheral IV Cannulation (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. Inform the patient and with verbal consent prepare the patient.

Step 2. Perform hand hygiene.

Step 3. Clean trolley or tray with alcohol wipe and collect required equipment.

Step 4. Perform hand hygiene.

Step 5. Prepare IV flush, IV extension set and IV therapy if required ensuring key parts are protected from contamination at all times.

Step 6. Peel open sterile equipment required ensuring key parts remain sterile. Assess the patient's access, detained site and apply tourniquet.

Step 7. Perform hand hygiene.

Step 8. Apply non sterile gloves to protect from potential body fluid exposure. If required to touch key parts apply sterile gloves. Asepsis is maintained by ensuring key parts are not touched/contaminated.

Step 9. Clean skin with chlorhexidine and alcohol swab/solution (unless contraindicated). Apply liberally and allow area to completely dry. Use only one side of the swab. One side will be exposed to the gloves and one side to the skin.

Step 10. Once are is dry, insert cannula ensuring tip and site of entry are not touched/not contaminated. Apply dressing and secure device.

Step 11. Flush cannula ensuring syringe tip and cannula hub are not contaminated by touch (disinfect with chlorhexidine and alcohol if key part is contaminated.

Step 12. Attach IV therapy devices/extension tubing whilst maintaining non touch of all key parts.

Step 13. Discard all sharp devices into sharp containers.

Step 14. Remove gloves and perform hand hygiene.

Step 15. Document IV Cannulation details on IV cannulation chart/pathway/notes.

Step 16. Advise the patient on how to care for the device and when to seek medical advice.

Step 17. Discard all used equipment, clean trolley using a detergent or detergent/disinfectant wipe.

Step 18. Perform hand hygiene.

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.