SKILLS CHECKLISTS

IV CANNULATION

Verify the written prescription for IV therapy, check

prepared IVF and other things needed.
Explain procedure to reassure the patient &
significant others and observe 10 rights.
Prepare needed equipments.
Do hand hygiene before the procedure.
Choose site for IV.
Apply tourniquet 5-12cm (2-6 inches) above
injection site depending on condition of patient.
Prepare site with effective topical antiseptic or
cotton balls with alcohol in circular motion and allow
30 seconds to dry.
Check pulse below tourniquet.
Using the appropriate IV cannula, pierce skin with
needle positioned on 15-30 degree angle.
Upon flashback visualization decrease the angle,
advance the catheter and stylet 91/4 inch) into the
vein, check if tip of catheter can be rotated freely
inside the vein.
Position the IV catheter parallel to the skin. Hold
stylet stationary and slowly advance the catheter
until the hub is 1mm to the puncture site.
Release the tourniquet, remove the stylet while
applying digital pressure over the catheter with one
finger about 1-2 inch from the tip of the inserted
catheter.
Connect the infusion tubing of the prepared IVF
aseptically to the IV catheter.
Open the clamp, regulate the flow rate.
Anchor needle firmly in place with the use of:
a. Transparent tape/dressing directly on the
puncture site.
b. Tape (using any appropriate anchoring style)
Tape a small loop of IV tubing for additional
anchoring; apply splint (if needed).
Calibrate the IVF bottle & regulate flow of infusion
according to prescribed duration.
Label on IV tape near the IV site to indicate the date
of insertion, type and gauge of IV catheter and
countersign.
Label with plaster on the IV tubing to indicate the
date when to change the IV tubing.
Observe patient and report any untoward effect.
Document in the patient’s chart and endorse to
incoming shift.
Discard sharps and waste to appropriate container
and do handwashing.
 ADULT CPR, INFANT AND AED SKILLS
ADULT CPR & AED
Assess victim and activate emergency
response system (must precede starting
compressioons) within a maximum of 30
seconds. After determining that the scene is
safe:
Check for responsiveness by tapping and shouting.
Shout for help/direct someone to call for help and
get AED/Defibrillator
Check for NO BREATHING or NO NORMAL
BREATHING (only gasping) by scanning from the
head to the chest for a minimum of 5 seconds and
no more than 10 seconds.
Check carotid pulse by simultaneously checking
with breathing, check for minimum of 5 seconds
and no more than 10 seconds.
Perform High Quality Chest Compressions
(initiate compression immediately after
recognition of cardiac arrest)
Correct hand placement, in lower half of the
sternum, use 2 hands (second hand on top of the
first or grasping the wrist of the first hand).
Compression rate of 100-120/min, deliver 30
compressions in 15-18 seconds.
Compression depth and recoil -- at least 2 inches
(5 cm) and avoid compressing more than 2.4
inches (6 cm). Allow complete chest recoil after
each compression.
Minimize interruptions in compressions. Deliver 2
breaths so < 10 seconds elapses between last
compression of one cycle and first compression of
next cycle. Resume compression immediately after
shock/no shock indicated.
Provide 2 breaths by using a barrier device.
Open airway adequately. Use a head tilt-chin lift
maneuver or jaw thrust.
Deliver each breath that produce visible chest rise.
Avoid excessive ventilation.
Resume chest compression in less than 10
seconds.
AED use
Power AED.
Correctly attach pads.
Clear for analysis.
Clear to safely deliver shock.
Delver a shock.
Resume chest compression immediately after
shock delivery.

INFANT CPR
Assess victim and activate emergency
response system (must precede starting
compressioons) within a maximum of 30
seconds. After determining that the scene is
safe:
Check for responsiveness by tapping and shouting.
Shout for help/direct someone to call for help and
get AED/Defibrillator
Check for NO BREATHING or NO NORMAL
BREATHING (only gasping) by scanning from the
head to the chest for a minimum of 5 seconds and
no more than 10 seconds.
Check brachial pulse by simultaneously checking
with breathing, check for minimum of 5 seconds
and no more than 10 seconds.
Perform High Quality Chest Compressions
during 1-rescuer CPR (initiate compression
immediately after recognition of cardiac
arrest)
Correct hand placement of hands/fingers in center
of chest.
1 rescuer: 2 finger just below the nipple line.
Compression rate of 100 to 120/min.
Deliver 30 compressions in 15-18 seconds.
Adequate depth for age.
Infant: at least one third the depth of the chest
[about 1/2 inches (4cm)].
Complete chest recoil after each compression.
Appropriate ratio for age and number of rescuers.
1 rescuer: 30 compressions 2 breaths
Minimize interruptions in compressions. Deliver 2
breaths so < 10 seconds elapses between last
compression of one cycle and first compression of
next cycle.
Provide effective breaths with bag-mask device
during 2 rescuer CPR.
Open airway adequately
Deliver each breath over 1 second.
Deliver breath that produce visible chest rise.