Sunday, March 7, 2010

IV PUSH

STATION 4: IV PUSH

MNEUMONIC: Clean Label Clean - FIGIWA - Flush Give Flush


6 ETOH PADS && 2 PAIR GLOVES


STEPS: *** MED -> MATH -> MAR ***


Right: Medication/Dose/Route/Time & Date/Exp Date/Allergies/Patient)


*** WASH THY HANDS BEFORE STARTING ***

Clean - Clean top of medication bottle.

Label - Label 3 empty syringes (2 NS & 1 Medication)

Clean - Clean NS port on bag

F - Draw up the two flushes && medication. (Med/Exp Date of flush bag)

I - Id the patient.

G - Glove up with non-sterile gloves

I - Inspect the IV site - "NO EDEMA"

W - Wipe IV port with alcohol

A - Aspirate - "I SEE A BLOOD RETURN" "** UNCLAMP TUBING **

Flush - Flush with NS

Give - Give medication over prescribed time (slow is better).

Flush - Flush

*** DO NOT TOUCH INSIDE STEM OF PLUNGER ***

*** CLAMP TUBING AND SIGN THE MAR ***

ERRORS:
1. Timing of push -- Easy to push much too fast.

2. Air bubbles -- Need to look carefully for air bubbles. Did not see bubble next to rubber part of plunger. Easy to get rid of bubble, but also easy to not see bubble.

3. Plunger stem -- ** THIS IS EASY TO FORGET **
-- Do not touch stem of plunger. Need to really watch this.

4. Backflow clamp -- Unclamp backflow clamp before attempting first flush.
-- Clamp backflow clamp after completing second flush.


OTHER: 1. Syringe package -- Open syringe packaging all the way. Just do it.

2. Syringe plunger -- Loosen up syringe before using.

3. Syringe type -- Watch 3cc vs 5cc syringes. You may be pushing more than three cc of medication. (per instructor)

4. Flush bag -- Verbalize "Zero point nine percent sodium chloride".

-- Verbalize "Expiration date"

-- Do not say "Normal saline" <-- This per instructor.

4. Pain relief -- You may sit down to do this station.

John Coxey (Syracuse, NY)

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