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Skill Checklists for Taylor's Clinical Nursing Skills:
A Nursing Process Approach, 3rd edition
Name Date
Unit Position
Instructor/Evaluator: Position
SKILL 15-5Capping for Intermittent Use and Flushing a
Peripheral Venous Access DeviceGoal:The patient remains free of injury and any signs and
symptoms of IV complications. Comments- Determine the need for conversion to an intermittent
access. Verify medical order. Check facility policy. Gather
all equipment and bring to bedside. - Perform hand hygiene and put on PPE, if indicated.
- Identify the patient.
- Close curtains around bed and close the door to the room,
if possible. Explain what you are going to do and why you
are going to do it to the patient. Ask the patient about
allergies to tape and skin antiseptics. - Assess the IV site. Refer to Skill 15-3.
- If using an electronic infusion device, stop the device.
Close the roller clamp on the administration set. If using
gravity infusion, close the roller clamp on the administra-
tion set. - Put on gloves. Close the clamp on the short extension tub-
ing connected to the IV catheter in the patient’s arm. - Remove the administration set tubing from the extension
set. Cleanse the end cap with an antimicrobial swab. - Insert the saline flush syringe into the cap on the extension
tubing. Pull back on the syringe to aspirate the catheter for
positive blood return. If positive, instill the solution over 1
minute or flush the line according to facility policy. Remove
syringe and reclamp the extension tubing. - If necessary, loop the extension tubing near the entry site
and anchor it with tape (nonallergenic) close to site. - Remove equipment. Ensure patient’s comfort. Remove
gloves. Lower bed, if not in lowest position. - Remove additional PPE, if used. Perform hand hygiene.
Copyright © 2011 by Wolters Kluwer Health | Lippincott Williams & Wilkins. Skill Checklists for Taylor's Clinical Nursing Skills:ExcellentSatisfactoryNeeds Practice