al Assessment 13-1 Student Name SKILL Chapter 1). Do proced 305 Instructions ready, notify instructor to schedule skills check-oft Skills assessment must be completed Instructor will demonstrate assembly. Practice procedure with your partner. When Seldinger Technique (due date) . Supplies satisfactorily by Ray-Tec 411 blade Needle/cannula with stylet and syringe may simulate insertion of needle with syringe containing vascular irrigation fluid or dry or simple insertion of needle) Guidewire Catheter (simulation tubing smaller than vessel simulation tubing) Syringe with needle X2 and local anesthetic Gylocaine percent Syringe and contrast media (simulation-bottle labeled with contrast media used locally- Renografin, Omnipaque, Isovic Vascular irrigation solution (heparin mixed as per local facility, ml of normal saline or other irrigant Labels (skin marker and blank labels Steri-strips or preprinted labels) Normal saline for dilution as necessary X-ray gown (simulation gown with word LEAD APRON Vessel simulation (tubing with red fluid secured to prevent rolling under a disposable towed Basic instrument tray (various hemostats, scissors, tissue forceps, ringed instruments appropriate to local facility) Huber needle and vascular access port or vascular access catheter units of heparin in Note: Student must perform skill independently without prompting Practice with Partner Date: Skills Testing Date: PROCEDURAL STEPS COMMENTS 1. Assembles and prepares supplies and lab for Correct Needs Review practice. 2. Identifies appropriate X-ray precautions. Correct Needs Review 3. Identifies correctly classification and pre- cautions for medications: local anesthetic, heparin, and contrast media. Labels correctly. Correct Needs Review States drug, strength, and any additives when passing 4. Demonstrates adequate case preparation Setup is organized with supplies and instru- Correct Needs Review mentation in order of use. 5. Demonstrates safe preparation, handling. Correct Needs Review and passing of sharps. 6. Demonstrates anticipation of procedure sequence. Passes local anesthetic, knife, hemostat, needle/cannula setup, guidewire, Correct Needs Review catheter, then contrast media (if angiography simulation) 7. Maintains work area neat and organized. Im- mediately retrieves free ends of suture and Correct Needs Review disposes in "trash bag." 8. Breaks down setup and stores appropriately. Correct Needs Review