Starting an IV Hanging a Primary IV Solution Hanging an IV Piggy Back Programming an IV Pump Lab Skills

IV Therapy: Starting an IV Review order Get supplies Explain to patient Find best vein Start distally Perform venipuncture, secure, start fluids Document Dressing should be transparent Do not select sites on mastectomy side, dialysis, paralyzed. Caution with hard veins, valves, skin bruising or other abnormalities, do not go below previous IV sites.

IV Therapy: Equipment

IV Therapy: Peripheral Sites Avoid starting IV sites on an extremity with a dialysis graft. Use distal veins prior to distal proximal veins. Use the Non dominant arm You must obtain an order specifying that you can use a site other than the upper extremities Do not select sites on mastectomy side, dialysis, paralyzed. Caution with hard veins, valves, skin bruising or other abnormalities, do not go below previous IV sites. Feet not recommended for adults

Nexvia

Nexiva

Nexiva With your power point in full screen, click on movie icon for youtube.

Alaris Pump

Alaris® Pump module Preparing an Infusion

Alaris® Pump module Preparing an Infusion

Alaris® Pump module Preparing an Infusion

Alaris® Pump module Preparing an Infusion

Alaris® Pump module Preparing an Infusion

Alaris® Pump module Preparing an Infusion

Alaris Pumps

Remove the IV administration set (tubing) from the package and close the roller clamp; attach add-on devices if required. i.e. extension tubing, filter. Remove the plastic protector from the IV solution bag administration set insertion port Remove the plastic protector from the spike end of the administration set (tubing) Insert the spike into the IV solution insertion port using aseptic technique Hand the bag on the IV pole

Alaris Pumps

Secondary Tubing

Care Plan for a client with an IV

Nursing Diagnosis: Risk for infection: IV site r/t environmental pathogens and impaired skin integrity. Outcome: Pt will be free of infection AEB no redness, swelling, tenderness or warmth in the next 4 hrs. Assessment Monitor WBC PRN Monitor site for redness, discharge, warmth, tenderness Q2 Monitor temp q 4 hrs Monitor for IV site irritations: is pt pulling on IV tube Therapeutic Intervention Perform hand washing before and after handling IV site and IV system. Change dressing of IV site q 72 hrs ,PRN or per policy Wash pt with SAGE bath q day

Nursing Diagnosis: Risk for infection: IV site r/t environmental pathogens and impaired skin integrity. (Therapeutic Interventions continued) When accessing ports, clean with alcohol for 15 seconds and let it dry for 15 seconds. Apply alcohol caps on ports with not in use. Use a catheter stabilization device or tape IV site securely. Change tubing every 96 hours. Change the tubing when a new bag is being hung. Ensure dressing is dry and intact. Limit disconnecting tube Never let the end of the IV tubing touch the floor Teaching Teach patient s/s of infection and to report tenderness Teach patient to not handle IV site