COR JESU COLLEGE, INC.
COLLEGE OF HEALTH SCIENCES
Tres de Mayo, Digos City, Davao del Sur
RT 8- PHARMACOLOGY AND VENIPUNCTURE
Rubric for Basic Intravenous Training for Student Nurses, Midwives, and Radiologic Technologists
Name of Student: ____________________________________ Rating: ___________
Program/Course, Year & Section: _______________________ Date: _____________
Performance Task: The students state the rationale and perform proper procedures and techniques
in intravenous insertion in about 20-30 minutes.
Objective: to develop skills in intravenous insertion.
Legend:
4- Very Satisfactory- Performs the procedure consistently in an effective and efficient manner.
Rationale is completely stated.
3- Satisfactory- performance is usually effective and efficient but not always. Able to state the
rationale but incomplete.
2- Fair- performs procedure fairly and unable to state rationale.
1-Needs Improvement- performs the procedures ineffectively and unable to state the rationale.
Instruction: Put a check on the behavior observed/performed.
4 3 2 1
STEP 1: GATHERING OF EQUIPMENT AND PREPARATION
1. Gather all equipment at bedside (IV Solution, towel or disposable pad, hypoallergenic
plaster, IV tubing, tourniquet, IV tag, alcohol swabs/cotton, disposable gloves, IV
cannula, IV bag with solution set (tubing), sharp container.
2. Explain the need for IV procedure to the patient.
3. Perform hand hygiene.
STEP 2: PREPARATION FOR IV SOLUTIONS AND TUBING
1. Maintain an aseptic technique when opening sterile package and IV solution.
2. Close the regulator, clamp the tubing, uncap spike and insert into entry site on bag as
manufacturers directs.
3. Hang on IV Pole.
4. Squeeze drip chamber and allow it to fill at least halfway.
5. Remove the cap at the end of the tubing, release the clamp and allow fluid to move
through tubing (full blast). Allow fluid to flow until all air bubbles have disappeared,
ensure maintaining sterility of set up.
STEP 3: SITE PREPARATION
1. Explain the procedure to the patient/parent.
2. Wash hands with antiseptic solution.
3. Place the patient on Low Fowler’s Position in Bed/sitting position, place protective
towel under patient’s arm.
4. Select an appropriate site and palpate accessible veins.
5. If the site is hairy, and agency policy permits, shave about 2” at the area around the
intended site of entry.
6. Apply a tourniquet about 5”-6” above the venipuncture site, and direct the end of the
tourniquet away from the site of entry.
7. Ask the patient to open and close fist, palpate for suitable vein. If vein cannot be felt, b.
try the following:
a. Release the tourniquet, place patient’s lower arm below heart level, reapply
tourniquet and gently tap over intended vein.
b. Remove tourniquet and place warm moist compresses over intended vein for
10-15 minutes.
STEP 4: IV CATHETER INSERTION
1. Don clean gloves
2. Cleanse site with cotton balls with alcohol/alcohol swab, in circular motion from center
to outward for several inches.
3. Use non-dominant hand, place about 1” or 2” below entry site, taut the skin, without
touching the prepared site.
4. Prepare and insert the catheter, remove the catheter from the package, inspect the
catheter and needle for any damage. Spin the hub of the catheter to ensure it moves
freely from needle.
5. Stabilize the vein, insert the stylet through the skin and reduce the angle as you can
advance through the vein.
6. Observe for back flow, as blood slowly fills the flash back chamber, advance the needle
approximately 1cm further.
7. Holding the end of the catheter with the thumb and index finger, pull the needle back
1cm with middle finger.
8. Slowly advance the catheter into the vein keeping tension on the vein and skin.
9. Release the tourniquet remove the needle and connect the IV tubing to the end of the
stylet.
10. Tape with transparent dressing/plaster to secure the stylet on the site. Ensure that the
insertion site and the area proximal to the site are visible for inspection purposes.
11. Run your IV solution according to the prescribed rate of the doctor (make sure there are
no air bubbles).
12. Note the date and time of insertion in the patient’s medical record.
13. Record the date of line change and secure the IV line.
14. If the site needs to be immobilized, use a well-padded splint and strapping if necessary.
For infants 12 months, transparent tape must be used. If bandage is used, apply it at each
end of the splint so that the central area is lightly curved for easy inspection.
15. Do aftercare. Dispose equipment safely. Discard the needle into the sharp container.
Total Score
Total Grade
Remarks:_____________________________________________________________________________
_____________________________________________________________________________________
Clinical Instructor/Facilitator:
____________________________
Name & Signature