|
Informed consent obtained
|
77.3
|
88.2
|
|
Benefits (must state 1)
|
|
Risks (must state 2)
|
|
Consent given
|
|
Washes hands
|
36.4
|
88.2
|
|
Places the patient in slight Trendelenburg position
|
22.7
|
88.2
|
|
Tests each port and flushes the lines with sterile saline
|
63.6
|
100
|
|
Clamps each port (may leave distal port open)
|
68.2
|
100
|
|
Area cleaned with chlorhexidine in a back and forth motion for at least 30 seconds
|
4.5
|
100
|
|
Gets in sterile gown, gloves, mask and cap
|
81.8
|
100
|
|
Area draped in usual fashion using full body drape
|
50.0
|
100
|
|
Ultrasound probe is properly set up, draped, and sonographic gel is used
|
59.1
|
88.2
|
|
The vein is localized using anatomical landmarks with the ultrasound machine
|
86.4
|
100
|
|
The skin is anesthetized with 1% lidocaine in a small wheal
|
81.8
|
100
|
|
The deeper structures are anesthetized
|
77.3
|
94.1
|
|
Using the large needle- (or catheter-) syringe complex, the vein is cannulated while aspirating (must be done with ultrasound)
|
59.1
|
100
|
|
Syringe is removed from the needle and the needle is held steady
|
63.6
|
94.1
|
|
The guidewire is advanced into the vein no more than 10-20 cm
|
22.7
|
100
|
|
The skin is knicked where the guidewire enters the skin (using a scalpel)
|
68.2
|
88.2
|
|
The dilator is advanced over the guidewire and the vein is dilated.
|
72.7
|
100
|
|
The catheter is advanced over the guidewire (with the guidewire held steady while catheter is moved forward)
|
59.1
|
100
|
|
Never lets go of the guidewire
|
54.5
|
100.0
|
|
As soon as line is in place, the guidewire is removed in its entirety
|
68.2
|
100.0
|
|
The line was advanced 14-16 cm (any other measurement is wrong)
|
31.8
|
100.0
|
|
Ensures there is blood flow from each port and flushes each port with sterile saline
|
50.0
|
88.2
|
|
Line is secured in place
|
54.5
|
100.0
|
|
Locks both ports with heparin or citrate
|
40.9
|
94.1
|
|
Places dressing over line or verbalize this
|
45.5
|
88.2
|
|
Requests a chest x-ray to confirm location
|
54.5
|
94.1
|
|
Notifies or places order that line is ok to use
|
45.5
|
100.0
|
|
Maintained sterile technique throughout
|
50.0
|
100.0
|
