TABLE 6. Procedural Checklist and Results.

	Subskill	Performed correctly	Performed incorrectly		Subskill	Performed correctly	Performed incorrectly
1	Perform hand Hygiene	91% of students	9% of students	12	When the cannula punctures the vein, in the cannula chamber, observe for flashback	79% of students	21% of students
2	Apply appropriately sized nonsterile gloves	82% of students	18% of students	13	Lower the angle between the cannula and the skin	42% of students	58% of students
3	Disinfect manikin skin and the selected vein for minimum 30 seconds, using back and forth strokes on area of 4-5 cm and allow to dry	89% of students	11% of students	14	Advance the cannula along the lumen of the vein a further 2 mm	41% of students	59% of students
4	Dispose of used disinfectant wipe in the clinical waste discard bag	44% of students	56% of students	15	With the dominant hand withdraw the introducer slightly (second flashback of blood along the shaft of the cannula to be seen)	33% of students	67% of students
5	Do not touch/repalpate site	82% of students	18% of students	16	Slowly advance the cannula fully	65% of students	35% of students
6	Apply tourniquet	29% of students	71% of students	17	Pull the introducer back slowly, while holding the cannula in position	52% of students	48% of students
7	Remove needle guard (and assess the device for faults)	100% of students performed this step correctly (It was not possible to ascertain if students assessed device for faults)	Not applicable	18	Loosen and release the tourniquet while supporting the device in situ	15% of students	85% of students
8	Use nondominant hand to achieve skin traction	33% of students	67% of students	19	Hold sterile gauze (by one corner) and place it under the cannula hub to absorb any blood spillage	36% of students	64% of students
9	Hold the cannula between your thumb and index finger and use the thumb to anchor the cannula hub	69% of students	31% of students	20	Apply digital pressure to the vein above the cannula tip and gently remove the stylet, activating the needle safety device	11% of students	89% of students
10	Position the cannula - bevel facing upwards	95% of students	5% of students	21	Dispose of all sharps in the sharps bin (at point of care)	86% of students	14% of students
11	Insert the cannula directly above the vein, through the skin (angle 10-30 degrees)	95% of students	5% of students	22	Attach primed t-connector/needlefree bung (connector)/primed short extension set to the cannula hub	89% of students	11% of students
23	Discard the gauze contaminated with blood into the yellow clinical waste bag	21% of students	79% of students	26	To confirm patency, flush cannula with prescribed sterile sodium chloride, using a push- pause technique and ending with a positive pressure	17% of students	83% of students
24	Secure the cannula with sterile transparent semipermeable dressing	38% of students	62% of students	27	Remove gloves and discard appropriately	92% of students	8% of students
25	Aspirate to check for blood flashback	3% of students	97% of students	28	Perform hand hygiene	89% of students	11% of students