Cameraman needs to be patient and let her explain. Instead of trying to rush her by paradoxically interrupting her every few seconds through interjecting his own comments, he should focus on his camera skills
A few things: 1. Medications should ALWAYS be labeled, regardless of if you know the patient or are in the same room. 2. She should be wearing gloves the entire time. No exceptions or excuses. 3. The actual tubing should have been prepped with the saline she removed from the bag, to avoid wasting medication when priming the tubing. 4. She should have used a different needle/syringe to withdraw the reconstituted medication than she used to inject the sterile water (this one is more specific to my healthcare system).
Hi gays; I am a Swedish citizen and tired of healthcare in Sweden. I get Remucade regularly and of course and every time feels like adventure. the fight against the nurse who states that the air is not dangerous as in connection with the drop goes into my body. after the extensive video, I know that air should not go into the patient's body. so thank you very much and I really wanted to be in your country to avoid such careless medical care. Susan from Sweden
This is breaking so many rules: Should wear mask and gloves. Should change needles for each vial. Should re-wipe vials after breathing all over them, before adding diluent .... I could go on forever. This video needs to be removed.
Why are we not washing our hands after touching the lid of a sharps container before touching vials, med drawers etc. So much germs being spread. Wear gloves, cleanse after touching dirty surfaces!
This is cool but why didn't you just hook the infusion line up and prime the line with the 60ml that you drew out of the bag?? And you should have wiped the tops with an alcohol swab and the port in the bag....and gloves?? I didn't even see any hand sanitizer use
Not only that but she touched the sharp container with her bare hands and then went back to the counter and cross-contaminated everything there. Weather there was potentially infectious material on the sharps container or not is irrelevant. Universal precautions teach us to always treat them as if they are potentially infectious, period! Therefore handling with bare hands and then back to the product is a huge No-No. Bad technique.
You should label the bag, and do hand hygiene. touched the sharps container multiple times and then the mixed meds with no Hand Hygiene and the cameraman needs more patience and not moving the camera so much
I'm sure she washed her hands just before starting the video. As far as gloves everything is sterile from the IV bags to vials and syringes doesn't really need to get wiped. Good video except for the camera man. He's really rude and belittling not professional at all.
Didn't wash her hands, NO gloves worn, the caps are nothing more than dust covers, it is NOT sterile under there, and she did not cleanse the tops with alcohol! Doesn't matter is she touched the injector port on the bag of saline, she still needed to cleanse the port with alcohol! How many patients at this infusion center are getting sick from their infusions??? How many times did she go into the drawer, sharps container, touch her face and hair and continue without washing, and still no gloves! All supplies should be out on the counter in front of her so she is not going in and out of drawers, and the sharps container which has a step opening, there is no need to touch the lid to close it until she is done preparing the medication. A beautiful display of repeated contamination! I feel sorry for EC who ever they are.
@TheNewyorkdragon they actually should be warn after hand washing to limit the bacteria found on her skin from entering the medication, especially since she didn't even practice aseptic technique otherwise. Gloves also limit the unwanted absorption of medications into the skin of medical staff.
If the camera guy didn’t talk at all it would have been better, she explained fine and he was interrupting, condescending, and overall not pleasant to listen to.
She threw the boxes in regular trash but this box has the pt info which is hippa violation And she never washed her hands No gloves I will file against her if I know who is she
I had to stop watching. The guy with the camera was obnoxious and camera work was awful. She was explaining things perfectly without being constantly interrupted.
What a mess, so untidy, touching trash containers with bare hands and getting to business as usual, no washing hands in between, or wiping ends with alcohol.
I had to stop watching mid-way, the camera guy is definitely annoying while it's not the nurse/pharmacist preparing fault to be in the way of his unprofessional shooting. Yes the preparer needed to have it prepared using sterile technique in a sterile area.
This is the Blair Witch of infusion videos. Camera guy needs to chill and yes you do wipe the injection port on the bag with alcohol. Think of “chain of custody.” You don’t know that that’s clean or sterile. This was a terrible video. Are pharmacists doing this? Because they do not do infusions and don’t know the correct process. I always prime the bag first. I mixed chemo and biologics for a long time and you don’t prime after medication is in the bag
There is plenty wrong with the aseptic technique. But the most wrong, irritating and obnoxious part is the "camera man". He should try standing on her left side since she's right handed and maybe stop being so condescending and just keep quiet. video is really old. So, hopefully he has improved or better yet just stopped.
Cameraman needs to be patient and let her explain. Instead of trying to rush her by paradoxically interrupting her every few seconds through interjecting his own comments, he should focus on his camera skills
Exactly.
Isn't he the attending?
Came here for this comment lol
exactly
“I know my patients, I don’t need to label the bag” 🤣always label a bag!
she should wear gloves and in our institution we would change needles
Gloves for sure
Do you mean a new needle when she’s injecting into the saline?
Everything doesn't have to be zoomed in on.. That is causing the out of focus. Slow zooms, and steady hands = better filming.
Camera man fired
A few things:
1. Medications should ALWAYS be labeled, regardless of if you know the patient or are in the same room.
2. She should be wearing gloves the entire time. No exceptions or excuses.
3. The actual tubing should have been prepped with the saline she removed from the bag, to avoid wasting medication when priming the tubing.
4. She should have used a different needle/syringe to withdraw the reconstituted medication than she used to inject the sterile water (this one is more specific to my healthcare system).
I hope to god they have better cleaning practices and gloves when I start this.
Same, this worries me.
Hi gays;
I am a Swedish citizen and tired of healthcare in Sweden.
I get Remucade regularly and of course and every time feels like adventure.
the fight against the nurse who states that the air is not dangerous as in connection with the drop goes into my body.
after the extensive video, I know that air should not go into the patient's body.
so thank you very much and I really wanted to be in your country to avoid such careless medical care.
Susan from Sweden
...and of course it cust a lot of money
A small amount of air in the IV tubing will do no harm, and it actually takes a fairly large air embolus to cause cardiac arrest.
How large air do cardiac arrest?
I have seen sometimes the air in hose is s about less of two cm.
I’m such a medical nerd plus I’m about to get infusions so thank you for this video!
How did your infusions go ? I’m about to start next week 😬
I’d clean the port with alcohol as well!!!
Please always label you drug solutions!
Agreed, it doesn't matter if you know your patients, always label
thank you camera man for helping breakdown the process. :)
This is the only info we can get in you tube. Thank you so much.
Much appreciated.
This is breaking so many rules: Should wear mask and gloves. Should change needles for each vial. Should re-wipe vials after breathing all over them, before adding diluent .... I could go on forever. This video needs to be removed.
I only use 10 ml syringe per vial so as not to over dilute with too much SW
Totally agree!!!!! I can’t believe I just saw what I saw 🤦🏻♀️🤦🏻♀️🤦🏻♀️🤦🏻♀️🤦🏻♀️
I thought that too, I was confused why she wasn’t wiping the vials with alcohol before entering with the SW..
Why are we not washing our hands after touching the lid of a sharps container before touching vials, med drawers etc. So much germs being spread. Wear gloves, cleanse after touching dirty surfaces!
So that is what they've been taught in America, spread your germs all over preparations... Interesting
Did you mix the Ramicade with the saline in the bag before spiking?
This is cool but why didn't you just hook the infusion line up and prime the line with the 60ml that you drew out of the bag?? And you should have wiped the tops with an alcohol swab and the port in the bag....and gloves?? I didn't even see any hand sanitizer use
How much mg dose she had given?
yes he talks too much. she should do another one.
That's Dr. Baby to you sir!!
The infusion should always be labeled.
This place is scary!! If I were that patient I would have ran just listening to them interacting!
Shouldn't you follow the sterile procedure here? Sterile gloves? Not touching the plunger?
This is not a sterile procedure but she should wear gloves.
Not only that but she touched the sharp container with her bare hands and then went back to the counter and cross-contaminated everything there. Weather there was potentially infectious material on the sharps container or not is irrelevant. Universal precautions teach us to always treat them as if they are potentially infectious, period! Therefore handling with bare hands and then back to the product is a huge No-No. Bad technique.
You should label the bag, and do hand hygiene. touched the sharps container multiple times and then the mixed meds with no Hand Hygiene and the cameraman needs more patience and not moving the camera so much
I'm sure she washed her hands just before starting the video. As far as gloves everything is sterile from the IV bags to vials and syringes doesn't really need to get wiped. Good video except for the camera man. He's really rude and belittling not professional at all.
Didn't wash her hands, NO gloves worn, the caps are nothing more than dust covers, it is NOT sterile under there, and she did not cleanse the tops with alcohol! Doesn't matter is she touched the injector port on the bag of saline, she still needed to cleanse the port with alcohol! How many patients at this infusion center are getting sick from their infusions??? How many times did she go into the drawer, sharps container, touch her face and hair and continue without washing, and still no gloves! All supplies should be out on the counter in front of her so she is not going in and out of drawers, and the sharps container which has a step opening, there is no need to touch the lid to close it until she is done preparing the medication. A beautiful display of repeated contamination! I feel sorry for EC who ever they are.
thank you
The guy filming ruined it for me
One should not recap needles....high risk for self injury.
21-gauge or smaller needle
the guy who filmed this is a nuisance-just let the woman explain it. Put some gloves on please
GLOVES...
@TheNewyorkdragon they actually should be warn after hand washing to limit the bacteria found on her skin from entering the medication, especially since she didn't even practice aseptic technique otherwise. Gloves also limit the unwanted absorption of medications into the skin of medical staff.
I’m a home infusion nurse. I don’t know where this person works or who taught her. But she did NOTHING correctly.
What is prise of this medicin
A LOT!
Free in the UK I just had it
In Brazil it is about $5'000 (USD) for four doses. In the video she says about $500 per vile.
This video should be called: “How not to prepare Remicade” 🤣🤣🤣🤣🤣 or, “How to prepare a Remicade in a contaminated IV bag”
If the camera guy didn’t talk at all it would have been better, she explained fine and he was interrupting, condescending, and overall not pleasant to listen to.
What a terrible, annoying commentary from the cameraman. The infusion nurse was excellent, however!!
clearly you are not in the medical field.
Dude you should just switch roles
STERILE PROCESS
@TheNewyorkdragon it is aseptic, or suppose to be anyway.
Fantastic hand hygiene and aseptic technique. Wow
Thank you for sharing this vid! Now I know how my Remicade is made :)
She threw the boxes in regular trash but this box has the pt info which is hippa violation
And she never washed her hands
No gloves
I will file against her if I know who is she
I can’t believe she touched the sharps container multiple times and never disinfected her hands.. and the camera man is very annoying and unhelpful.
He is SUPER ANNOYING 😒
I had to stop watching. The guy with the camera was obnoxious and camera work was awful. She was explaining things perfectly without being constantly interrupted.
worst photographer ever! ok? ok? ok?
WHAT AN IMPATIENT GUY! VERY RUDE.
Cameraman, interrupting my train of thought, had to leave this video and look for another one
Seriously not making this in a hood? And not in a DEHP free bag?
What a mess, so untidy, touching trash containers with bare hands and getting to business as usual, no washing hands in between, or wiping ends with alcohol.
Talking too fast
I had to stop watching mid-way, the camera guy is definitely annoying while it's not the nurse/pharmacist preparing fault to be in the way of his unprofessional shooting. Yes the preparer needed to have it prepared using sterile technique in a sterile area.
The guy talking is so annoying. Like either do it in a different spot if you want to catch a good angle
This is the Blair Witch of infusion videos. Camera guy needs to chill and yes you do wipe the injection port on the bag with alcohol. Think of “chain of custody.” You don’t know that that’s clean or sterile. This was a terrible video. Are pharmacists doing this? Because they do not do infusions and don’t know the correct process. I always prime the bag first. I mixed chemo and biologics for a long time and you don’t prime after medication is in the bag
Is that a joke? I'm pharmacist and the way she is working is not OK
Let your girlfriend talk dude
I just threw up from the motion and interruptions
There is plenty wrong with the aseptic technique. But the most wrong, irritating and obnoxious part is the "camera man". He should try standing on her left side since she's right handed and maybe stop being so condescending and just keep quiet. video is really old. So, hopefully he has improved or better yet just stopped.
Cameraman talking too much.