FOOTHILL COLLEGE
IV Drip Set up
Candidate Name: _________________________________________ Date: ______________________
Examiner Name and Signature: _________________________________________________________
Time Started: __________ Time Ended: __________ Points: _____/19 PASS/FAIL (Circle One)
| Points Possible | Points Awarded | |
| Ensure proper PPE | 1 | |
Gather supplies:
|
1 | |
| Remove IV solution from packaging and gently apply pressure to the bag while inspecting for tears of leaks | 1 | |
| Check color and clarity of solution | 1 | |
| Perform the 5 rights of medication administration | 5 | |
| Remove the primary IV tubing from the packaging and note the drip factor | 1 | |
| Position the roller clamp near the drip chamber and clamp it | 1 | |
| Remove the cover from the tubing port on the bag of IV fluid | 1 | |
| Remove the cap from the insertion spike on the tubing. | 1 | |
| While maintaining sterility, insert spike into the tubing port of the bag of IV fluid | 1 | |
| Squeeze the drip chamber 2-3 times to fill the chamber halfway | 1 | |
| Loosen the cap from the end of the IV tubing and open the clamp to prime the tubing | 1 | |
| Once primed, clamp IV tubing and check the entire length of the tubing for air bubbles. Tap tubing gently to remove any air. | 1 | |
| Replace or tighten the cap on the end of the tubing | 1 |
Points Possible: 19 Total Points Awarded_______________
Critical Criteria
● Failure to maintain aseptic technique
● Failure to perform 5 rights
● Failure to check color, clarity & expiration date
● Improperly assembles IV Tubing