nursing responsibilities for iv therapy ppt

with regular assessment and documentation of complications. 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. Because infusion nursing schedules tend to follow a traditional work week, with weekends and holidays off, and some positions offer scheduling flexibility, infusion nursing tends to be less stressful than other nursing specialties. endstream endobj 114 0 obj <>stream 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. 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. H*wSp Once the priming is complete, your nurse will get started on placing your IV. New environments are no problem. by: mary watson. How do they go about making magic happen? However, there may be situations when IV pumps are not available and nurses administer primary fluids by gravity using drip tubing. } !1AQa"q2#BR$3br June 14, 2022; . Creative Commons Attribution 4.0 International License, Inspect established IV site for deviations from normal, Prepare and safely administer primary and secondary IV fluids and medication, Calculate and ensure designated flow rate, Modify the procedure to reflect variations across the life span, monitoring the effectiveness of IV therapy. correct fluid and electrolyte imbalancesadminister medicationsadminister, Oral medications-absorbed in the digestive tract, Rules and Regulations Regarding IV Therapy for the LPN. pressure dot, cotton wool and tape or Band-Aid, Advise the child and ,@@ d1E#0@%@B`D^ O X@)3^ - 1. Home infusion nurses enjoy flexible schedules and travel to clients' homes to perform patient assessments, develop care plans, and administer one-on-one infusion therapy. Comfortably seated, you can rest your eyes, watch television, or play on your phone. Primary fluids are typically administered using an IV pump. 109 0 obj <> endobj Check the solution is the prescribed one, the rate of infusion, and the amount infused is noted. Our nurses are trained to do this as quickly and painlessly as possible. bGKqvf6 Z9-mVKvw=#TmOW:hz2Z^'8]!+\CE&T5$J{jIV^4i]Y>,HMc ^#2KgS;U9eGTE~%/ &t$:f|/c #op;{T;P}qUkY1axSdsp)}MJ5KPkw!H:~"`6P __Vv/g-lvOjt]Ltc ~ 9rfRKdE\,b&2 ki,1xH@:0I\:mv?27n(I\JJXEKO8@5ik To that end, we have built a network of industry professionals across higher education to review our content and ensure we are providing the most helpful information to our readers. Cover with non-compression tubular bandage. Whether youre looking to get your pre-licensure degree or taking the next step in your career, the education you need could be more affordable than you think. Share . They will need to know if treatment is working for you, or if youre experiencing any problems. objectives of iv therapy. Vascular catheterassociated infection is considered a hospital-acquired condition because it can be prevented using best practices. Administer blood or blood components Administer intravenous anesthetics Maintain or correct a patient's nutritional state Administer diagnostic reagents Monitor hemodynamic functions 4. When initiating or changing an IV bag of fluids or medications, it is important to remember these items: While monitoring a patient receiving IV fluids, it is important to assess for potential complications such as infiltration, extravasation, phlebitis, or infection. Once the childs treatment is 7 0 obj common venipuncture sites dose calculators insertion of peripheral iv catheter insertion of a central line, IV Therapy - . Placing and utilizing an IV is standard practice for nurses in all settings. stream presentation. Read more about types of intravenous fluids in the . correct fluid and IV Vitamin Therapy - Contact adress: 635 madison ave, suite 1400c, new york, ny 10022 phone: (347) 434-9815 website url: C r " Indications for dressing change include when it becomes insecure or if there is blood or fluid leakage under the dressing. cgbcj`y;@mW,<13L&d0wg.b8;SD2|001s ,Xv%iFP#c> [Gd )Q[$!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= 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. Access PIVC only after scrubbing the hub. <> Nursing responsibilities for IV therapy include inserting, monitoring and removing an IV used to give medications, blood products and nutrition to a patient. It is vital for the nurse to triple check that the secondary medications/fluids are compatible with primary fluids. Infusion bag:Scrub the hub prior to access of additive port before injecting prepared drug into infusion fluid bag. If desired, place sterile tape over the hub of the device before placing the transparent dressing. Priming the tubing by allowing the fluid to flow through so that there is no air in the line. They may also contain replacement electrolytes like potassium chloride. nursing responsibilities for iv therapy ppt 29 mayo, 2022 by As an IV vitamin therapy nurse, I infuse IV vitamins During the IV therapy, Presentation Transcript. the four, Class IV Companion Therapy Laser Pediatric Fracture Healing - . DSC_0738-e1443533768679-678x1024.jpg by. _? rn. The RN II . Looks like youve clipped this slide to already. dr. ahmed magdy md general surgery. Many common preparations come in 25 to 100 mL bags. 50-60% of the body is, IV Therapy - . over, the PIVC should be removed to avoid any additional complications. 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. Becoming a registered nurse (RN) requires passing the. In this case, the primary line maintains venous access between drug doses. amy e. irwin, dnp, ms, rn denver school of nursing. It appears that you have an ad-blocker running. Read on for answers and information. Deshaies' clinical area of expertise is critical care nursing and she is a certified critical care nurse. Blood Transfusion (a nursing procedure) by www.nursesinfosite.blogspot.com. Want to create or adapt books like this? She has worked in various surgical ICUs throughout her career, including cardiovascular, trauma, and neurosurgery. The most commonly used primary IV fluid bag contains 1,000 mL. If two bags of fluids are needed, a secondary IV bag will also be used. 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. For intermittent infusions, IV lines which are disconnected are to be discarded between infusions. Learn more about how Pressbooks supports open publishing practices. advanced paramedic skills. Director, JINC. include a number of complications which range from infiltration, extravasation, 50 Flemington Road Parkville Victoria 3052 Australia, Site Map | Copyright | Terms and Conditions, A great children's hospital, leading the way, http://www.rch.org.au/rchcpg/hospital_clinical_guideline_index/Pressure_Injury_Prevention_and_Management/, Childrens Pain Management Service (CPMS), http://www.rch.org.au/clinicalguide/guidelineindex/Intravenous_access_Peripheral/, http://www.rch.org.au/clinicalguide/guideline_index/Intravenous_access_Peripheral/, http://www.rch.org.au/policy/policies/Central_Venous_Access_Device_Management/, http://www.rch.org.au/policy/policies/Medication_Management/, http://www.rch.org.au/policy/policies/Procedural_Pain_Management/, http://www.rch.org.au/rchcpg/hospital_clinical_guideline_index/Neonatal_Extravasation/, http://www.rch.org.au/policy/policies/Aseptic_Technique/, Giving set with lipid or blood products, Giving set with in-line filter and no TPN, Needleless connectors, extension sets or three-way taps. Tubing attaches to the port and carries the solution down and into the IV site. the main learning areas . Consider placing a small piece of sterile cotton wool ball or gauze underneath the hub of the cannula to reduce pressure. Enjoy access to millions of ebooks, audiobooks, magazines, and more from Scribd. infiltration of damaging intravenous medications, such as chemotherapy, into the extravascular tissue around the site of infusion. Understanding more of the responsibilities of nurses can make it easier to feel comfortable receiving IV therapy. Intravenous (IV) fluids and medications are administered through flexible plastic tubing called an IV administration set. Description of Practice Varies according to unit requirements and needs. Eligibility for the CRNI exam requires an RN license and a minimum of 1,600 hours of infusion therapy experience. A nurse must also evaluate the effects of replacement fluids and discuss their ongoing need with the prescribing provider. Extension sets are to be changed when the access device is changed or immediately upon suspected contamination or when any break in integrity. Therefore, it is important to properly prepare the IV medication or fluid, correctly calculate the dosage, and administer it safely to the patient. 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. Nurse Practice Act: (Ohio) Palpation: Peripheral: Peripherally Inserted Central Catheters: (PICCs) Phlebitis: Piggyback: Roller clamp: Tourniquet: TPN: Transparent Dressing: Venipuncture: Other Terms: Questions???????? Well credentialed; registered nurses or higher. Infiltration occurs when the tip of the catheter slips out of the vein. Free access to premium services like Tuneln, Mubi and more. The possible reasons for removal of PIVCs Pediatric IV Therapy - . range of complications that could occur with the presence of a PIVC in situ. So you do not need to waste the time on rewritings. The Nurse Managers Dual Roles. We've encountered a problem, please try again. 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. Purposes of Intravenous (IV) Therapy Intravenous Fluids Pre-Catheterization or Preparation 1. Review Physician's Order 2. *{ ,Z@)k7TaV cxbAWOFR]DDfpexT.vz!Pj)!V8u!yE5f_+.ll W ^4b9p1L6n;Wit`}+L-LbtX(^2yUmZz[.=+}$v}'~taD QHj^?bqN:^*r*m2?5}9ezAng|+nEi75f1TJmD8>j@Fc>")JJB(yZ R;y

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