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