Appendix 2: Checklists Summary

Chapter 1

Checklist 1: Routine Practices

Checklist 2: Five Key Moments in Hand Hygiene

Checklist 3: Hand Hygiene with ABHR

Checklist 4: Hand Hygiene with Soap and Water

Checklist 5: Applying Non-Sterile Gloves

Checklist 6: Donning PPE

Checklist 7: Doffing PPE

Checklist 8: BBF Exposure

Checklist 9: Principles of Sterile Technique

Checklist 10: Entering the OR

Checklist 11: Surgical Hand Scrub with Medicated Soap

Checklist 12: Donning Sterile Gloves

Checklist 13: Preparing a Sterile Field

Chapter 2

Checklist 14: Pain Assessment

Checklist 15: Vital Signs

Checklist 16: Health History Checklist

Checklist 17: Head-to-Toe Assessment

Checklist 18: Initial and Emergency Assessment

Checklist 19: Focused Respiratory System Assessment

Checklist 20: Focused Cardiovascular/Peripheral Vascular System Assessment

Checklist 21: Focused Gastrointestinal and Genitourinary Assessment

Checklist 22: Focused Musculoskeletal System Assessment

Checklist 23: Focused Neurological System Assessment

Chapter 3

Checklist 24: Risk Assessment

Checklist 25: Moving a Patient up in Bed

Checklist 26: Positioning a Patient to the Side of the Bed

Checklist 27: Assisting a Patient to a Sitting Position

Checklist 28: Ambulating a Patient

Checklist 29: Moving a Patient from Bed to Stretcher

Checklist 30: Bed to Wheelchair Transfer

Checklist 31: Lowering a Patient to the Floor

Chapter 4

Checklist 32: Wound Assessment

Checklist 33: Simple Dressing Change

Checklist 34: Intermittent Suture Removal

Checklist 35: Continuous and Blanket Stitch Suture Removal

Checklist 36: Staple Removal

Checklist 37: Moist to Dry Dressing Change

Checklist 38: Wound Irrigation and Packing

Checklist 39: Emptying a Closed Wound Drainage System

Checklist 40: Drain Removal

Chapter 5

Checklist 41: Applying and Titrating Oxygen Therapy

Checklist 42: Oral Suctioning

Chapter 6

Checklist 43: Safe Medication Administration

Checklist 44: Administering Medication by Mouth

Checklist 45: Administering Medication via a Gastric Tube

Checklist 46: Medication Administered Rectally

Checklist 47: Medication Administered Vaginally

Checklist 48: Instilling Eye (Ophthalmic) Medications

Checklist 49: Instilling Ear (Otic) Medications

Checklist 50: Instilling Nasal Medications

Checklist 51: Medication by Small-Volume Nebulizer

Checklist 52: Medication by Metered Dose Inhaler (MDI)

Checklist 53: Applying a Transdermal Patch

Checklist 54: Applying Topical Creams, Lotions, and Ointments

Checklist 55: Applying Topical Powder

Chapter 7

Checklist 56: Administering an Intradermal (ID) Injection

Checklist 57: Subcutaneous Injections

Checklist 58: Intramuscular Injection

Checklist 59: Z -Track Intramuscular Injection

Checklist 60: Administering an IV Medication via a Saline Lock

Checklist 61: Administering an IV Medication (with Compatible IV Solution)

Checklist 62: Administering an IV Medication (with Incompatible IV Solution)

Checklist 63: Administering an Intermittent Intravenous Infusion (First Time)

Checklist 64: Administering an Intermittent Intravenous Infusion Using Existing Secondary Line

Chapter 8

Checklist 65: Assessing an IV System

Checklist 66: Priming IV Tubing

Checklist 67: Changing an IV Solution Bag

Checklist 68: IV Tubing Administration Set and IV Solution Change

Checklist 69: Flushing a Saline Lock

Checklist 70: Converting a Saline Lock to a Continuous IV Infusion

Checklist 71: Converting an IV Infusion to a Saline Lock

Checklist 72: Removing a Peripheral IV

Checklist 73: Managing a Blood or Blood Product Transfusion Reaction

Checklist 74: Preparing for a Blood or Blood Product Transfusion

Checklist 75: Transfusion of Blood and Blood Products

Checklist 76: TPN Administration

Chapter 9

Checklist 77: Blood Glucose Monitoring

Chapter 10

Checklist 78: Inserting a Nasogastric Tube

Checklist 79: Removal of an NG Tube

Checklist 80: Insertion of an Intermittent or Indwelling Urinary Catheter

Checklist 81: Removing an Indwelling Catheter

Checklist 82: Tracheal Suctioning

Checklist 83: Cleaning an Inner Tracheal Cannula

Checklist 84: Cleaning Stoma and Changing a Sterile Dressing

Checklist 85: Replacing Tracheostomy Ties (Velcro or Twill Tape)

Checklist 86: Management of a Chest Tube Drainage System (Pleur-evac)

Checklist 87: Changing a Pouching System/Ostomy Appliance (Ileostomy or Colostomy)

Checklist 88: Changing a Urostomy Pouch/Appliance


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Clinical Procedures for Safer Patient Care Copyright © 2015 by British Columbia Institute of Technology (BCIT) is licensed under a Creative Commons Attribution 4.0 International License, except where otherwise noted.

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