Table 1: Scoring criteria for intravenous indwelling needle infusion in the 2023 National Vocational College Skills Competition – Higher Vocational Nursing Skills Competition.
|
First level indicator |
Secondary indicators |
|
Verification and Inspection |
C1 Seven-step hand washing method, wearing a mask |
|
C2 Two people check the doctor's order, infusion card and bottle label |
|
|
C3 Check the label of the drug solution |
|
|
C4 Check the quality of the liquid medicine |
|
|
Prepare the solution |
C5 Label the bottle, open the bottle cap, and sterilize the bottle stopper twice until the bottle neck |
|
C6 Check the infusion set packaging, expiration date and quality, and insert the infusion set needle into the bottle stopper |
|
|
Check Explanation |
C7 Prepare all the necessary supplies and bring them to the patient's bedside, check the patient's information (bed number, name, hospitalization number), explain the purpose of the infusion and obtain cooperation |
|
C8 Assess the patient's skin, blood vessels, and limb activity |
|
|
Initial exhaust |
C9 Check the quality of the liquid medicine again and hang the infusion bottle on the infusion stand |
|
C10 Check and open the indwelling needle package and connect the infusion set |
|
|
C11 Exhaust gas in the device |
|
|
C12 Check for bubbles |
|
|
Skin disinfection |
C13 Assist the patient to take a comfortable position; use a small pillow and treatment towel |
|
C14 Select a vein and tie a tourniquet (10 cm above the puncture point) |
|
|
C15 Disinfection of skin (diameter ≥ 8 cm; disinfection twice or follow the instructions for use of the disinfectant) |
|
|
Venipuncture |
C16 Recheck |
|
C17 Remove the needle cover and vent again until a small amount of liquid drops out |
|
|
C18 Check for bubbles and loosen the outer sleeve by rotating it |
|
|
C19 Fixes the blood vessels, asks the patient to loosen his fist, and inserts the needle |
|
|
C20 Lower the angle and insert the needle slightly to push the entire hose into the blood vessel. |
|
|
Fixed needle |
C21 Puncture, loosen the tourniquet, open the regulator, ask the patient to loosen his fist, and remove the needle core. |
|
C22 Is properly fixed, and the pipe label should indicate the pipe placement date, time and signature |
|
|
Adjust drip rate |
C23 Adjusts the drip rate according to the patient's age, condition and drug properties (oral) |
|
C24 Adjusts the dripping time to at least 15 seconds and reports the dripping rate |
|
|
C25 Check the patient after operation |
|
|
C26 Notice of matters needing attention |
|
|
Organize records |
C27 Place the patient in a safe and comfortable position, place the call button in an accessible place, and tidy up the bed unit and supplies |
|
C28 Seven-step hand washing method, record card for infusion execution |
|
|
Stop the infusion |
C29 Check Explanation |
|
C30 Remove the infusion patch, press the sterile dry cotton swab lightly above the puncture point, close the adjustment clip, and quickly pull out the indwelling needle |
|
|
C31 Instruct the patient to press until there is no bleeding and inform him of precautions |
|
|
C32 Assist the patient to take a safe and comfortable position and ask if |
|
|
C33 Clean up the treatment items and place them in categories |
|
|
C34 Wash hands in seven steps, remove the mask, and record the end time of infusion and the patient's reaction |