1 / 17

Some terminology:

Some terminology:. Hub (IV catheter) Maintenance (or primary) solution TKO (KVO) rate Parenteral Mechanical gravity devices EID: electronic infusion device NAD: needleless access device NAP: needleless access port. Complications - systemic. Septicemia (CRSI)

dena
Télécharger la présentation

Some terminology:

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Some terminology: • Hub (IV catheter) • Maintenance (or primary) solution • TKO (KVO) rate • Parenteral • Mechanical gravity devices • EID: electronic infusion device • NAD: needleless access device • NAP: needleless access port

  2. Complications - systemic • Septicemia (CRSI) • Fluid overload & pulmonary edema • Catheter embolism • Air embolism • Speed shock

  3. Complications - local • Phlebitis • Mechanical or Chemical • Infiltration/ Extravasation • Local infection • Hematoma/ecchymosis • Thrombophlebitis • Thrombosis (catheter) • Venous spasm

  4. Phlebitis: Treatment • Discontinue infusion at the first sign of phlebitis • Notify physician • Apply warm or cold compresses to affected site • Notify infection control if part of agency policy

  5. Infiltration vsExtravasation • Inadvertent administration of a nonvesicant solution into surrounding tissues. • The inadvertent administration of a visicant solution into surrounding tissue. Infiltration Extravasation

  6. To Err is Human • IOM report • CDC & INS standards • “follow your hospital policy” – • Changing IV admin sets • IV dressings • How does this contribute to patient safety?

  7. CDC/INS guidelines • Change IV administration sets • Dressing changes • Changing NAP • Cleanse access port with new alcohol swab for 15 seconds.

  8. Needless Access Ports (NAP) • Easily converts to/from intermittent • 3 types • Capped, resealable diaphragm • Blunt cannula split septum • Luer access – neg. displacement • Luer access – pos. displacement • Negative pressure or positive pressure? • Flushing technique is different!!!

  9. Converting maintenance IV to Saline Lock • Does it have a small extension tubing? • Yes: only need alcohol swabs & NS • No: prime extension tubing; get new dressing • Gauze pads • Chux pad • Hemostats • Normal Saline • Bacteriostatic 0.9% vs Preservative-free

  10. Dressing Change • TSM = transparent semipermeable membrane • Tegaderm is one brand out of many • Change ________ • Gauze dressing • Procedure:

  11. Discontinuing a Peripheral IV • When: • Leaking, infiltration, pain, phlebitis, Dr. order • Supplies: gloves, 2x2 gauze, bandaid • How: Phillips, Procedure 6-4 • Greatest risk: catheter embolism

  12. Characteristics and uses of electronic infusion devices • Power switch • “enter” • Numbers keyboard • Set rate (in ml/hr) • Set volume to be infused (VTBI) • Check volume infused • hold/run button

  13. Characteristics and uses of electronic infusion devices • Run/hold indicator • display screen • alarms • door to put in tubing • Safety mechanism when door shut • Visual -battery, or electrical power. • Alarm Cause

  14. Alarms • Upstream occlusion • Downstream: • Air • Infusion complete • Door/cassette open • Low battery • Error code _____

  15. Documentation INS standard: “…shall be legible, accessible to qualified personnel, and readily retrievable. The protocol for documentation should be established in organizational policies and procedures.” • “Shall reflect continuity, quality & safety of care” INS standards, 2011

  16. Documentation • Patient/family participation • Site condition & appearance • Does facility have standardized assessment scales? • Dressing, type of stabilization, pain • Type of therapy: drug, dose, rate • Daily assessment of need for VAD

  17. Documentation • Multiple sites or lumens: what is infusing where • Discontinuation of therapy • patient tolerance • “tolerated well”: NO, NO, NO NO • What are assessments that you made to come to that conclusion? (C. Madsen)

More Related