Procedural Skills Instruction Arterial Blood Gas (ABG) Checklist

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14. Assessed for flashback of blood into the syringe, then allowed syringe to fill. (about 1 cc - assessor should tell examinee that a smaller amount is sufficient for the purpose of the exam. Assessor may prompt for aspiration.) 15. Placed 2x2 gauze pad over puncture site and withdrew needle and syringe. Needle safety device is engaged. 16. Slowly inverts the syringe 10 times, and then roll between palms to mix. __Correct Technique __Correct Technique __Correct Technique __Incorrect Technique __Incorrect Technique __Incorrect Technique ABG 3/20/2012 __Not Done __Not Done __Not Done 17. In the patient’s presence, labels the specimen and places in a __Correct __Incorrect __Not Done biohazard bag. MUST VERBALIZE if no bag is available. Technique Technique 18. Upon SI’s question, “How long should pressure be applied to puncture site?” Answered, “At least five minutes” or “Five Minutes.” __Done __Not Done 19. Ask: “What must you do once the procedure is completed?” Answer: “Document in the patient chart.” ___Yes ___No 20. Patient comfort was a priority. ___Yes ___No 21. Maintained sterility appropriately throughout the procedure. ___Done ___Not Done 22. Procedure documented on patient chart. (Location of puncture site ,results of Allen ___Complete ___Not Test, and any complications MUST be documented on patient chart.) Complete Assessment based on ability to perform skills on a medical task trainer only. Total Missed______________
Procedural Skills Instruction Basic Airway #1: Bag-Valve-Mask Ventilation ASSESSORS: PLEASE DO NOT LEAVE ANY ITEM UNRATED Oral and Nasal Airways (#7) can be done in conjunction with BVM or as a separate task. 1. Assessor Prompt: “What equipment should be set out and checked for the procedure?” Correct Response: “Oxygen, ambu bag, Oral & Nasal Airways, Suction, stethoscope.” 2. Washed Hands 3. Put on Gloves 4. Chooses Appropriate Sized Mask. 5. Attaches Oxygen with tubing and adjusts regulator to at least 15 liters. 6. Checks patients’ mouth for foreign material and/or small or illfitting dental devices. (Good-fitting full dentures may be left in place to get a better seal.) 7. Oral or Nasal airways properly measured (Tip of lip to angle of jaw/Tip of nare to angle of jaw) and inserted. (If oral, curve up towards hard palate first, then rotated at soft palate - or used tongue blade; if nasal, lubricated generously and initially inserted with bevel tip toward the septum.) Ask: “When is a(n) oral/nasal airway used.” Answer: Indicates gag reflex uses nasal vs. no gag reflex uses oral. 8. Head-tilt, Chin-lift performed. 9. Hand positioned– one-handed technique to fit and seal the bag against the face. (Proper hand placement: Thumb & Index finger on body of mask, 3 rd & 4 th digits on jawbone, 5 th digit at the angle of the jaw. Little or NO pressure to the sub-mandibular soft tissue.) 10. Hand positioned– two-handed technique to fit and seal the bag against the face. Assessor should squeeze the bag for the participant. (Proper hand placements: Thumbs & Index fingers on body of mask, 3 rd & 4 th digits on jawbone, 5 th digit at the angle of the jaw. Little or NO pressure to the sub-mandibular soft tissue.) 11. Assessor prompt “What needs to be checked now?” Correct Response: “Auscultation of chest.(By a second person)” 12. Ask: “What must you do once the procedure is completed?” Answer: “Document in the patient chart.” 13. Procedure documented on patient chart. Documentation should in clude: indications for BVM ventilation, one or two person, time, response to ventilation, complications, initials. __Correct Response __Correct Technique __Correct Technique __Correct Technique __Correct Technique __Correct Technique __Correct Technique __Correct Technique __Incorrect Response ABG 3/20/2012 __Don’t Know __Done __Not Done __Done __Not Done __Incorrect Technique __Incorrect Technique __Incorrect Technique __Incorrect Technique __Incorrect Technique __Incorrect Technique __Incorrect Technique __Not Done __Not Done __Not Done __Not Done __Not Done __Not Done __Not Done __Done __Not Done __Done __Not Done ___Done ___Not Done Total Missed________ Assessment based on ability to perform skills on a medical task trainer only.
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Procedural Skills Instruction Arterial Blood Gas (ABG) Checklist

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