*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.
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