Intravenous therapy - SlideShare Scope of Practice will enable . phlebitis, occlusion, dislodgement and migration. These professionals provide case management of patients participating in clinical trials, administering drug infusions, monitoring patient responses, and communicating with the principal investigator of the study. (B) The intravenous therapy procedures that a licensed practical nurse may perform pursuant to division (A) of this section are limited to the following: (1) Verification of the type of peripheral intravenous solution being administered; (2) Examination of a peripheral infusion site and the extremity for possible infiltration; (3) Regulation of a peripheral intravenous infusion according to the prescribed flow rate; (4) Discontinuation of a peripheral intravenous device at the appropriate time; (5) Performance of routine dressing changes at the insertion site of a peripheral venous or arterial infusion, peripherally inserted central catheter infusion, or central venous pressure subclavian infusion. By- } !1AQa"q2#BR$3br An IV pump is the safest method of administration to ensure specific amounts of fluid are administered. When exiting the flushing of extension set you must use a positive pressure clamping technique. Nursing Skills by Open Resources for Nursing (Open RN) is licensed under a Creative Commons Attribution 4.0 International License, except where otherwise noted. How do they go about making magic happen? Patient and IV site assessments should be done on a regular basis. .\`` $4%&'()*56789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz ? See Figure 23.2[2] for an illustration of the set up of a primary and secondary tubing for administration of fluids and a secondary medication by gravity. Enjoy access to millions of ebooks, audiobooks, magazines, and more from Scribd. how to configure syslog server in windows server 2016 / 2020 Nursing Responsibilities For IV Therapy Our nurses are available around the clock to administer IV therapy. When administering IV fluids to a patient, the nurse must continually monitor the patients fluid and electrolyte status to evaluate the effectiveness of the infusion and to avoid potential complications of fluid overload and electrolyte imbalance. When using Splints, ensure these are positioned and strapped with the limb and digits in a neutral position to prevent injury from restricting blood or nerve supply and to prevent pressure sores. INTRAVENOUS IV Therapy - Overview. If desired, place sterile tape over the hub of the device before placing the transparent dressing. Pediatric IV Therapy - Purpose of iv therapy. nursing responsibilities for iv therapy ppt - coloventure.com NurseJournal.org is an advertising-supported site. Get powerful tools for managing your contents. objectives of iv therapy. This is called a tourniquet and aids in bringing the vein to the surface to make it easier to insert the IV. By piggybacking a medication, the solution from the primary fluid line is used to prime the secondary tubing. 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. This form of IV therapy usually contains medications that are supplied in a smaller infusion bag and mixed with a diluent fluid like saline (e.g., IV antibiotics). Check your institutions policy regarding which type of compress (warm or cold) should be applied. Scope of Practice B. include a number of complications which range from infiltration, extravasation, maintenance fluid requirements. M( ( ( (;R$9VWC! $4%&'()*56789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz ? Resources and articles written by professionals and other nurses like you. Locate the best place to insert the IV. The Role of the IV Nurse. nursing responsibilities for iv therapy ppt Shri Deshaies is a paid member of the Red Ventures Education freelance review network. 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. ; ; You can schedule an appointment for IV therapy services ahead of time if you anticipate a need for it. Eachbag of fluid is independently double checked, and a signed patient label is put on the bag. Determine the need for an assistant considering patient age, developmental level and family participation prior to the procedure. A macro-drip infusion set delivers 10, 15, or 20 drops per milliliter, whereas a micro-drip infusion set delivers 60 drops per milliliter. However, readers should be advised that only a low number of infusion nurses reported salaries. %PDF-1.6 % C r " They are primarily used for therapeutic purposes such as administration of medications, fluids, and blood products. Determining the rate of flow is an important step. Extensively trained to provide IV therapy. 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. It is important to communicate with your nurse while they are doing their checks. Your time is important, and our team has flexible options to maximize it. By Barbara March, RN, CRNI, and Ellen Marrs, RN. 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. Nursing Skills by Open Resources for Nursing (Open RN) is licensed under a Creative Commons Attribution 4.0 International License, except where otherwise noted. Deshaies' clinical area of expertise is critical care nursing and she is a certified critical care nurse. cannula, maintaining a neutral angle with the childs skin, Cover site with dressing Osmotic pressure on blood cells diagram.svg, https://opentextbc.ca/clinicalskills/chapter/8-2-types-of-iv-therapy/, https://www.drugs.com/cg/iv-infiltration-aftercare-instructions.html, https://www.rn.com/nursing-news/know-the-difference-infiltration-vs-extravasation/, Next: 23.3 Intravenous Therapy Assessment, Creative Commons Attribution 4.0 International License. Infiltration occurs when the tip of the catheter slips out of the vein. Therefore, it is important to properly prepare the IV medication or fluid, correctly calculate the dosage, and administer it safely to the patient. Kaiser Staff Nurse II - Monoclonal Antibody IV Therapy-Epidemic Vacc 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. IV Vitamin Therapy - Contact adress: 635 madison ave, suite 1400c, new york, ny 10022 phone: (347) 434-9815 website url: IV Fluid Therapy - Overview:. Local cellulitis or systemic bacteraemia are possible. Draw up required volume of diluent in appropriate size syringe and then pull back the syringe plunger to enable you to inject the drug into the syringe using principles of aseptic technique. Don your gloves 3. 1. Label IV line if multiple lines are running: label close to the fluid bag or syringe or below the drip chamber. Approved label can be generated by the EMR. The dressing must be kept secure, clean dry and intact. nursing responsibilities for iv therapy ppt. Clipping is a handy way to collect important slides you want to go back to later. Roller clamp: A roller clamp is used to regulate the speed, or stop, an infusion by gravity. Tegaderm. 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. During the IV therapy, the nurse monitors the patient for adverse reactions and ensures that the tubing, bandages and needle stay in place. With the access point placed, the nurse attaches the primed IV bag tubing to the port on the catheter. Home; Reputation; Optimization; Local Marketing; 60 Marketing Sites; Blog; Webinar; nursing responsibilities for iv therapy ppt. Infiltration/extravasation occurs refer to the extravasation injury management Medical Operations & Clinical Duties. Another example of patients requiring smaller IV bags are pediatric patients who, due to their smaller anatomical size, do not require large primary fluid infusion volumes. You've got free shipping! Secure the catheter with tape or other dressing. technique for insertion and maintenance as well as assessing the device as nursing responsibilities for iv therapy ppt IV fluid therapy - Applied sciences lecture course. Gauze is held firmly over the access site for a moment to discourage any bleeding, and sterile dressing is applied. 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. Your time is important, and our team has flexible options to maximize it. Inspect the splint at least daily and change if soiled by blood or fluid leakage. Sterilize the chosen area, usually with a simple alcohol swab. Syringes with an internal diameter smaller than that of a 10mL syringe can produce higher pressure in the lumen and rupture the catheter. Ensure the cannula is flushed with normal saline once the giving set is disconnected from the cannula. infiltration of damaging intravenous medications, such as chemotherapy, into the extravascular tissue around the site of infusion. Nursing is core part in health service delivery system in which health promotion, disease prevention; curative and rehabilitative health . endstream Do not sell or share my personal information, 1. IV Therapy has been a part of medicine for a century. holidays: PICU ASCOM 52327. (2015). pfg^Ekx\jl+.-FE4a[o]AUPq\]F .I=|Sk&QW7 )#y8xIvDVx^e $v o'kt&IXJ:9oWSD`*xG"r+9NC \_JTQPPR7 Refer to the Intravenous Fluids Clinical Practice Guideline: Est. June 14, 2022; . endobj Now customize the name of a clipboard to store your clips. IV Therapy Class Carolyn McCune, RN, MSN, CRNP Teresa Peck RN, BSN, Orientation To Class Review syllabus and course requirements Answers any questions related to class www.emprocedures.com/index.htm Then go to Peripheral IV access, 4723.171 Intravenous therapy procedures. Many common preparations come in 25 to 100 mL bags. Observe Hand Hygiene Procedures 3. Loosen the edge of the dressing/tape and remove 'low and slow' in the direction of hair growth, keeping it close to the skin surface while pulling it back over itself, and supporting the newly Free access to premium services like Tuneln, Mubi and more. endobj Click here to review the details. Check the type of fluid and the expiration date, and verify the fluid is free of discoloration and sediment. 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.
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