HLTH1210/Licensed Practical Nurse-Certified SKILL CHECKLIST FOR CENTRAL INTRAVENOUS DRESSING CHANGE (*Under direct supervision of RN) STEPS FOR PROCEDURE 1. Check date and time of last dressing change 2. Wash your hands 3. Assemble supplies 4. Check clients identification 5. Explain procedure to client 6. Clean overbed table and allow to dry 7. Place client in supine position, with head turned away from site 8. Put on face mask and also on patient if necessary 9. Set up supplies on overbed table 10. Put on clean gloves and remove old dressing 11. Dispose of dressing in plastic bag 12. Remove gloves and wash hands 13. Inspect site carefully 14. Don sterile gloves 15. Cleanse area with antiseptic solution, moving in a spiral direction 16. Allow antiseptic solution to dry 17. Apply new dressing 18. Secure tubing 19. Remove gloves and mask 20. Label dressing with date and time 21. Reposition client for comfort 22. Dispose of packages and wastes 23. Wash your hands 24. Assure proper IV flow rate PASS FAIL 25. Document site appearance and procedure