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All right, So this is going to stand as the

third and final check before your patient receives this medication.

So you need to look at the Mar.

You need to look at the rate of administration for

this, so keep in mind that you're gonna have to

program the pump.

According Thio, the rate that your patient needs to receive

this medications, the pumps work in a miles per hour.

So if it's not in this, you need to convert

it into over hours instead of if it's 1/2 hour

or how long it's gonna take.

You need to be able to calculate that.

Um So, like I said before, um, the primary and

secondary have already been prepared Prepared that at the beginning?

Um, so let's just start with the primary.

So, like I said, you're going to check your Mar.

Um, this is the third time you're checking.

You're gonna program the infusion device that you're gonna be

using the pumper, the facility's policies.

You're going to use aseptic technique to scrub the port

of the extension set.

Scrub it for at least 10 seconds on to make

sure you're getting everything off of the extension.

set before you actually hook up.

That medication s so you're gonna feed the medication, The

tubing all the way through the pump.

Um, there's gonna be a little portion where you actually

push in one of the clamps.

Um, in order to secure the line in there, it's

easier. Hands on showing.

Um, but you're gonna feed the medication through the pump

and then connect the medication again.

You've already made sure that there's no bubbles.

There's no like air bubbles.

If you did, you would tap them out prior to

connecting this.

You've already scrubbed it.

Um, you've already verified your Mars.

You're gonna follow the prompts on the device to start

the infusion of the medication.

Now we have this secondary medication again.

We've prepared this already.

There's no air bubbles, but if they're waas, you would

tap to remove them.

You're using that secondary to being, um you've already verified

Jamaar. This would be the third check for this medication.

You verified.

All the medications are not expired.

The packaging was intact.

You've done all of that.

Um, so you're going to connect to the tubing to

the port above the pump.

So as I put in this little picture here, That

is the first port of the administration set.

You are going to scrub that for 10 seconds before

you're actually attaching.

Um, before you're attaching the secondary home set to this

primary tubing.

So scrub scrub, scrub for 10 seconds, then you're going

to screw the port on when you hang the bag.

It's gonna be above the primary medication.

I have a picture in the next life to show

you this, but it's that's actually going to be above

it. And then you're gonna, um, the pumps already program

like me did the primary set.

If you had Thio program it again, you would follow

the facilities policy, follow the poem on, do that and

then you want to make sure all of your two

beings are labeled your initial in your date time.

Make sure everything is labeled.

Everything's capped up any any ports.

You don't want to leave them open because they can

get contaminated, so make sure everything is sterile and we're

not giving any infection to our patient.

So now let's see what that secondary medication actually looks

like. So, as you can see here, you have the

primary set that hangs a little bit lower than that

piggyback secondary set on.

And it attaches to that first port off of the

primary set.

So just to give you a little visual of how

that's gonna work So now that we went over the

primary and secondary medications, let's say, for instance, we have

an I V push via a saline lock.

So for this, you're going to recheck the Mar again.

You're going Thio, drop your medication just like we did

in our prior medication are check off using sterile technique

using a blunt tip Thio draw from the syringe, making

sure that you're cleaning the vials prior toe drawing up

the medication.

And then once you've verified you've gathered your medication, you're

going to use alcohol Swab Thio clean the port of

the extension said again for at least 10 seconds, you're

gonna flush the ivy line to make sure it's still

good. It's not like infiltrated.

Nothing's wrong with it.

Then you're gonna actually attach the syringe of medication to

the ivy.

Poor again.

Make sure you're not touching the end of the syringe.

You want to make sure it stays clean, stay sterile,

not clean.

sterile. Um, And then you're gonna inject the medication, her

the orders.

So you don't wantto too fast.

You wanna push too slow?

You want to go based off of the orders and

based off of the medication, push it at the appropriate

rate. And then once you're done administering this medication, you

want to flush the line.

You wanna make sure the patients getting the entire dose

of the medication.

You're not keeping something in the extension set, and it's

not affecting the patient.

So make sure you flush it out and then capped

the end again.

Clean it, then cap it, make sure nothing gets introduced

into their.

So if you're giving an I V push for a

continuous infusion, so for this, you're gonna place the pump

on hold.

Stop it for a couple minutes while you give this

medication you're gonna clean the injection poor of the same

lock again for 10 seconds.

This is a constant.

You're always cleaning that you don't want to get bacteria.

Insert it right into the ivy, and then you're causing

an infection.

Um, you're gonna flush the line out again, making sure

that it's intact.

It's running, it's flowing there's nothing wrong, No kings, anything

on. And then from there you can attach the syringe

just like we did in the prior slide.

Like the I V push.

I've seen, um, where I've seen where some nurses actually

clamp the other end above where they're pushing to make

sure that the medication does not backflow to make sure

it's actually going down the line to make sure that

the patient's getting all the medications.

You can also do that so attached the syringe.

You'll adjust the medication.

Um, per the push rate you're not giving too slow,

Not too fast per how the medication is recommended to

be given.

And then you're gonna flush the line, um, so making

sure your patient gets all of that medication and then

restarting the infusion as ordered.

Um, so with all of this, who would go based

off of your provider's orders and continue everything that was

already ordered?

All right, so with every medication that we give Ivy

we're gonna flush After that medication was administered before you

attach the flush cleaning for the 10 seconds that's gonna

be something you do every single time.

You don't wanna have an infection or make anything worse

for your patient, so make sure your patient gets all

that medication and flush it out.

All right, so now your patient got all the medications.

They got your primary and the secondary medication in the

I V push medication.

Now you see an order come through for the removal

of the Ivy catheter.

The first thing you want to do is verify your

patient's name and birthday and verify there's an order for

the removal.

You do not want to realize later that you took

it out of the wrong patient because somebody might be

mad if that was a very hard stick.

Eso verify that.

Wash your hands, apply gloves just like we did for

the Ivy.

You're gonna wear your gloves.

Standard precautions.

Protect yourself and the patient.

Want to contaminate anything?

Gather your equipment to buy two gauze and tape Discontinue

All too big right for the provider provider's orders.

There shouldn't be any medications left if your provider ordered

it to be removed.

Removal dressing from the catheter, the extensions that remove everything

on and then remove the ivy catheter and apply pressure

with gauze.

Um, so once you do that you can secure it

with some tape.

Make sure patient doesn't have an allergy to the tape

before you put it on them on.

And then inspect the ivy catheter for in Tekken issue.

Want to see if any portion is broken off or

anything that should be concerning for you.

So monitor that also you're gonna want a document.

So just like we documented that it was put in

place. We're also going to document the removal of it.

Just put what kind of tape you put on.

Um, patient tolerated.

Make sure that you do that as well.

So that we know that it was removing patient didn't

go home with an ivy.

Next is the closing and exit.

So we have incident and ivy.

We've given all of our medications, and we have removed

the ivy.

So now we're gonna be closing.

So we are going to place the bed in the

lowest position, but the side rails up.

We're gonna hand the patient to call light and say

Okay, if you need anything, you can push that red

button at the top.

I can come around or a CNN can come around.

Um, but I should be around every off every hour

to come check on you.

But if you need anything else, I am here and

again. We're gonna remove our clubs to purchase checked ourselves

or without contaminating ourselves.

So we're gonna follow, though, Um, those special procedures were

gonna wash your hands and perform hand hygiene on dhe.

Then again, tell your patient, see if they need anything

before you leave.

You're there for them.

And if they have any more questions, feel free to

answer them.

And that concludes wth e ivy Insertion Medication administration and

removal of an I V.

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