Procedural Skills Instruction Arterial Blood Gas (ABG) Checklist
Procedural Skills Instruction Arterial Blood Gas (ABG) Checklist
Procedural Skills Instruction Arterial Blood Gas (ABG) Checklist
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<strong>Procedural</strong> <strong>Skills</strong> <strong>Instruction</strong><br />
Lumbar Puncture <strong>Checklist</strong><br />
Instruct the Examinee: You are permitted to re-adjust by retracting the needle to the subcutaneous<br />
tissue. If no fluid is present on the second attempt or if the needle is completely removed while trying to<br />
readjust the angle, you must begin process over at a new insertion site starting with sterilization.<br />
ASSESSORS: PLEASE DO NOT LEAVE ANY ITEM UNRATED<br />
1. Clean Hands.<br />
___Done ___Not Done<br />
2. Checked that all necessary equipment is available and ready<br />
to use.<br />
3. Put on Mask. ___Done<br />
4. Identified correct puncture site (midline at L4-L5-S1. L4 is<br />
at the level of the iliac crest).<br />
5. Open LP kit carefully to maintain sterility. ___Correct<br />
Technique<br />
6. Open sterile glove package. ___Correct<br />
Technique<br />
7. Put on sterile gloves maintaining sterile environment. ___Correct<br />
Technique<br />
8. Prepped “skin” over proposed puncture site. ___Correct<br />
Technique<br />
___Done ___Not Done<br />
<strong>ABG</strong> 3/20/2012<br />
___Not Done<br />
___Done ___Not Done<br />
___Incorrect<br />
Technique<br />
___Incorrect<br />
Technique<br />
___Incorrect<br />
Technique<br />
___Incorrect<br />
Technique<br />
9. Place sterile drapes around site maintaining sterile<br />
___Correct ___Incorrect<br />
environment.<br />
Technique Technique<br />
10. Properly administered a local anesthetic. Must anesthetize ___Correct ___Incorrect<br />
four different tissue levels using smaller needle for initial levels<br />
and larger needle for deeper levels.<br />
Technique Technique<br />
11. Verified proper fit of the stylette in the spinal needle. ___Done<br />
12. Inserted the spinal needle with stylette into the puncture<br />
site w/bevel toward the iliac crest and at the proper angle. (10<br />
degrees toward the umbilicus).<br />
13. Advanced the needle into the subarachnoid space; if bony<br />
resistance was felt, backed needle out to the subcutaneous<br />
tissue, changed angle and re-advanced the needle. Ask: If<br />
boney tissue is felt, what would you do? Response should be<br />
as stated above.<br />
14. Tested for presence of spinal fluid. Note: Credit given<br />
even if no fluid present. Ask: “How much fluid is<br />
collected?” Answer: “3 – 4 ml”<br />
15. If no fluid seen, examinee states they would back needle<br />
out to the subcutaneous tissue, changed angle and re-advanced<br />
the needle.<br />
16. Stylette placed into needle. Placed gauze over puncture<br />
site and removed needle. (Must use gauze every time needle is<br />
removed for credit and stylette MUST be reinserted into needle<br />
before removal.)<br />
___Correct<br />
Technique<br />
___Correct<br />
Technique<br />
___Correct<br />
Technique<br />
___Correct<br />
Technique<br />
17. Disposed of needle assembly in Sharps container ___Correct<br />
Technique<br />
___Done<br />
___Incorrect<br />
Technique<br />
___Incorrect<br />
Technique<br />
___Incorrect<br />
Technique<br />
___Incorrect<br />
Technique<br />
___Incorrect<br />
Technique<br />
___Not Done<br />
___Not Done<br />
___Not Done<br />
___Not Done<br />
___Not Done<br />
___Not Done<br />
___Not Done<br />
___Not Done<br />
___Not Done<br />
___Not Done<br />
___Not Done<br />
___Not Done<br />
___Not Done
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