nursing responsibilities for iv therapy ppt

However, there may be situations when IV pumps are not available and nurses administer primary fluids by gravity using drip tubing. 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 5 0 obj Administering IV treatment to cancer patients in inpatient and outpatient settings, oncology infusion nurses review lab results and assess patients, follow chemotherapy and other applicable infusion protocols, and collaborate with patients' healthcare teams. Nurses often transition to infusion nursing roles after working in high-intensity environments, such as emergency and acute care. Alcohol dries quickly and provides excellent protection against contamination. The secondary infusion is hung above the primary infusion and connected at an access port. 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. They provide IV infusions to patient populations across all age groups with a focus on improving patient outcomes. 0 ) Hypertonic fluids have a higher concentration of solutes than blood. <> Infiltration may cause pain, swelling, and skin that is cool to the touch. 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. 1. Learn more about how Pressbooks supports open publishing practices. Your time is important, and our team has flexible options to maximize it. Infusion nurse salaries can vary according to geographical location, certification, education level, and work setting. 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. endobj Learn more about our review partners here. Syringes with an internal diameter smaller than that of a 10mL syringe can produce higher pressure in the lumen and rupture the catheter. 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. } !1AQa"q2#BR$3br nursing responsibilities for iv therapy ppt. Activate your 30 day free trialto unlock unlimited reading. indicated. NurseJournal.org is committed to delivering content that is objective and actionable. at least every4hrs, check skin status at iv site, status of dressing, client's ability to perform self-care activities; & client's understanding of any mobility limitations assess . endobj 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 22. During the therapy, the nurse will periodically check in to ensure that everything is going well. There are three types of intravenous fluid concentrations: isotonic, hypertonic, and hypotonic fluids. common venipuncture sites dose calculators insertion of peripheral iv catheter insertion of a central line, IV Therapy - . We've encountered a problem, please try again. The provider will order primary fluids based on the patients fluid and electrolyte statuses. You can read the details below. (JZFR=AN'ANI;EixS| will enable . Ensure there is a clear window where thecannula enters the skin- insertion site, so the site can be regularly viewed. This is simply to make sure that the fluids are flowing well and to check for any undue discomfort or irritation. family that the cotton wool and tape or Band-Aid should remain in situ for (z9T]'XdSY ~v4M!s2SLLOdWNL{4}j)1G"fV2 x}j?hn5c96iBJhAX^h,huzE!cU&r\R(4h@? %PDF-1.5 Micro-drip IV tubing is used in pediatric or neonatal care where small amounts of fluids are administered over a long period of time. Follow agency policy regarding initiating tubing change before initiating a new bag of fluid or medications. Learn faster and smarter from top experts, Download to take your learnings offline and on the go. The development of this nursing guideline was coordinated by Eloise Borello, CNC Quality & Improvement, and Lauren Nichols, CSN PICU, approved by the Nursing Clinical Effectiveness Committee. endstream endobj startxref For intermittent infusions, IV lines which are disconnected are to be discarded between infusions. the holliday- segard nomogram. the main learning areas . An IV pump is the safest method of administration to ensure specific amounts of fluid are administered. Primary fluids are run at consistent infusion rates for a prescribed period of time. 167 0 obj <>stream Roller clamp: A roller clamp is used to regulate the speed, or stop, an infusion by gravity. Do Not Sell or Share My Personal Information. replacement of PIVC unless clinically indicated. See Figure 23.1. Primary IV fluid infusions are prescribed by health care providers to restore or maintain hydration and electrolyte status within the body. Isotonic fluids are typically administered for fluid and electrolyte replacement. Backcheck valve: A backcheck valve prevents fluid or medication from travelling up into the primary IV bag. Many common preparations come in 25 to 100 mL bags. To start, a custom IV therapy plan will be created by you and your nurse to meet your specific needs. Administer IV Drip Therapy and Intramuscular (IM) Shots to deliver our menu of vitamins, minerals, and antioxidants. Determining the rate of flow is an important step. The presence of an IV therapy team elevates the standard of infusion care in a facility by reducing infection risks and improving patient comfort. Locate the best place to insert the IV. Treatment may include warm compresses and nonsteroidal anti-inflammatory medications. Enjoy access to millions of ebooks, audiobooks, magazines, and more from Scribd. Utilize blood test offerings to help . These contributors: Integrity Network members typically work full time in their industry profession and review content for NurseJournal.org as a side project. 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. Do not sell or share my personal information, 1. Please remember to read the If resistance is felt during flushing and force is applied this may result in achieve & maintain normal, IV Therapy - . <>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 720 540] /Contents 4 0 R/Group<>/Tabs/S>> There is no evidence for routine Patient Assessment and Psychological Preparation 5. M( ( ( (;R$9VWC! An example of hypotonic fluid is 0.45% normal saline (1/2NS). Center Director, Oncology Services & Health Screening Center. 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 . The Role of the IV Nurse. The goal of hypotonic fluid administration is to move fluids into a patients cells due to osmosis. Read more about calculating infusion rates in the Math Calculation chapter. Shri Deshaies is a nurse educator with over 20 years of experience teaching in hospital, nursing school, and community settings. Are you ready to earn your online nursing degree? Illustration INTRAVENOUS IV Therapy - Overview. <> in the summer, when the sun is burning, CLASS IV - . IV tubing administration sets require routine replacement to prevent infection. 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. So you do not need to waste the time on rewritings. 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. 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. IV therapy is safe and effective, and our nurses know their stuff. dr cathy armstrong spr in anaesthesia & IV Chelation Therapy - New york, ny 10036 (646) 6478836. Your time is important, and our team has flexible options to maximize it. The purpose of intravenous (IV) therapy is to replace fluid and electrolytes, provide medications, and replenish blood volume. nursing responsibilities for iv therapy ppt 29 mayo, 2022 by IV Essentials - RN . IV THERAPY - . 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. It should be kept to full of solution. Tegaderm. d`JSDg$8 WigxbLP1\TR3U@r'~&As(. The nurses responsibilities in managing IV therapy include the following: IV medications and fluids enter the patients bloodstream directly through the vein. 3 0 obj 13 essential responsibilities for nurses A nurse's responsibilities may vary depending on where they work, what licenses they have obtained and how experienced they are. By- Vascular catheterassociated infection is considered a hospital-acquired condition because it can be prevented using best practices. Chronically ill patients requiring multiple and recurrent IV access. collect the following supplies: * two papers of labels (have 4 labels) * two alcohol, IV Therapy - . 22. 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. cannula, maintaining a neutral angle with the childs skin, Cover site with dressing 6 0 obj 3. dr. ahmed magdy md general surgery. For Wallaby (Hospital-in-the-Home) patients, the nurse will assess the PIVC with each visit. %&'()*456789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz $4%&'()*56789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz ? Administration of intravenous fluid, drug infusions or blood products. Administer Hyperbaric Oxygen Therapy sessions. Signs of infection include redness, warmth, tenderness, and possible fever. purpose of iv therapy. Infusion bag:Scrub the hub prior to access of additive port before injecting prepared drug into infusion fluid bag. phlebitis, occlusion, dislodgement and migration. definitionindicationsequipment and supplies stepsmonitoring complications. There may be moisture on the inside of the plastic IV bag storage container; this is normal. Comfortably seated, you can rest your eyes, watch television, or play on your phone. Consider placing a small piece of sterile cotton wool ball or gauze underneath the hub of the cannula to reduce pressure. Patient care and safety is always number one, and they love making a difference in peoples lives. Read more about types of intravenous fluids in the . In these and other settings, like long-term care and medical day spas, nurses can master their IV insertion and infusion therapy skills. Not all services are the same. Administer blood or blood components Administer intravenous anesthetics Maintain or correct a patient's nutritional state Administer diagnostic reagents Monitor hemodynamic functions 4. 50-60% of the body is, 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. Most adult patients receive continuous IV fluids with 1,000 mL bags due to the higher drip (gtt) rate. Place a flexible rubber band around the upper arm. Gather Equipment 4. 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 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 Administration sets that have been disconnected (either accidentally or planned) are no longer sterile and are to be discarded and replaced. 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. 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? stream , Reset IV combines world-class service with personal attention. 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 according to clinical practice, perform hand hygiene. Allow skin preparation to air dry prior to applying any dressing, this allows the disinfectant to work. 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. Questions cover three core areas: 36 questions each on principles of practice and access devices, and 48 questions about infusion therapies. Anaesthetics ASCOM 52000, After hours / public Get FREE SHIPPING if you order $500.00 more! IV bags are built to hang so that gravity can pull the fluids through an opening on the bottom of the bag. Once the priming is complete, your nurse will get started on placing your IV. holding the cannula in place at all times, Hold a piece of Instant access to millions of ebooks, audiobooks, magazines, podcasts and more. Some of these complications can be prevented by the correct use of aseptic IV fluid therapy - Applied sciences lecture course. 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Click here to review the details. <> endobj 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. For example, a continuous fluid infusion may be ordered at a rate of 125 mL/hour for 24 hours.