Administer IV Drip Therapy and Intramuscular (IM) Shots to deliver our menu of vitamins, minerals, and antioxidants. Your time is important, and our team has flexible options to maximize it. Nurse Practice Act: (Ohio) Palpation: Peripheral: Peripherally Inserted Central Catheters: (PICCs) Phlebitis: Piggyback: Roller clamp: Tourniquet: TPN: Transparent Dressing: Venipuncture: Other Terms: Questions???????? according to clinical practice, perform hand hygiene. Pediatric IV Therapy - . Well credentialed; registered nurses or higher. This is simply to make sure that the fluids are flowing well and to check for any undue discomfort or irritation. DSC_0738-e1443533768679-678x1024.jpg by. $4%&'()*56789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz ? (B) The intravenous therapy procedures that a licensed practical nurse may perform pursuant to division (A) of this section are limited to the following: (1) Verification of the type of peripheral intravenous solution being administered; (2) Examination of a peripheral infusion site and the extremity for possible infiltration; (3) Regulation of a peripheral intravenous infusion according to the prescribed flow rate; (4) Discontinuation of a peripheral intravenous device at the appropriate time; (5) Performance of routine dressing changes at the insertion site of a peripheral venous or arterial infusion, peripherally inserted central catheter infusion, or central venous pressure subclavian infusion. The literature suggests the volume of flush should equal at least twice the volume of the catheter and add on devices and a minimum of 2mL normal saline flush is recommended. Check the expiration date when obtaining a new tubing administration set. Our exceptional staff can schedule same day IV therapy appointments for immediate needs. 'jw#fAd4}=MY;iSOs2D5]d6zjzkIfaqOG]~G:I">fSy~jF!FXH3*}?fV'&Glz\fWKTe)cOUc8$qb{R] C[$y/hA-}MOsBIfbm,. bGKqvf6 Z9-mVKvw=#TmOW:hz2Z^'8]!+\CE&T5$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 Flexibility helps to set us apart. Slides 3-6-material from Fulcher and Frazier(2007), Contraindications Pre-existing vascular compromise Regional infection, IV Therapy Terms Adult: Antibiotic: Arterial Line: Aspirate: Central Line: Central Venous Access Device: (CVADS). nursing responsibilities for iv therapy ppt. <>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 720 540] /Contents 4 0 R/Group<>/Tabs/S>> Chronically ill patients requiring multiple and recurrent IV access. IV bags are built to hang so that gravity can pull the fluids through an opening on the bottom of the bag. Job Summary: The Nurse position will be overseeing patient-care operations. Infiltration occurs when the tip of the IV catheter slips out of the vein, the catheter passes through the wall of the vein, or the blood vessel wall allows part of the fluid to infuse into the surrounding tissue, resulting in the leakage of IV fluids into the surrounding tissue. Theyre trained to adapt and perform in changing surroundings while providing stellar care. Syringes with an internal diameter smaller than that of a 10mL syringe can produce higher pressure in the lumen and rupture the catheter. Local cellulitis or systemic bacteraemia are possible. SYRINGE PUMPS Holds prefilled syringe Positive pressure to plunger delivers specific volume Used for small volume Insulin pumps, PCA pumps Safer, preprogramming to prevent calculator errors, Initiate: Intermittent Infusion: (Piggyback) Intravenous: (IV) IV Bolus: IV Push: Maintain. 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. Post author By ; Post date May 28, 2022; Categories In 1443; on nursing responsibilities for iv therapy ppt on nursing responsibilities for iv therapy ppt ; ; 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. 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. objectives of iv therapy. Hypotonic solutions are commonly used when a patient has severe intracellular dehydration such as during diabetic ketoacidosis. This is called a tourniquet and aids in bringing the vein to the surface to make it easier to insert the IV. The U.S. Bureau of Labor Statistics (BLS) reports that RNs in general earn a median annual salary of $75,330. Access PIVC only after scrubbing the hub. www.HelpWriting.net This service will write as best as they can. 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. case study provided by: daniel franklin, dvm, Pediatric IV Therapy - . endstream endobj 113 0 obj <>>>/Subtype/Form/Type/XObject>>stream Access PIVC only after scrubbing the hub. The same medical guidelines and procedures are used, whether a nurse gives IV therapy in a hospital or a hotel. Completion of a nursing degree online or on-campus typically takes two years for an ADN and four years for a BSN. If desired, place sterile tape over the hub of the device before placing the transparent dressing. This responsibility includes selecting the appropriate venipuncture site and type of cannula and being pro-ficient in the technique of vein entry. $4%&'()*56789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz ? 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. Pressure limit defaults for intravascular infusion pumps are programmed by Biomedical Engineering, based on the manufacturers recommendations. If two bags of fluids are needed, a secondary IV bag will also be used. Therefore, it is important to properly prepare the IV medication or fluid, correctly calculate the dosage, and administer it safely to the patient. 0 IV tubing administration sets require routine replacement to prevent infection. Average time for the bags to empty is about an hour, though many people report feeling better within minutes. Weve updated our privacy policy so that we are compliant with changing global privacy regulations and to provide you with insight into the limited ways in which we use your data. Enjoy access to millions of ebooks, audiobooks, magazines, and more from Scribd. This will adequately immobilize the joint and minimise the risk of venous damage resulting from flexion. Phlebitis of superficial veins can occur due to trauma to the vein during insertion of the IV catheter. By whitelisting SlideShare on your ad-blocker, you are supporting our community of content creators. The Nurse position will be full-time, 4 shifts a week, a non-exempt position that reports to the District Lead Nurse, Regional Clinic Manager and Doctor/Owner at Hydration Room. Administration sets that have been disconnected (either accidentally or planned) are no longer sterile and are to be discarded and replaced. However, readers should be advised that only a low number of infusion nurses reported salaries. Your time is important, and our team has flexible options to maximize it. Monitoring will continue as treatment ends. ' .)10. Patient Assessment and Psychological Preparation 5. . 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. } !1AQa"q2#BR$3br 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.