IV THERAPY Skillsheet

DISCONTINUING IV THERAPY
Peripheral IV's
                             
PICC/Midline
                             
Central Lines
                             
EQUIPMENT
IV Pumps
                             
Needleless Systems
                             
Bard Pumps
                             
CADD Pumps
                             
IVAC Pumps
                             
Blood Warmer
                             
PCA Pumps
                             
Pressure Lines
                             
FLUIDS/MEDICATIONS
IV Fluids
                             
Blood Products
                             
Chemotherapy
                             
Heparin
                             
Streptokinase
                             
Retavase
                             
TPA (Alteplase)
                             
Lidocaine
                             
TPN/Lipids
                             
Altivan (Lorazepam)
                             
Valium (Diazepam)
                             
Versed (Midazolam)
                             
Fentanyl
                             
GENERAL SKILLS
Universal Precautions
                             
Care of the Patient in Isolation
                             
Care of Patient with TB
                             
Care of Patient with MRSA
                             
Care of Patient in Protective Isolation
                             
Pediatric Cardiac/Respiratory Arrest
                             
Adult Cardiac/Respiratory Arrest
                             
Crash Carts/Defibrillators
                             
Computerized Documentation Systems
                             
Automated Medication Dispensing Systems
                             
Use of Computerized Patient ID Systems
                             
Participation on Code Teams
                             
Leading Code Teams
                             
Knowledge of Current IV Therapy Guidelines (INS, ISMP, CDC..)
                             
INSERTION OF:
Peripheral IV-Adult
                             
Peripheral IV-Child
                             
Peripheral IV-Neonate
                             
External Jugular (EJ)
                             
Interosseous
                             
Peripherally inserted central catheter (PICC)
                             
Peripheral IV- Scalp
                             
Peripheral IV- Feet
                             
IV MAINTENANCE
Peripheral IV
                             
Scalp IV
                             
Heparin/Saline Lock
                             
Subcutaneous Needles
                             
Groshong PICC
                             
Groshong CVL
                             
Hickman/Broviac
                             
Port-a-Cath
                             
Vascath
                             
Multilumen Catheters
                             
Subclavian Line
                             
Interjugular Line
                             
Femoral Line
                             
Access Ports
                             
Power Injector PICC
                             
Dressing Changes
                             
Cap Changes
                             
Flushing Lines (Frequency/Solutions)
                             
IV THERAPY EXPERIENCE WITH THE FOLLOWING AGES:
Newborn/Neonate (Birth - 30 Days)
                             
Infant (1 Month to 1 Year)
                             
Toddler (1 Year to 3 Years)
                             
Preschooler (3 Years to 5 Years)
                             
School Age Child (5 Years to 12 Years)
                             
Adolescents (12 years to 18 years)
                             
Young Adults (18 Years to 39 Years)
                             
Middle Adults (39 years to 64 years)
                             
Older Adults (64 years to 79 years)
                             
Elderly Adults (over 79+ years)
                             
MIDLINES/PICC LINES:
Midline Catheter Insertion - Adult
                             
Midline Catheter Insertion - Child
                             
Knowledge of Anatomy
                             
Indications for Midline/PICC Placement
                             
Contraindications for Midline/PICC Placement
                             
Vein Selection
                             
Measuring Techniques
                             
Catheter and Introducer Device Selection
                             
Correct Tip Placement
                             
Insertion Technique: Basic (Vein)
                             
Insertion Technique: Seldinger
                             
Insertion Technique: Ultrasound
                             
Assist with Insertion in Interventional Radiology
                             
Conscious Sedation Procedures
                             
Maintaining Sterile Field
                             
Securing Insertion Site Post Placement
                             
X-Ray Assessment for Tip Location
                             
Respositioning After X-Ray
                             
Patient/Family Teaching
                             
SPECIMENS
Venipuncture
                             
Line Draw
                             
Arterial Draw
                             
Culture Specimens
                             
Catheter Tip Culture
                             
TROUBLESHOOTING AND COMPLICATIONS
Repair PICC
                             
Repair Midline
                             
Air Embolism
                             
Bleeding
                             
Brachial Plexus Injury
                             
Cardiac Arrhythmia
                             
Cardiac Tamponade
                             
Catheter Erosion
                             
Catheter Embolism
                             
Catheter Occulusion
                             
Catheter-Related Sepsis
                             
Endocarditis
                             
Exit Site Infection
                             
Exit Site Necrosis
                             
Extravasation
                             
Hematoma
                             
Laceration of Vessels or Viscus
                             
Myocardial Erosion
                             
Perforation of Vessels or Viscus
                             
Phlebitis
                             
Catheter Tip Malposition or Retraction
                             
Thromboembolism
                             
Venous Thrombosis
                             
Ventricular Thrombosis
                             
Vessel Erosion
                             
Declotting Peripheral Site
                             
Declotting Central Lines
                             
Complications from Sedation