1. IV kit (tourniqet, tegraderm, tape, chloriprep swab,                  date/time sticker, gauze) 

2. 10 mL ns flush

3. aligator 

4. alcohol swab

5. pen (to write date)

6. barrier (for under arm)

7. 20 gauge needle (pink)

8. Gloves

9. Extension 

1. Gather supplies and open kit, flush, needle, tear tape, date sticker.
2. attach alligator to ns flush and prime extension tubing
3. place barrier under site and don gloves
4. assess pt vein lowest first (1" straight, springy) warm hand or drink warm water)
5. swab w/alcohol, sterilize with chlorahex
6. Insert needle, release tourniquet, advance cath and hit needle return
7. clamp off above catheter, attach extension, try for return, flush all NS 
8. assess for infilitration if none then tape, tegraderm, date

1. NG kit ( emisis basin, eye protection, cup, straw, water soluable lubricant, tape)
2. NG tube
3. Marker
4. Towel

OSCE script

Receive report 

Introduction

Explain role and procedure

Assessment

Education/Directions

Exit

1. Receive report: Give top nursing priorities and develop a plan of care with rationale

2. Introduce self: Hello my Name is Christina Carmichael, I am a 2nd year student Nurse with OHSU. 

3. Explain role: I am going to help with XXXX, assess XXX (make eye contact, sit up straight)

4. Perform assessment: eye contact, dont hesitate, dont fumble with papers.

5. Clear communication about procedure, directions, and check for patient understanding. What questions do you have for me?

6. Exit: bed low and locked, side rails up, call light, hand sanitize.

IV  NS saline

Pump

IV extension to an IV that will assess

Primary tubing (with key)

Bag of saline 

Alligator clip

Alcohol swab

Gloves

Tape to date and time line

Receptacle

1.  Sanitize hands, introduce self and purpose

2.  Gather supplies, check order, assess IV site

3.  Set up table

4.  Spike bag and prime tubing 

5.  Hang bag

6.  Set up pump

7.  Connect to patient

8.  Undo clamps and hit run

9.  Clean up, sanitize hands and leave

IV secondary line of antibiotics

Supplies

2nd line kit

blue hanger

swab

Sanitize hands, introduce self and purpose

Gather supplies, check order, assess IV site

Spike bag and prime tubing, sticker w/ change tube date. 

lower primary, hang secondary

Set up pump

swab hub, connect to patient

Undo clamps and hit run

Clean up routine, sanitize hands and leave

Check Rate 3-5 large boxes sinus brady <60, tachy>100, normal 60-100
Check same distance R's
Check for p wave <.20
Check for QRS >.12
Check for QT rhythm 

Flush a PICC line

1. Supplies

2. Steps

1.Supplies
- alcohol swabs, two NS flush 10 mL
2. Steps
Swab port for 15 sec (if not capped)
attach NS 10 mL and flutter to dislodge fibrin
attach another and do the same
tuck away or recap 
sanitize hands on way out

1. Supplies

clean and sterile dressing change kit

alcohol swab

Pen to date

tape

mask for patient

2. Steps

remove port dressing - caution not to dislodge needle

open sterile kit and put on mask and gloves

createa sterile field open packages

replace gauze over top and under yellow

tegaderm and date

sanitize hands on the way out

1. Supplies
saline, gloves, sterile gloves, sterile pack (tweezers, sterile qtips, 4x4s)
2. Steps
1. articulate that hands have been washed, introduced self to pt, changing the dressing on your wound.
2. Open sterile package and all containers and put on put on sterile gloves
3. regular gloves and remove gause - note drain, smell
4. pack tunneling wound with strips and qtip - cut
5.pack saline gauze - caution wet not on healthy skin
6. cover 1 inch over wound and tape frame
7. sign and date
8. verbalize hand sanitize on way out

Urine Sample from Foley

steps

pinch off line up high, remove attachment tubing, insert syrynge and draw up fresh urine then place in receptacle. replace tubing and sanitize hands on way out.