Protecting the connection during an IV line change
RN OSCE practice station

The task

Celia Martin, 40, has a signed order for 0.9% sodium chloride at 80 mL/hour through a left forearm cannula. Her giving set is due for change. A replacement set and supplies are on the trolley. Explain and carry out the giving-set change using ANTT, check the site and rate, and complete the progress note. Say aloud what you do at each step.

What this station tests

• A key part that touches linen must be replaced before connection.
• Use the approved antiseptic instructions and let the access port dry completely.
• After a set change, retrace the line and verify the actual prescribed rate.

Sources for the clinical content

• NHMRC: Australian Guidelines for the Prevention and Control of Infection in Healthcare
• ACSQHC: Management of Peripheral Intravenous Catheters Clinical Care Standard

An original practice scenario with invented patients. Not an exam question.

Practise next

• Aseptic dressing of an uncomplicated incision
• A leg wound that has changed at home
• Contamination during a clinic dressing
• Pressure wound care with consent concerns
• Responding to a needlestick during clinic care