URDANETA CITY

UNIVERSITY College of Health Sciences

Owned and operated by the City Government of Urdaneta Bachelor of Science in Nursing

Level III Objective Structured Clinical Examination (OSCE)

Skill: Intravenous Insertion

Name: ______________________________________ Date: __________ Score: ________

Year and Block: _______________________________ RLE Group: _____ Grade: ________
Directions: Please rate the student based on the competencies listed below. Indicate the rate on
the space provided for using the following as a guide:

2 Very Satisfactory Student is able to do the task or demonstrate with full

mastery, indicating no errors and deficiencies.
1 Satisfactory Student is able to do the task or demonstrate the skill with
some mastery, indicating minor errors or deficiencies.
0 Needs Improvement Student is unable to demonstrate the skill.

PROCEDURE RATE
1. Ensure implementation of Universal Precautions and COVID-19 protocols.
2. Verify the doctor’s order.
3. Verify the patient’s identity, using two identifiers.
4. Explain the procedure to the patient.
5. Wash hands and wear gloves.
6. Gather equipment and supplies; place them on a clean work surface.
7. Wear clean snug fit gloves.
8. Open your macro or micro-set.
9. Place the patient in a comfortable position. Apply a tourniquet and assess
potential insertion sites for the best veins.
10. Apply the tourniquet above the intended venipuncture site.
11. Clean the intended site with an antimicrobial solution. Allow drying.
12. Prepare catheter per manufacturer’s guidelines.
13. Stabilize the vein and apply the traction on the skin, above the intended site with
a non-dominant hand.
14. Insert catheter bevel up at a 5-15 degrees angle. Observe for blood return within
the flashback chamber.
15. Holding the stylet steady, push the catheter off the stylet and into the vein until
the catheter hub is situated against the skin.
16. Release tourniquet. Apply pressure on the insertion site.
17. Hold the luer connector or the end of the macro-set.
18. Remove the stylet and connect the luer connector to the cannula.
19. Secure to skin with tape.
20. Label the IV site with the date, initials, gauge, and length of the catheter.
21. Open the V-Track controller of the macro-set and observe for backflow.
TOTAL
TRANSMUTED GRADE

______________________________
Clinical Instructor

(075) 600 - 1507

San Vicente West, Urdaneta City, Pangasinan
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