nursing responsibilities for iv therapy ppt10 marca 2023
By accepting, you agree to the updated privacy policy. Clipping is a handy way to collect important slides you want to go back to later. Hypotonic solutions are commonly used when a patient has severe intracellular dehydration such as during diabetic ketoacidosis. <> iv fluid therapy. With the IV bags empty, your nurse can do final checks and take the IV access out. Nurse managers wear two hats: They deliver clinical care and serve as administrative leaders. This rate is dependent on the size of the IV tubing and the time needed for your body to absorb the solution. Duties/Responsibilities: Director, JINC. 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. During the therapy, the nurse will periodically check in to ensure that everything is going well. PPT - IV Therapy Class PowerPoint Presentation, free download - ID:1388970 (JZFR=AN'ANI;EixS| %PDF-1.6 % If resistance is felt during flushing and force is applied this may result in hbbd```b``"Cd$&?Hn "]RDfgi`r2X>"@d6'DWj"`Y3i]g 20:? Whether youre looking to get your pre-licensure degree or taking the next step in your career, the education you need could be more affordable than you think. Secure the catheter with tape or other dressing. NurseJournal.org is committed to delivering content that is objective and actionable. evs. what is laser, class iv - . Many other fluid volume bags are used for intermittent infusions or short-term therapy. Review syllabus and course requirements Answers any questions related to class www.emprocedures.com/index.htm Then go to Peripheral IV access. Examine the bag to ensure that the bag itself is intact and not leaking. Becoming an IV infusion nurse involves four steps: earning a nursing degree, obtaining an RN license, logging work experience, and pursuing certification. according to clinical practice, perform hand hygiene. HISTORICAL BACKGROUND In 1993 the Nursing Standards on Intravenous Practice was established October 1993 - ANSAP Board Members and Advisers had undergone the Training for Trainers at Philippine Heart Center February 4, 1994 - the first edition of Intravenous Standards on IV therapy was printed and circulated June 9-11, 1994 - first Training for Trainers as conducted in Cagayan de Oro May . 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. Nursing Responsibilities For IV Therapy nursing responsibilities for iv therapy ppt - gameofleaves.com Secondary IV therapy is often referred to as IV piggyback (IVPB) medication because it is attached to the primary bag of intravenous fluids. Home infusion nurses enjoy flexible schedules and travel to clients' homes to perform patient assessments, develop care plans, and administer one-on-one infusion therapy. Not all services are the same. IV therapy, Nurse's role - SlideShare ' .)10. Instead of flowing into its own line, a port is used to connect the two lines together. reason for removal. Extensively trained to provide IV therapy. If desired, place sterile tape over the hub of the device before placing the transparent dressing. Check your institutions policy regarding which type of compress (warm or cold) should be applied. When two bags are needed, the second one is prepared just a little bit differently. Peek behind the curtain to learn how their duties are performed as they work to help our customers feel better. sterile gauze or cotton wool over the exit site but do not apply pressure, Slowly withdraw the nursing responsibilities for iv therapy ppt - bhaktisiri.com For assistance with difficult intravenous access, 0730 - 1730 (Mon Fri): If medication and fluids are not compatible, a precipitate may form when the fluids mix within the line, posing a significant health danger for the patient. Read more about types of intravenous fluids in the . Much like placement, removal should go smoothly. 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. Treatment may include warm compresses and nonsteroidal anti-inflammatory medications. Do Not Sell or Share My Personal Information. The size of the primary fluid bag is based on infusion need, patient condition, and age. During the IV therapy, the nurse monitors the patient for adverse reactions and ensures that the tubing, bandages and needle stay in place. Learn more about how Pressbooks supports open publishing practices. the four, Class IV Companion Therapy Laser Pediatric Fracture Healing - . Prevention of Catheter Associated Urinary Tract Infection ( CAUTI ) [compatib Central and PICC Line: Care and Best Practices. Nutcharee Jungvanichar RN, MBA. You've got free shipping! That is done in the same way, by allowing fluid to come through the line. Want to create or adapt books like this? Completion of a nursing degree online or on-campus typically takes two years for an ADN and four years for a BSN. If a manual calculation is needed to set the IV flow rate, calculate the rate and double-check the calculated rate with another registered nurse. Attach acompleted drug label detailing the drug, dose, diluent, volume of diluent, date, time and signature of the nurse and the staff who double checked. Vascular catheterassociated infection is considered a hospital-acquired condition because it can be prevented using best practices. IV primary fluid bags consist of various types of fluid such as 0.9% normal saline, 0.45% () normal saline, lactated ringers solution, and dextrose (5%) preparations. Purposes of Intravenous (IV) Therapy Intravenous Fluids Pre-Catheterization or Preparation 1. Review Physician's Order 2. Verify physician orders and check that the patient does not have an allergy to this medication. The. Courteous, non-judgmental, and communicative. technique for insertion and maintenance as well as assessing the device as how to configure syslog server in windows server 2016 / 2020 PDF IV Therapy: Tips, Care, and Complications - r N Eachbag of fluid is independently double checked, and a signed patient label is put on the bag. i&h~ ~^=_PQEQ@G`Ry$xWJti]v|I>4C$Il2k~$s_:H--KK9 . Skin-based bacteria may enter through insertion site. While checking the access site, your nurse will also talk with you about how you are feeling. hb```f``d`e`bb@ !EPO=6 [6;R +9<=vtwFO"i*ZyMhlsOH(>7dQkF%B'u&]"S+ Share . 5 0 obj Extension sets are to be primed and attached to the cannula at the time of IV insertion using an aseptic non touch technique. Document the infused volume: Hourly on fluid balance flowsheet (it is advised to clear the infusion pump hourly), Check the infusion site for any signs of complications and document the assessment findings hourly in fluid balance flowsheet, Review the cumulative volume infused and fluid output as required based on patients clinical condition, Increased viscosity of the fluid being administered, High rate of the fluid being administered, Reduced diameter of the intravascular catheter, Increased length of the intravascular catheter, prepared for administration via a volumetric infusion pump. Secondary fluids should always be piggybacked into primary infusion lines to ensure that the correct amount of medication is infused. Intravenous Fluids. By Barbara March, RN, CRNI, and Ellen Marrs, RN. nursing guideline, http://www.rch.org.au/policy/policies/Blood_Product_Transfusion/. The RN II . Orientation To Class. They are typically used in critical care situations to treat hyponatremia and avoid pulmonary edema by relying on osmosis to help remove excess fluid. Access ports: Access ports are used to infuse secondary medications and to administer IV push medications. 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? We've encountered a problem, please try again. Documentation shall contain information on the insertion site, gauge of the needle and date and time of insertion has been documented in the EMR- LDA properties. post oak toyota commercial actors / delta flight crew luggage. nursing responsibilities for iv therapy ppt - sensaudicion.com 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. Comfortably seated, you can rest your eyes, watch television, or play on your phone. Administration Sets Apparatus that connects large volume parenteral solution with IV access device into patient veins Insertion spikes Clip chamber Plastic tubing with rate control clamp Rubber injection port Needle adapter and protective cap on needle adapter, Saline Lock Over needle cath left in for medical administration Flush every 8 hours Flush before/after meds, Rules and Regulations Regarding IV Therapy for the LPN See Handout from OBN website Chapter 4723-17 Try to access sites, 2023 SlideServe | Powered By DigitalOfficePro, - - - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - - -. amy e. irwin, dnp, ms, rn denver school of nursing. by: mary watson. w !1AQaq"2B #3Rbr Job Class and Reports To: The Nurse position will be a part-time working 8-10 shifts a month Including weekends, a non-exempt position that reports to the District Lead Nurse, Regional Clinic Manager and Doctor/Owner at Hydration Room. We provide on-demand, concierge IV hydration; a fast, convenient, and effective treatment to help you feel and look your best. It can cause redness and tenderness along the vein and can lead to infection if not treated appropriately. <> Their job titles may include IV nurse, IV therapy nurse, chemotherapy infusion nurse, and oncology infusion nurse. 4723.171 Intravenous therapy procedures. When administering IV fluids to a patient, the nurse must continually monitor the patient's fluid and electrolyte status to evaluate the effectiveness of the infusion and to avoid potential complications of fluid overload and electrolyte imbalance. Aspirate for blood return and flush the IV catheter according to agency policy. Sachin Dwivedi 40.2k views 38 slides Blood transfusions ppt sana usmani 203.9k views 49 slides Nursing management of hemodialysis Mustafa Abdalla 11.9k views Nursing Skills by Open Resources for Nursing (Open RN) is licensed under a Creative Commons Attribution 4.0 International License, except where otherwise noted. Consider placing a small piece of sterile cotton wool ball or gauze underneath the hub of the cannula to reduce pressure. Use aseptic non touch techniques including cleaning the access port (scrub the hub) vigorously for at least 15 seconds and allowing to dry prior to accessing the system. For Opioid infusion bolus refer to the specific guidelines: If the cannula is to be accessed intermittently for the administration of medications or fluids, the cannula should be flushed prior to infusion or at least once a shift. } !1AQa"q2#BR$3br Ensure there is a clear window where thecannula enters the skin- insertion site, so the site can be regularly viewed. xuIk18lg)0Ca(4IzE "3B`qm@c>QR s& s) &/\7JL35bQo{(uVUo ;)n1gd4xlD`CI GjYZ{T_qUzHV=j*VSswGf-)r4^W:# :aA You can schedule an appointment for IV therapy services ahead of time if you anticipate a need for it. A macro-drip infusion set delivers 10, 15, or 20 drops per milliliter, whereas a micro-drip infusion set delivers 60 drops per milliliter. Once the priming is complete, your nurse will get started on placing your IV. How do they go about making magic happen? Carefully remove the old dressing, always holding the cannula in place. Infusion bag:Scrub the hub prior to access of additive port before injecting prepared drug into infusion fluid bag. IV Therapy has been a part of medicine for a century. achieve & maintain normal fluid, IV Therapy - . Perform hand hygiene 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. Pressure limit defaults for intravascular infusion pumps are programmed by Biomedical Engineering, based on the manufacturers recommendations. Want to create or adapt books like this? By- The nurse's responsibilities in managing IV therapy include the following: assessing an IV site priming and hanging a primary IV bag preparing and hanging a secondary IV bag calculating IV rates monitoring the effectiveness of IV therapy discontinuing a peripheral IV IV therapy, Nurse's role Dec. 06, 2012 7 likes 18,071 views Download Now Download to read offline Education Nutcharee Jungvanichar Follow Center Director, Oncology Services & Health Screening Center at Bumrungrad International Hospital Advertisement Advertisement Recommended Intravenous medication, Care and Complications % Intravenous (IV) fluids and medications are administered through flexible plastic tubing called an IV administration set. Carolyn McCune, RN, MSN, CRNP Teresa Peck RN, BSN. Responsibilities and duties of IV infusion nurses include: Key Skills and Responsibilities Coordinating and administering therapeutic IV treatments and infusions Developing care plans Educating patients and caregivers Managing complications with infusion therapies Monitoring patient responses to treatment Performing patient assessments These may also be referred to as Y ports.. BLS Certification required. 6 0 obj It is important for the nurse to continually monitor a patients skin turgor, urinary output, lung sounds, and oxygen requirements and to assess for any new edema to offer important insight into their fluid volume status. 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. Enjoy access to millions of ebooks, audiobooks, magazines, and more from Scribd. Administration of intravenous fluid, drug infusions or blood products. )-,3:J>36F7,-@WAFLNRSR2>ZaZP`JQRO C&&O5-5OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO " H*wSp dont have time to be sick? 0 ) endstream endobj 113 0 obj <>>>/Subtype/Form/Type/XObject>>stream Ensure the IV site is patent when initiating new fluid or medication. Allow skin preparation to air dry prior to applying any dressing, this allows the disinfectant to work. There are two major types of IV administration sets: primary tubing and secondary tubing. Simple dehydration, illness, or other concerns cant be scheduled, but they can be managed. New environments are no problem. The secondary infusion is hung above the primary infusion and connected at an access port. 0 Additionally, IV fluids can be administered by gravity or by infusion pump, and each method requires its own administration set. Posted on . Shri Deshaies is a nurse educator with over 20 years of experience teaching in hospital, nursing school, and community settings. holding the cannula in place at all times, Hold a piece of For example, primary fluids may be started at a higher rate of infusion when a patient is receiving nothing by mouth (NPO), but should be tapered as they resume normal diet and fluid intake. endstream endobj 110 0 obj <> endobj 111 0 obj <>/Font<>/ProcSet[/PDF/Text]>>/Rotate 0/Type/Page>> endobj 112 0 obj <>>>/Subtype/Form/Type/XObject>>stream Nursing Management of the Patient Receiving IV Therapy - BrainKart However, there may be situations when IV pumps are not available and nurses administer primary fluids by gravity using drip tubing. Current MA Registered Nurse license required. Create stunning presentation online in just 3 steps. Complications of IV Therapy Nursing assumed the role of A = Care & Use of IV Catheters Revised Date: 12/02, 07/04, 10/04, 05/05, 12/06, 12/08, 06/09, 12/10, 04/11 Forms: SMC form - Picc Line placement Reviewed Date: SUBJECT: Nursing . Clinical Guidelines (Nursing) : Peripheral intravenous (IV) device DSC_0738-e1443533768679-678x1024.jpg by. nursing responsibilities for iv therapy ppt Placing and utilizing an IV is standard practice for nurses in all settings. If detected early, extravasation may be treated with medications that help avoid the complication of necrosis. Blood Transfusion (a nursing procedure) by www.nursesinfosite.blogspot.com. Intravenous therapy - SlideShare Deshaies' clinical area of expertise is critical care nursing and she is a certified critical care nurse. Administering fluids containing glucose concentration greater than 12.5% will require central venous line accessdue to the risk of vascular endothelial damage. endstream endobj startxref 22. Patient and IV site assessments should be done on a regular basis. Chronically ill patients requiring multiple and recurrent IV access. It is important to remember that not all IV solutions are compatible with all IV medications. The same medical guidelines and procedures are used, whether a nurse gives IV therapy in a hospital or a hotel. For intermittent infusions, IV lines which are disconnected are to be discarded between infusions. Line B(of the Plum 360 pump): Certain medications can be infused as a secondary infusion through a syringe or infusion bag via line B. Syringe driver:is recommended for children weighing less than 10kg. Gather Equipment 4. Inspect for redness, swelling, or tenderness that can be a sign of irritation, inflammation, or infection. Used to clients who are unable to take orally. We've updated our privacy policy. The U.S. Bureau of Labor Statistics (BLS) reports that RNs in general earn a median annual salary of $75,330. 2 0 obj Many institutions will hang smaller volume normal saline continuous infusion bags just to serve as an additional reminder that these patients should not receive large amounts of primary fluids. Our nurses are trained to do this as quickly and painlessly as possible. Due to the presence of the catheter/fluids or medication. Coordinating and administering therapeutic IV treatments and infusions, Managing complications with infusion therapies, Monitoring patient responses to treatment, Reviewing lab reports and drug information, 2023 NurseJournal.org, a Red Ventures Company. nursing responsibilities for iv therapy ppt Medical Operations & Clinical Duties. [4],[5] Additionally, clinical pharmacists can also be helpful resources for determining the appropriate type of infiltration treatment. nursing responsibilities for iv therapy ppt - dowdcreative.com stream Which Fluids and how much fluids to use If you are a nurse or aspiring nurse researching specializations, you may be asking, "What is an infusion nurse?" Well credentialed; registered nurses or higher. JFIF H H JFIF H H C An example of a hypertonic fluid is dextrose 5% in 0.9% normal saline (D5NS). nursing responsibilities for iv therapy ppt Volumetric controller pumps Apply external pressure to administration set tubing to run at specified rate Specific volume/time More accurate Alarm systems-kinks, air, occlusion Disadvantage-Cost of equipment, maintenance, more serious infiltration. June 14, 2022; . If the patient (inpatient setting) is having intermittent infusion, eight hourly assessments are a minimum. Secondary IV administration sets are used to intermittently administer a secondary medication, such as an antibiotic, while the primary IV is also running. family that the cotton wool and tape or Band-Aid should remain in situ for Extension sets are to be changed when the access device is changed or immediately upon suspected contamination or when any break in integrity. the main learning areas . endobj _? rn. Inspect the splint at least daily and change if soiled by blood or fluid leakage. We've updated our privacy policy. Primary IV tubing can be a macro-drip or micro-drip solution set. Document date and It is vital for the nurse to triple check that the secondary medications/fluids are compatible with primary fluids. d`JSDg$8 WigxbLP1\TR3U@r'~&As(. safeguard your body and fight, IV FLUID THERAPY - . Follow agency policy regarding initiating tubing change before initiating a new bag of fluid or medications.
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