Skills Checklist: Ultrasound-Guided Fascia Iliaca Block
Skills Checklist: Ultrasound-Guided Fascia Iliaca Block
Completion requirements
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Step 3 · Skills Checklist
Ultrasound-guided fascia iliaca block (simulation)
Use this checklist on the day. Your faculty member will use the same steps when giving feedback.
Preparation
| Step | Done |
|---|---|
| Confirms the indication and checks contraindications, including bleeding risk | ☐ |
| Records weight and allergies; calculates the maximum dose and checks it with a colleague | ☐ |
| Explains the procedure, alternatives and risks; consent recorded | ☐ |
| Records a pain score and baseline leg sensation and power | ☐ |
| Monitoring on, IV access working, lipid emulsion location known | ☐ |
Ultrasound
| Step | Done |
|---|---|
| Chooses the linear probe; sets depth and gain | ☐ |
| Identifies the femoral artery, vein and nerve, the fascia iliaca and iliacus | ☐ |
| Obtains the infra-inguinal or supra-inguinal view and plans the needle path | ☐ |
| Checks the path with colour Doppler | ☐ |
Safety and asepsis
| Step | Done |
|---|---|
| Prep, Stop, Block: confirms the side with the assistant just before the needle | ☐ |
| Hand hygiene, sterile gloves, antiseptic allowed to dry, sterile probe cover | ☐ |
Block
| Step | Done |
|---|---|
| Needle in plane with the tip in view at all times | ☐ |
| Places the tip under the fascia iliaca, away from the nerve and vessels | ☐ |
| Aspirates and gives a test dose; confirms the fascia lifts off iliacus | ☐ |
| Injects slowly, aspirating every 5 mL, watching spread and talking to the patient | ☐ |
| Stops for blood, pain, resistance, no spread or toxicity symptoms | ☐ |
Completion
| Step | Done |
|---|---|
| Pressure and dressing | ☐ |
| Monitors for at least 1 hour; pain score at 30 minutes | ☐ |
| Hands over falls precautions and the dose given | ☐ |
| LocSSIP sign out; documents the block fully | ☐ |
Remember
This checklist is for simulation practice. Clinical competence is assessed in your workplace, under your employer's procedures.
Sources for this chapter
- Royal College of Emergency Medicine. Best Practice Guideline: Fascia Iliaca Block in the Emergency Department (first published March 2020, updated October 2025)
- Safe Anaesthesia Liaison Group and Regional Anaesthesia UK. Prep, Stop, Block: national standardised operating procedure to prevent wrong-side blocks (2022)
- Association of Anaesthetists. Quick Reference Handbook 3-10: Local anaesthetic toxicity, version 2 (2023)
- Centre for Perioperative Care. National Safety Standards for Invasive Procedures 2 (NatSSIPs 2), 2023. See NHS England: NatSSIPs
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