nursing responsibilities for iv therapy ppt

nursing responsibilities for iv therapy pptconstance zimmer stroke

Instead of flowing into its own line, a port is used to connect the two lines together. Approved label can be generated by the EMR. objectives of iv therapy. Label IV line if multiple lines are running: label close to the fluid bag or syringe or below the drip chamber. To that end, we have built a network of industry professionals across higher education to review our content and ensure we are providing the most helpful information to our readers. Our nurses are trained to do this as quickly and painlessly as possible. It appears that you have an ad-blocker running. By whitelisting SlideShare on your ad-blocker, you are supporting our community of content creators. %&'()*456789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz If detected early, extravasation may be treated with medications that help avoid the complication of necrosis. 0 Carefully remove the old dressing, always holding the cannula in place. 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. New environments are no problem. IV infusion nurses practice infusion therapy, administering intravenous fluids and medications. There are also 500 mL, 250 mL, 100 mL, and 50 mL bags. Tap here to review the details. With the IV bags empty, your nurse can do final checks and take the IV access out. IV tubing administration sets require routine replacement to prevent infection. Nurses often transition to infusion nursing roles after working in high-intensity environments, such as emergency and acute care. Here are just a few of the other duties and responsibilities that Reset IV nurses have as they prepare, administer, and monitor you during treatment. Director, JINC. Secondary fluids should always be piggybacked into primary infusion lines to ensure that the correct amount of medication is infused. Posted on . Responsibilities and duties of IV infusion nurses include: Workplace settings for IV infusion nurses include outpatient pharmacies and surgical centers, infusion centers, and patient homes, along with specialty clinics and hospital units. nrs 108 majuvy l. sulse rn, msn, ccrn. As an IV vitamin therapy nurse, I infuse IV vitamins Intravenous therapy nurses focus on the insertion and maintenance of the IV line as well as the care of the patient receiving the therapy. by The Royal Children's Hospital, Melbourne. Continuous fluids may also be ordered to run until the provider gives a follow-up order to discontinue or decrease the fluid rate. 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. the holliday- segard nomogram. This responsibility includes selecting the appropriate venipuncture site and type of cannula and being pro-ficient in the technique of vein entry. Describe the nursing care of a patient that has a Leaders in at home IV therapy care, Reset IV combines world-class service with personal attention. Consider placing a small piece of sterile cotton wool ball or gauze underneath the hub of the cannula to reduce pressure. Tap here to review the details. Tegaderm. The secondary infusion is hung above the primary infusion and connected at an access port. Place a flexible rubber band around the upper arm. The size of the primary fluid bag is based on infusion need, patient condition, and age. Macro-drip sets are used for routine primary infusions for adults. Suggest changes to inaccurate or misleading information. 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. Are you ready to earn your online nursing degree? 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 Extravasation causes tissue injury, and depending on the medication, site, and length of exposure, it can cause tissue death, which is also referred to as necrosis. 0 amy e. irwin, dnp, ms, rn denver school of nursing. Skin preparation use 2% chlorhexidine and 70% alcohol swab or solution for dressings. Administer Hyperbaric Oxygen Therapy sessions. Experience in IV Therapy nursing; Additional Information Northwestern Medicine is an affirmative action/equal opportunity employer and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status. Verify the infusion rate of IV fluids is appropriate based on the patients age, size, preexisting medical conditions, and prescribed indication. will enable . Free access to premium services like Tuneln, Mubi and more. 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 . (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: mary watson. For example, California RNs earn the highest salaries nationwide and travel infusion nurses may make more than other categories of infusion nurses. ' .)10. Are you exploring an infusion nursing career? d`JSDg$8 WigxbLP1\TR3U@r'~&As(. or medications into surrounding tissue, If Infection control guidelines for Prevention of Peripheral Venous Catheter (PV Health and safety in microbiological practices, Assignment Effective Population size Please work through these five pr (2).pdf, Assuming you can do 216 encryptions per second and the key size is 32.pdf, Asoccer team estimates that they will score on 11- of the corner kicks.pdf, Assignment 3 Requirements- Your task for this assignment- is- - Input.pdf, As shown above- a classic deck of cards is made up of 52 cards- 26 are.pdf, THE NATURAL ORDER PROCESS IN TERMS OF MODERN FIELD THEORY.pdf, Its Past Time to Make Instruction Accessible, Assignment Effective Population size Please work through these five pr.pdf, Assume that adults have IQ scores that are normally distributed with a.pdf, Assume that a procedure yields a binomial distribution with a trial re (1).pdf, No public clipboards found for this slide, Enjoy access to millions of presentations, documents, ebooks, audiobooks, magazines, and more. Infiltration occurs when the tip of the catheter slips out of the vein. Now customize the name of a clipboard to store your clips. Needle Selection 2. definitionstypes of iv fluidindications of iv, IV Vitamin Therapy - Vitamin therapy in manhattan & nyc. How do they go about making magic happen? Perform the six rights of medication administration three times as you would when giving any other medication. amy e. irwin, dnp, ms, rn denver school of nursing. Secondary IV fluid administration is usually an intermittent infusion that infuses at regular intervals (e.g., every 8 hours). Intravenous therapy Free access to premium services like Tuneln, Mubi and more. [4],[5] Additionally, clinical pharmacists can also be helpful resources for determining the appropriate type of infiltration treatment. endobj TT$+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 Anaesthetics ASCOM 52000, After hours / public pressure dot, cotton wool and tape or Band-Aid, Advise the child and Primary IV tubing can be a macro-drip or micro-drip solution set. 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 Secondary IV administration sets are used to intermittently administer a secondary medication, such as an antibiotic, while the primary IV is also running. Current MA Registered Nurse license required. Check the type of fluid and the expiration date, and verify the fluid is free of discoloration and sediment. Administer blood or blood components Administer intravenous anesthetics Maintain or correct a patient's nutritional state Administer diagnostic reagents Monitor hemodynamic functions 4. Define key terms related to intravenous therapy. Looks like youve clipped this slide to already. _? rn. purpose of iv therapy. Insert the IV. For example, a continuous fluid infusion may be ordered at a rate of 125 mL/hour for 24 hours. By piggybacking a medication, the solution from the primary fluid line is used to prime the secondary tubing. Do not sell or share my personal information, 1. Administration of intravenous fluid, drug infusions or blood products. This will adequately immobilize the joint and minimise the risk of venous damage resulting from flexion. These contributors: Integrity Network members typically work full time in their industry profession and review content for NurseJournal.org as a side project. maintenance fluid requirements. PREPARING TO ADMINISTER IV THERAPY Before performing venipuncture, the nurse carries out hand hy-giene, applies gloves, and informs the patient about the proce-dure. At Reset IV, we pride ourselves on being the premier IV therapy provider in your area. Flexibility helps to set us apart. The IV administration set connects the bag of solution to the patients IV access site. All Integrity Network members are paid members of the Red Ventures Education Integrity Network. pfg^Ekx\jl+.-FE4a[o]AUPq\]F .I=|Sk&QW7 )#y8xIvDVx^e $v o'kt&IXJ:9oWSD`*xG"r+9NC \_JTQPPR7 collect the following supplies: * two papers of labels (have 4 labels) * two alcohol, IV Therapy - . If administration set tubing is present, trace the tubing from the patient to its point of origin to make sure that youre accessing the correct port. 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. 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). Comfortably seated, you can rest your eyes, watch television, or play on your phone. Medical Operations & Clinical Duties. In this case, the primary line maintains venous access between drug doses. xuIk18lg)0Ca(4IzE "3B`qm@c>QR s& s) &/\7JL35bQo{(uVUo ;)n1gd4xlD`CI GjYZ{T_qUzHV=j*VSswGf-)r4^W:# :aA <> Isotonic fluids have a similar concentration to the solutes contained in blood, so they do not cause the osmotic movement of fluid into or out of the patients individual cells. That is done in the same way, by allowing fluid to come through the line. Drip chamber: The drip chamber allows air to rise out from a fluid so that it is not passed onto the patient. Peripheral intravenous catheters (PIVCs) are the most commonly used intravenous devices in hospitalised paediatric patients. By accepting, you agree to the updated privacy policy. Because a patients fluid and electrolyte statuses are constantly changing when receiving IV fluids, it is important for the nurse to monitor for signs of fluid or electrolyte imbalances and appropriately notify the health care provider of any concerns. JFIF H H JFIF H H C RNs can immediately begin working in entry-level infusion therapy roles, while some positions, such as home infusion nursing, may require a few years of experience in a field like surgical nursing. 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. All components are to be changed earlier if the integrity of the dressing is compromised or if there is any visible debris in any of the add on devices or needleless connectors. 0 ) It is their responsibility to ensure that your infusion is safe, fast, and effective. Extension sets are to be changed when the access device is changed or immediately upon suspected contamination or when any break in integrity. For assistance with difficult intravenous access, 0730 - 1730 (Mon Fri): Want to create or adapt books like this? Educate clients on the qualities and benefits of our IV Drip and Intramuscular (IM) Shot ingredients. If two bags of fluids are needed, a secondary IV bag will also be used. Their job titles may include IV nurse, IV therapy nurse, chemotherapy infusion nurse, and oncology infusion nurse. Do not sell or share my personal information, 1. The aim of this guideline is to provide an outline of the ongoing maintenance and management of the PIVC for patients in hospital, outpatient, and home healthcare settings. Tubing attaches to the port and carries the solution down and into the IV site. Now customize the name of a clipboard to store your clips. Infusion nurse salaries can vary according to geographical location, certification, education level, and work setting. Your time is important, and our team has flexible options to maximize it. Locate the best place to insert the IV. 2. i&h~ ~^=_PQEQ@G`Ry$xWJti]v|I>4C$Il2k~$s_:H--KK9 %PDF-1.5 perform hand hygiene, Dispose of waste Primary IV fluid infusions are prescribed by health care providers to restore or maintain hydration and electrolyte status within the body. 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. They may also contain replacement electrolytes like potassium chloride. Enjoy access to millions of ebooks, audiobooks, magazines, and more from Scribd. The use of IV Nutrient Therapy started in the 1940s and was promoted by Dr. Klenner and others, and then was expanded on by early Peripheral IV Cannulation - Slide Show. endobj See Figure 23.3[3] for an example of an IV infusion pump. <> Many people plan for the morning after a big night out, or to prepare for or recover from intense workouts like marathons. Once the priming is complete, your nurse will get started on placing your IV. Determining the rate of flow is an important step. Duties/Responsibilities: up to 24 hours, Remove gloves, Don your gloves 3. www.HelpWriting.net This service will write as best as they can. Tape or other dressings will be gently removed, along with the IV catheter. 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. exposed skin with your other hand. evs. bGKqvf6 Z9-mVKvw=#TmOW:hz2Z^'8]!+\CE&T5$J{jIV^4i]Y>,HMc ^#2KgS;U9eGTE~%/ &t$:f|/c #op;{T;P}qUkY1axSdsp)}MJ5KPkw!H:~"`6P __Vv/g-lvOjt]Ltc ~ 9rfRKdE\,b&2 ki,1xH@:0I\:mv?27n(I\JJXEKO8@5ik 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. Gauze is held firmly over the access site for a moment to discourage any bleeding, and sterile dressing is applied. H**BCS 444\ endobj Types of IV Needles Steel needles: Butterfly catheters, named for the plastic tabs that look like wings. sterile gauze or cotton wool over the exit site but do not apply pressure, Slowly withdraw the pI>"hU)XNSDi+7J2uSVQEaEPn[dsxgC}Isg/\,I4Vf=m*QpMNM;e\#Eo!3Nh ;iP 5!8[d;6>Rm R;Ai3 N6&Xdr+-S]wsbwj}K;CKcL2>y>>gWWSZ%+0N:UugG\Tsr^047W?yQzXxlV4Hn3/aS_W[LKa@P$"!..!YO5p|aeV|7rj=fjfeeCzb*%iiw"D1[DjTcq\[{p Featured or trusted partner programs and all school search, finder, or match results are for schools that compensate us. Illustration A macro-drip infusion set delivers 10, 15, or 20 drops per milliliter, whereas a micro-drip infusion set delivers 60 drops per milliliter. If the infiltration is severe, you may consider the application of a compress in addition to elevating the affected limb. Nursing Responsibilities For IV Therapy Our nurses are available around the clock to administer IV therapy. Duties/Responsibilities: Nutcharee Jungvanichar RN, MBA. Secure the catheter with tape or other dressing. Infiltration/extravasation occurs refer to the extravasation injury management Learn faster and smarter from top experts, Download to take your learnings offline and on the go. To start, a custom IV therapy plan will be created by you and your nurse to meet your specific needs. INTRAVENOUS IV Therapy - Overview. You can schedule an appointment for IV therapy services ahead of time if you anticipate a need for it. 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. |cc,}1=[9] =" 4N%f-o?)6fVzQ' k!0x]'ZOb{1|G}iihb*U5P Read on for answers and information. IV Vitamin Therapy - Contact adress: 635 madison ave, suite 1400c, new york, ny 10022 phone: (347) 434-9815 website url: IV Fluid Therapy - Overview:. Scope of Practice B. , Reset IV combines world-class service with personal attention. 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. hbbd```b``"Cd$&?Hn "]RDfgi`r2X>"@d6'DWj"`Y3i]g 20:? Home; Reputation; Optimization; Local Marketing; 60 Marketing Sites; Blog; Webinar; nursing responsibilities for iv therapy ppt. nrs 108 majuvy l. sulse rn, msn, ccrn. Safely dispose of the materials that were used. Continuous Infusions: Controlled Analgesic: Drip Factor: Electronic Pumps and Controllers: Flow Rate:ml/hr or gtts/min Infiltration: Infusion Devices: Controllers Thru peripheral IV sites-depend on gravity for administration- must be 24-36 inches above IV sites If patient changes positions volume decreases-back pressure greater, rate slows or stops Simplest controllers-roller or slide clamp Use to speed up or slow, counts gtts in drip chamber. 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