BSC NURSING DEGREE PROGRAMME ---------------SEMISTER

NURSING FOUNDATION

OBJECTIVE STRUCTURED PRACTICAL / CLINICAL EXAMINATION (OSCE/OSPE)

ADMINISTRING INTRAVENOUS FLUID

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OBJECTIVES:

The objective is designed for the candidate's to ;

*Greet the patient *Introduce self

* Assemble articles for the procedure *Choose the correct site

*Follow docters order *Perform procedure stepwise

OBSERVATION:

Observe if the participant is performing the following steps in the correct sequence

SCORE:

Score the task on the bases of following level of perfection

*score '1',’2’ - performed the step perfectly

*score '0'- Does not perform the step

* Calculate the score

TASK TO PERFORM:

Steps Task score

1  Verify the physician’s order: Check patient name, fluid type, volume, infusion rate, and duration against the Medication 2
Administration Record (MAR).
2  Perform hand hygiene: Wash hands thoroughly using the 6-step technique or use an alcohol-based rub. 2

3  Gather equipment: Collect the correct IV fluid , administration set (check drop factor), IV pole, alcohol swabs, tape, gloves, 2
and a sharpie/label ,iv cannula (correct gaze)
4  Check expiry dates: Inspect the fluid bag for clarity, leaks, or particles, and verify expiration dates on both the fluid and the 2
tubing package.
5  Perform the calculation: Calculate the drops per minute accurately before touching the patient. 2

6  Formula used: Drop Rate (gtt/min) = Total Volume (mL) ×Drop Factor (gtt/mL) / Time in Minutes 2

7  Calculation for this scenario: 1000 × 15÷8×60 = 15000÷480 = 31.25 =31gtt/min 2

8  Close the roller clamp on the IV administration tubing to prevent accidental spilling. 2

9  Remove the protective cap from the IV bag spike entry and the spike of the administration set using aseptic technique (do not 2
touch the sterile spike).
10  Spike the bag firmly, hang it on the IV pole, and squeeze the drip chamber until it is one-third to half full. 2

11  Slowly open the roller clamp to prime the line (fill it with fluid), ensuring all air bubbles are completely expelled from the 2
tubing. Close the clamp once primed.
12  Label the IV bag with the patient's name, date, time started, calculated rate, and your initials 2
13  Approach the patient, introduce yourself, and explain the procedure 2

14  Confirm patient identity using two identifiers (ask for name and DOB, and cross-check with the hospital wristband). 2

15  Assess the existing peripheral IV insertion site for any signs of phlebitis (redness, warmth, swelling) or infiltration (coolness, 2
swelling, blanching).
16  Don clean gloves. Clean the injection port/hub of the patient's peripheral cannula thoroughly with an alcohol swab for 15 2
seconds and let it dry.
17  Remove the cap from the IV tubing end and connect it securely to the cannula hub. 2

18  Slowly open the roller clamp and regulate the drop rate to 31 drops per minute by counting drops against a watch for one full 2
minute.
19  Secure the tubing safely with tape to avoid pulling on the insertion site. 2

20  Dispose of all waste materials properly, remove gloves, and perform hand hygiene. 2

21  Ensure the patient is comfortable and the call light is within reach. 2

22  Document the procedure: Record the date, time, type and volume of fluid, calculated drop rate, site condition, and patient 2
tolerance in the charts.
TOTAL 22

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 ADMINISTRING INTRAVENOUS FLUID

ARTIFACTS/ EQUIPMENTS/PRELIMINARY REQUIREMENTS

Tray containing;

Docters order For confermation

Medication sheet To document

Iv cannula (22gz,24gz) For infusion

Iv set (according to drop factor ordered) For infusion

Alcholal rub with cotton swab To clean the site

Tape To secure
 Iv pole To hang the fluid

Iv fluid(as prescribed) To administer

Gloves To maintain asepsis

Turnigate To assess vains

Kidney tray To collect wet waist

Paper bag To collect dry waist

Cheat block To calculate dosage

ADMINISTRING INTRAVENOUS FLUID

INFORMATION TO EXAMINEE

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Scenario: A 45-year-old patient is admitted with dehydration. The physician orders 1,000 mL of 0.9% Normal Saline to be infused over 8 hours. The drop
factor of the IV administration set is 15 gtt/mL. Prepare and initiate the IV infusion.
 ADMINISTRING INTRAVENOUS FLUID

STUDENT RESPONSE SHEET

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Registration Number:--------------------------------------------------------------- Date:--------------------

DOCUMENTATION:
SIGNATURE OF EXAMINER SIGNATURE OF EXAMINEE