The RN II . Like any career, IV infusion nursing work comes with benefits and drawbacks. purposes restore or maintain f & e administer meds provide nutrition transfusion route for blood, IV Therapy - Administering fluids and different electrolytes in the circulatory system of the client by using the veins. Needle Selection 2. |cc,}1=[9] =" 4N%f-o?)6fVzQ' k!0x]'ZOb{1|G}iihb*U5P If detected early, extravasation may be treated with medications that help avoid the complication of necrosis. By piggybacking a medication, the solution from the primary fluid line is used to prime the secondary tubing. Isotonic fluids are typically administered for fluid and electrolyte replacement. An example of isotonic fluid is 0.9% normal saline. IV Therapy: Tips, Care, and Complications Contact Hours: 2.0 Course Expires: 01/31/2019 First Published: 5/30/2014 Reproduction and distribution of these materials is prohibited without an RN.com content licensing agreement. The goal of hypotonic fluid administration is to move fluids into a patients cells due to osmosis. Many other fluid volume bags are used for intermittent infusions or short-term therapy. Determine the need for an assistant considering patient age, developmental level and family participation prior to the procedure. Be sure to follow evidence-based infection prevention practices, such as performing hand hygiene, performing a vigorous mechanical scrub of needleless connectors, limiting catheter access, and following sterile no-touch technique during intravenous infusion to reduce the risk of vascular catheterassociated infection. Recording medical history and symptoms 0 collect the following supplies: * two papers of labels (have 4 labels) * two alcohol, IV Therapy - . Check the expiration date when obtaining a new tubing administration set. (2015). Nurses often transition to infusion nursing roles after working in high-intensity environments, such as emergency and acute care. Attach a completed drug label detailing the drug, dose, diluent, volume of diluent, date, time and signature of the nurse and the staff who double checked. Perform hand hygiene Carefully remove the old dressing, always holding the cannula in place. 22. nursing responsibilities for iv therapy ppt. Primary IV administration sets consist of the following parts: Sterile spike: This part of the tubing must be kept sterile as you spike the IV fluid bag. Shri Deshaies is a paid member of the Red Ventures Education freelance review network. For intermittent infusions, IV lines which are disconnected are to be discarded between infusions. The Role of the IV Nurse. It should be kept to full of solution. The development of this nursing guideline was coordinated by Eloise Borello, CNC Quality & Improvement, and Lauren Nichols, CSN PICU, approved by the Nursing Clinical Effectiveness Committee. IV Infusion nurses can gain experience in specialties where nurses administer intravenous medications, treatments, and fluids, including emergency nursing, intensive care, oncology , pediatrics, and surgery. Today. blood transfusion ppt - SlideShare ,@@ d1E#0@%@B`D^ O X@)3^ - Perform the six rights of medication administration three times as you would when giving any other medication. The same medical guidelines and procedures are used, whether a nurse gives IV therapy in a hospital or a hotel. The. medical guidelines and procedures are used, whether a nurse gives IV therapy in a hospital or a hotel. It is their responsibility to ensure that your infusion is safe, fast, and effective. That is done in the same way, by allowing fluid to come through the line. Medical Operations & Clinical Duties. Want to create or adapt books like this? In these and other settings, like long-term care and medical day spas, nurses can master their IV insertion and infusion therapy skills. intravenous therapy- homeostasis. e.g. cannula, maintaining a neutral angle with the childs skin, Cover site with dressing Inject the prescribed drug into the burette via the additive port. will enable . by: mary watson. Extensively trained to provide IV therapy. If additives are added to infusion, please label the bag or syringe driver with additives added. $^pUTq^#P$|.\ |7 Free access to premium services like Tuneln, Mubi and more. endstream endobj 114 0 obj <>stream Additionally, IV fluid administration is considered a medical intervention and requires a medication order prior to the initiation of fluid therapy. Instead of flowing into its own line, a port is used to connect the two lines together. Educate clients on the qualities and benefits of our IV Drip and Intramuscular (IM) Shot ingredients. IV therapy is safe and effective, and our nurses know their stuff. Well credentialed; registered nurses or higher. Resources and articles written by professionals and other nurses like you. We've updated our privacy policy. 2.8 Functional Health and Activities of Daily Living, 2.11 Checklist for Obtaining a Health History, Chapter Resources A: Sample Health History Form, 3.6 Supplementary Video of Blood Pressure Assessment, 4.5 Checklist for Hand Hygiene with Soap and Water, 4.6 Checklist for Hand Hygiene with Alcohol-Based Hand Sanitizer, 4.7 Checklist for Personal Protective Equipment (PPE), 4.8 Checklist for Applying and Removing Sterile Gloves, 6.12 Checklist for Neurological Assessment, 7.1 Head and Neck Assessment Introduction, 7.3 Common Conditions of the Head and Neck, 7.6 Checklist for Head and Neck Assessment, 7.7 Supplementary Video on Head and Neck Assessment, 8.6 Supplementary Video on Eye Assessment, 9.1 Cardiovascular Assessment Introduction, 9.5 Checklist for Cardiovascular Assessment, 9.6 Supplementary Videos on Cardiovascular Assessment, 10.5 Checklist for Respiratory Assessment, 10.6 Supplementary Videos on Respiratory Assessment, 11.4 Nursing Process Related to Oxygen Therapy, 11.7 Supplementary Videos on Oxygen Therapy, 12.3 Gastrointestinal and Genitourinary Assessment, 12.6 Supplementary Video on Abdominal Assessment, 13.1 Musculoskeletal Assessment Introduction, 13.6 Checklist for Musculoskeletal Assessment, 14.1 Integumentary Assessment Introduction, 14.6 Checklist for Integumentary Assessment, 15.1 Administration of Enteral Medications Introduction, 15.2 Basic Concepts of Administering Medications, 15.3 Assessments Related to Medication Administration, 15.4 Checklist for Oral Medication Administration, 15.5 Checklist for Rectal Medication Administration, 15.6 Checklist for Enteral Tube Medication Administration, 16.1 Administration of Medications Via Other Routes Introduction, 16.3 Checklist for Transdermal, Eye, Ear, Inhalation, and Vaginal Routes Medication Administration, 17.1 Enteral Tube Management Introduction, 17.3 Assessments Related to Enteral Tubes, 17.5 Checklist for NG Tube Enteral Feeding By Gravity with Irrigation, 18.1 Administration of Parenteral Medications Introduction, 18.3 Evidence-Based Practices for Injections, 18.4 Administering Intradermal Medications, 18.5 Administering Subcutaneous Medications, 18.6 Administering Intramuscular Medications, 18.8 Checklists for Parenteral Medication Administration, 19.8 Checklist for Blood Glucose Monitoring, 19.9 Checklist for Obtaining a Nasal Swab, 19.10 Checklist for Oropharyngeal Testing, 20.8 Checklist for Simple Dressing Change, 20.10 Checklist for Intermittent Suture Removal, 20.12 Checklist for Wound Cleansing, Irrigation, and Packing, 21.1 Facilitation of Elimination Introduction, 21.4 Inserting and Managing Indwelling Urinary Catheters, 21.5 Obtaining Urine Specimen for Culture, 21.6 Removing an Indwelling Urinary Catheter, 21.8 Applying the Nursing Process to Catheterization, 21.10 Checklist for Foley Catheter Insertion (Male), 21.11 Checklist for Foley Catheter Insertion (Female), 21.12 Checklist for Obtaining a Urine Specimen from a Foley Catheter, 21.14 Checklist for Straight Catheterization Female/Male, 21.15 Checklist for Ostomy Appliance Change, 22.1 Tracheostomy Care & Suctioning Introduction, 22.2 Basic Concepts Related to Suctioning, 22.3 Assessments Related to Airway Suctioning, 22.4 Oropharyngeal and Nasopharyngeal Suctioning Checklist & Sample Documentation, 22.5 Checklist for Tracheostomy Suctioning and Sample Documentation, 22.6 Checklist for Tracheostomy Care and Sample Documentation, 23.5 Checklist for Primary IV Solution Administration, 23.6 Checklist for Secondary IV Solution Administration, 23.9 Supplementary Videos Related to IV Therapy, Chapter 15 (Administration of Enteral Medications), Chapter 16 (Administration of Medications via Other Routes), Chapter 18 (Administration of Parenteral Medications), Chapter 22 (Tracheostomy Care & Suctioning), Appendix A - Hand Hygiene and Vital Signs Checklists, Appendix C - Head-to-Toe Assessment Checklist. 140 0 obj <>/Filter/FlateDecode/ID[<2A49E28843E81E4E8F5253117048A71E>]/Index[109 59]/Info 108 0 R/Length 131/Prev 314541/Root 110 0 R/Size 168/Type/XRef/W[1 3 1]>>stream Once the priming is complete, your nurse will get started on placing your IV. an infiltration or extravasation injury. Clipping is a handy way to collect important slides you want to go back to later. } !1AQa"q2#BR$3br For example, for renal dialysis patients, IV bags smaller than 1,000 mL are used because large amounts of continuous fluids are contraindicated due to their renal impairment. nursing responsibilities for iv therapy ppt - HAZ Rental Center If the patient is receiving continuous IV fluid infusion- observations of the IV site, type of fluid and volume infused, and accurate rate of infusion should be observed hourly and documented in the fluid balance flowsheet. Verify the infusion rate of IV fluids is appropriate based on the patients age, size, preexisting medical conditions, and prescribed indication. They will need to know if treatment is working for you, or if youre experiencing any problems. IV infusion nurses work as part of collaborative teams of healthcare professionals providing treatment that must be administered by intravenous methods. Click here to review the details. TT$+iGJK}?wS0[L tFjo}*&]CHd @\r:q8:waFh0T\lP4w1"G "c:(|IR DQ}=V.DP)2cud,rgoz)y+b62 \tQH3"P-zdd1fLW4]I])`]YwTw"e7 You might hear your nurse call it piggybacking. Phlebitis is inflammation of a vein. Nursing Responsibilities For IV Therapy Our nurses are available around the clock to administer IV therapy. IV board / splints are recommended to secure PIVC placed in or adjacent to areas of flexion. Some of these complications can be prevented by the correct use of aseptic Sterile 0.9% sodium chloride for injection should be used to flush a catheter. The purpose of intravenous (IV) therapy is to replace fluid and electrolytes, provide medications, and replenish blood volume. [Gd )Q[$!Y;*% gMb|s"$;Zt#b3d k!"Xts}so-Hfx%E'g}BK,o)VlzcKXZU_>VF|18q'Rd'%z97Oq}NR[]J^xnn"DG"hMjQwLm?q* uG [vQ 3~N*1r3{u1= 5 0 obj However, if a secondary infusion is run as a primary fluid, there is a risk of losing some of the secondary medication when priming the line, which results in less medication being administered. Theyre trained to adapt and perform in changing surroundings while providing stellar care. By whitelisting SlideShare on your ad-blocker, you are supporting our community of content creators. Effective Date: 04-10-2001, History First began in the 17th century 19th century-infection control procedures mid 1950s-used for surgery and hydration(20%) Today approximately 90 % of pts in hospital receive IVs Skilled nursing homes, doctors office and home, Purpose for IV Therapy Fluid and electrolyte maintenance, restoration and replacement Administer medications and nutritional feedings Give blood and blood products Chemotherapy Patient controlled analgesics KVO for quick access, Oral medications-absorbed in the digestive tract IV- faster acting and distributed throughout the bloodstream immediately after giving, Uses: Unconscious pt: Unable to swallow: Vomiting: Nutrition: Others? Access PIVC only after scrubbing the hub. 6 0 obj Macro-drip sets are used for routine primary infusions for adults. If patient is allergic to transparent film dressings, use sterile film dressing to be used and changed daily. Concierge service means easy access for you, and our nurses are on call 24/7 to manage your needs. There are two major types of IV administration sets: primary tubing and secondary tubing. Use 10mL syringe for flushing to avoid excessive pressure and catheter rupture. At Reset IV, we pride ourselves on being the premier IV therapy provider in your area. 1. Once a medication enters the vein, there is no way to terminate this action. concept of place value is reinforced in math lab. Hypotonic solutions are commonly used when a patient has severe intracellular dehydration such as during diabetic ketoacidosis. Here are 13 of the most common tasks nurses are responsible for: 1. dont have time to be sick? Enjoy access to millions of ebooks, audiobooks, magazines, and more from Scribd. endstream endobj 113 0 obj <>>>/Subtype/Form/Type/XObject>>stream By- This must be prescribed as a medication. Prevention of Central Line Associated Blood Stream Infection (CLABSI )[compa Intravenous medication, Care and Complications, Safe iv cannulation (prevention of iv thrombophlebitis), Iv fluid therapy (types, indications, doses calculation), Society for Microbiology and Infection care. Kaiser Staff Nurse II - Monoclonal Antibody IV Therapy-Epidemic Vacc Label IV line if multiple lines are running: label close to the fluid bag or syringe or below the drip chamber. IV tubing administration sets require routine replacement to prevent infection. include a number of complications which range from infiltration, extravasation, %&'()*456789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz Activate your 30 day free trialto continue reading. It is the administration of fluid in to blood stream by I/V catheter or butterfly needle inserted in to a peripheral vein replace water, Electrolyte & Nutrients Introduction:-. according to clinical practice, perform hand hygiene. IV bags are built to hang so that gravity can pull the fluids through an opening on the bottom of the bag. Duties/Responsibilities: the birds. Flush the PIVC using a pulsatile flushing technique (push pause motion). correct fluid and. nursing responsibilities for iv therapy ppt - coloventure.com See Figure 23.1. Nurses use IV therapy within a large spectrum of treatments, such as those involving blood transfusions, types of cancers treatable with chemotherapy, ailments requiring antibiotics, and conditions eased with electrolyte or vitamin infusions. Nurses who are deemed competent in IV insertion could continue to insert PIVC in consultation with NUM/CSNs. Continuous fluids may also be ordered to run until the provider gives a follow-up order to discontinue or decrease the fluid rate. Most adult patients receive continuous IV fluids with 1,000 mL bags due to the higher drip (gtt) rate. Job Summary: The Nurse position will be overseeing patient-care operations. Basic arithmetic allows the nurse to customize the flow of medicine from the IV bag. 23.1 IV Therapy Management Introduction - Nursing Skills Varies according to unit requirements and needs. nrs 108 majuvy l. sulse rn, msn, ccrn. Secondary IV tubing is shorter in length than primary tubing and is connected to a primary line via an access port or an IV pump. Nursing Care of Patient on Dialysis Shanta Peter 123.4k views 30 slides fluid and electrolyte imbalance education4227 116.1k views 100 slides Hemodialysis and care of patients. Instant access to millions of ebooks, audiobooks, magazines, podcasts and more. Prior to and after fluid infusion (as an empty fluid container lacks infusion pressure and will allow blood reflux into the catheter lumen from normal venous pressure) or injection. IV therapy - These include vitamin a, b-vitamins (you can get it as iv therapy to meet the needs), vitamin c, vitamin d, Class IV Laser Therapy K-Laser - . Read on for answers and information. This rate is dependent on the size of the IV tubing and the time needed for your body to absorb the solution. Cover with non-compression tubular bandage. nursing care related to intravenous therapy verify order and patient identity ensure correct infusion solution and rate avoid using hand veins as a last resort. hb```f``d`e`bb@ !EPO=6 [6;R +9<=vtwFO"i*ZyMhlsOH(>7dQkF%B'u&]"S+ We've encountered a problem, please try again. ' .)10.
