Infusion RN
Proficiency Scale
1 =
No Experience
2 =
Need Training
3 =
Able to perform with supervision
4 =
Able to perform independently
| Age of Patients Cared For | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Newborn/Neonate (birth to 30 days) | |||||
| Infant (1 month to 1 year) | |||||
| Toddler (1 year to 3 years) | |||||
| Preschooler (3 years to 5 years) | |||||
| School Age Child (5 years to 12 years) | |||||
| Adolescents (12 years to 18 years) | |||||
| Middle Adults (39 years to 64 years) | |||||
| Older Adults (64 years to 79 years) | |||||
| Elderly Adults (over 79+ years) |
| General Skills | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Care of Patient in Restraints | |||||
| Automated Med Dispensing Systems | |||||
| Electronic Documentation | |||||
| Access/Management of Implanted Ports | |||||
| Access/Management of Central Lines | |||||
| Titration of Drips | |||||
| Administration of Blood/Blood Products | |||||
| Knowledge of Current IV Therapy Guidelines | |||||
| Knowledge of Anatomy | |||||
| Moderate Conscious Sedation | |||||
| Sedation Reversal Agents |
| Insertion Of | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Peripheral IV – Adult | |||||
| Peripheral IV – Child | |||||
| Peripheral IV – Neonate | |||||
| Vein Selection – Peripheral IVs | |||||
| Interosseous Needles | |||||
| Vein Selection – Peripheral IVs |
| Midline/PICC Lines | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Midline Catheter Insertion – Adult | |||||
| Midline Catheter Insertion – Child | |||||
| Indications for Midline/PICC Placement | |||||
| Contraindications for Midline/PICC Placement | |||||
| Vein Selection | |||||
| Measuring Technique | |||||
| Catheter and Introducer Device Selection | |||||
| Correct Tip Placement | |||||
| Insertion Technique – Basic (Vein) | |||||
| Insertion Technique – Seldinger | |||||
| Insertion Technique – Ultrasound | |||||
| Assist with Insertion in Interventional Radiology | |||||
| Insertion Site Preparation | |||||
| Maintaining Sterile Field | |||||
| Securing Insertion Site Post Placement | |||||
| X-Ray Assessment for Tip Location | |||||
| Repositioning After X-Ray |
| Care and Maintenance | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Peripheral IV | |||||
| Scalp IV | |||||
| Heparin/Saline Lock | |||||
| Groshong PICC | |||||
| Groshong CVL | |||||
| Hickman/Broviac | |||||
| Port-a-Cath | |||||
| Vascath | |||||
| Multilumen Catheters | |||||
| Subclavian Line | |||||
| IJ Line | |||||
| Femoral Line | |||||
| Power PICC | |||||
| Power Port | |||||
| Dressing Changes | |||||
| Cap Changes | |||||
| Flushing Lines (Frequency/Solution) |
| Discontinuing IV Therapy | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Peripheral IVs | |||||
| PICC/Midline | |||||
| Central Lines |