Primary Infusion: IV set up for Nurses (Spike and Prime)
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- Опубліковано 21 тра 2018
- Nurses routinely prepare and provide patient care that involves the skills of priming an IV set for fluid and medication administration.
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This video is about Flushing Primary IV Line for Infusion and goes over the elements of an infusion set, tips to priming and assessing the line for correct infusion (use of label and tracing from patient to pump to bag). Removing air bubbles from smart sites (aka Y connector sites) is covered.
It is important to remember that while the fluid path is sterile, the line itself is not sterile and does not go on your sterile field. If using the needle-free valves (as seen in this demo), do not access them with a needle as it will damage the valve and cause leaking.
Once your line is primed, the clock is ticking. It is important to note the time of initiation on your label and check with your agency policy as to how frequently the line is changed. A continuous infusion has a longer duration than an intermittent.
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Thank you and Much Love from the Philippines.
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Thank you so much for great video sir!
You are welcome
Hi nurseminder... Love your videos. I studied nursing one here in Brazil. ..here I can understand better..I'm glad I found you ...i subscribed your channel...thank you so much..
Thank you for sharing 😊 I wish you success in your studies
The instructions for use indicate that the drip chamber should be filled 2/3 full. This is to reduce the likelihood of air bubbles getting into the line. One example of how this can happen is if the drip gets tilted or swings such as when the patient is being transported.
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Excellent explanation … thank you
Thank you very much! Enjoyed and learnt a lot from your video!
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Glad it was helpful!
Thanks so much for this, so thorough!!!
Happy to hear it was helpful
Thanks. I went to like it and I must have done it before!
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Amazing video it helps me a lot 👌👌☺️
Helpful thank you.
thanks for taking the time to let me know
Short and sweet. Thank you !
Thanks!!!
Thank you
thank you for letting me know
Informative video and love from India 🇮🇳
love from Canada right back at you
Thank you 💗
You’re welcome
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you are welcome
Thanks
Good and short ,,,,Ty
You are welcome! Thanks for sharing
Would love to see you demonstrate how to calculate a drip factor during the video. Awesome video 👍🏾
instaBlaster...
Good
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If you miss the median cubital vein, should you try sticking the same vein again? Or try the cephalic vein?
Great question. If you miss the vein, you go higher. It may be the same vein or a different vein. The basilic vein is also an option - that can be a fun one too
this saline should not be pricked from above for making it fast flowing right? or iit can't be used multiple times. answer with reference please.
I am not quite sure I understand the question- you can spike the bag while it is not hanging (so it would be inverted while you are holding the bag). I am unclear about “using multiple times”. If you are referring to an intermittent infusion, yes we can stop and restart. In my facility we would have to change the bag every 24 hours if used intermittently. You will need to research your facility for relevant guidelines
@@NurseMinder thank you for responding, actually is rural health facilities I have seen some nursing staff using a single LVPs e.g 500ml NS again and again in small quantities as a diluent for reconstitution and volume make up for other drugs, without any sterile hood. So that's just not right?
Ah. Ok. I don’t have any evidence on that. There would have to be a dedicated bag, clearly labelled, a new needle used every time it is accessed ... and that is a lot to validate if multiple people are using the same bag.
so im gonna start home infusions and don't know if ill get a pump or a gravity drip...if I were to get a gravity drip, are you able to go out with it? because with a pump you can put it in a bag and go off somewhere but can you do that with a gravity drip as well? im just curious because my infusions might last longer than 2 hours and if I suddenly need to go somewhere I don't know if you can with a drip like u can with a portable pump.
I don’t imagine you would have gravity if you are having to admin medications. If you do, yes you can still go out. You would have to watch the line to make sure the drip rate (how fast the infusion is going) does not change
NurseMinder Aw thank youuu😚I’m not going to get medications I’m just getting saline twice a week because of my POTS, I pass out a lot😅
NurseMinder also if that’s the case...you can put it in like a book bag so that no one can see it? Also how would you watch the drip if it is hidden away...and if it’s on your back is that high enough for the drip to work?
A book bag is not high enough. If you have gravity and it is just saline and there are zero complications to running it wide open, the infusion wont take long
@@NurseMinder oh mine will have to be from 4-6 hours...one so my body has time to absorb it and two because if I do a 30 minute one it could send my body into some kind of shock thingy. Its weird. but yeah thanks, idk how I would go anywhere with that thing on but lets just hope I get a portable pump :3
How do you connect the infusion to the branula?
Do you mean to the cannula? It will depend on what type you have
What will I do if the drip chamber is full or has excessive fluid?
Take the bag down - turn it upside down so you can squeeze the chamber and empty some of the fluid back into the bag. It will take a few squeezes
I’m new to your channel, I literally stumbled upon it earlier today. I watched this video and two others and I learned something new in each video. These videos are older perhaps you don’t check this site very often but the info is relevant.
Hi, can you please make a video for multiple infusions. I'm having a hard time to identify which one is/where for patients having like multiple infusion. Tubings are tangled,there's no label. I'm lucky if they will add label.Most nurses just put the meds that easy.
It is our practice that lines have two labels - one nearest port to the patient so you can follow it back up to the pump / bag which is labelled with same info
How can I stop the blood from going up???
Either the bag needs to be higher or your flow rate is too slow
Is it OK to have a few small bubbles in the line? Its difficult to remove them all
Great question - ideally we remove them, in reality there may be some that are hard to get
@@NurseMinder even after flicking the tubing, some bubbles just dont move!
what to do if it stop dripping?
It means 1) the pressure in the bag is not high enough to overcome the pressure in the vein - raise the pole / bag 2) the line is clotted, try to withdraw fluid nearest to the patient 3) the roller clamp is too tight
I wanted to see you remove the bubbles
Do you want a video on how to remove air bubbles from an IV line?
NurseMinder , yes! I also need tricks and advice on how to make them not happen. Also, how to operate the pump by reading the bag and plugging in the numbers into the pump
@@jenanjuice2003 gotcha! Will add it to my list :). Thanks for the suggestion
done! Just posted a video that hopefully answers your questions! ua-cam.com/video/85qfarffaRo/v-deo.html
NurseMinder, wow thank you! I’m at work and I could use it lol
Is taking iv drip quite painful as i have never taken it
No. Generally you don’t feel anything. Sometimes you may notice a cool temperature sensation. If you feel pain, that is something to share because there may be something wrong with the I V
@@NurseMinder it means inserting a iv cannula in hand is not painful at all...
@@NurseMinder ply reply mam as inserting cannula is as same as taking injection or it is very painful in taking hands
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So many years learning this but don’t know to do it anymore....Am a Nurse
You should have taken the blue sheath off the fluid bag before removing the protective cap of the spiker. Now you're exposing the spiker in the air, and it risks being contaminated.
One could say that once the blue sheath is removed, contaminated air touches the surface - if you have research that suggests this risk - it would be great to share it.
Hii mam I need your help plss help.me
What is going on?
How much
How much ….. ??
By Yr was As saa the best of r the o
ok
Thank you
thank you for sharing