Initiating a primary and secondary IV.m4v
|
|
- Elinor Cassandra Daniels
- 7 years ago
- Views:
Transcription
1 Initiating a primary and secondary IV.m4v So today we're going to be talking about initiating a primary and a secondary IV. We're going to do both skills in this video. When you come into lab I want to make sure that you know the complications of IV therapy and the differences between IV infiltration phlebitis and extravasation. So make sure you know that before you come in. So I've gone ahead and verified my physician order. And I've gathered my IV solutions per my physician order and they're in the electronic medical records. So I have my electronic medical record with my supplies with me. And I will show you the supplies we have in just a moment. Good evening. My name is Jennifer. I'm your registered nurse today. I'm here to go ahead and start your IV solutions that the doctor has ordered. I'm going to go ahead and just to do a quick hand hygiene here. How are you feeling? Good, glad to hear it. So can you can just tell me your full name and date of birth? OK, thank you Mrs. Smith. I'm just going to go ahead and get the supplies. And what we're going to do is we're going to start your primary IV. And we're going to connect it here right to your extension set that you already have. So no IV inserts, or anything like that. We're just going to go ahead and hook up the IV fluids. For primary IV I have my primary IV solution, which I have verified on my orders using my six rights. So here we have 0.9 normal saline that the doctor has ordered at 50 ml per hour. I also verified the policy and the procedure in the facility. That tells me what their policy and procedure are for how good are the IV solutions for. And the IV solution is good for 24 hours, and the tubing is good for 72 hours. I have my solution. Usually this solution in the facilities is in 1,000 ml bag, but for demonstration purposes we're just using this 250 ml bag. We also have our primary tubing. Most facilities are going to vary in the tubing they use depending upon the pumps that they use.
2 Our facility here uses the clear link system, and so I have my primary tubing. It will usually tell you if it's primary or secondary tubing. If it doesn't list that it's primary, it will always say if it's secondary tubing. So I have my primary tubing. I also have what's called a time tape. I have some alcohol wipes, an IV flush because we're going to flush our extensions set. I also have, we will show you these in lab, when you hang your IV solutions, your IV tubing is good for 72 hours. So you will place the day of the week that it is due to be changed on the IV tubing itself. So each day of the week has a different color and they're labeled. We will show you all of those in lab. Today is Wednesday. So 72 hours from today would be-- Thursday would be 24 hours, Friday would be 48 hours, Saturday would be 72 hours. So I would need a date change for my tubing for Saturday. So I've gone ahead and got that. These are usually on roles in the med room. And so we just wanted to show you them for demonstration purposes. Again, I've performed hand hygiene. Along with verifying my six medication rights. I also, in the supply room, looked at the integrity of my solution. I verified that the solution is not expired. It's clear. It's not cloudy. There's nothing wrong with the solution. The integrity the solution is good. Mrs. Smith I'm going to go ahead and raise up your bed just a little bit so it's just at a comfortable working height when we go to connect you. Now I'm going to and open up my tubing. And this one has a perforated edge. I'm just going to pull down. I don't need gloves for this because I am not coming in contact with blood or body fluids from the patient at all. I've got my trash can right here. They always come connected with the tape. My biggest recommendation to you that I will always tell you, whenever you are hanging an IV, the first thing to do when you take it out of the IV bag is to clamp the IV tubing. So the roller clamp right here I've clamped it all the way to the bottom so that it is clamped. You're going to notice on here this IV actually has what's called a filter on it. This is not typical on most IV tubings. This just happens to be what we have in the lab today.
3 When I prime my IV, I want to ensure a couple things. You want to ensure that you maintain sterility when connecting your tubing to your IV bag. And you want to make sure you prime it at [UNINTELLIGIBLE] level. So you're going to take the cap off your IV bag, the cap off your tubing, and you're going to insert it. And you're going to give a little twist and a pull. And it's going to come down to a connection that you'll see much better, again, we will show you in the lab. Then you can hang this on your IV pole. And you are going to fill your chamber with what we call the I. Again, this is difficult to see on the video, but there's a small line here. We're going to squeeze this chamber until we fill that chamber to that line, or that I. And now I'm going to do what's called priming my IV tubing. I've got my waste can right here. I'm going to keep my cap on. I want this at waist level because I don't want it going below my waist and hitting things. Unroll the roller clamp. And your solution will start running into the trashcan, or whatever else you have on hand. The purpose of what we want to do here is I want to make sure I'm flushing the line of any air at all. The solution is dripping out as you can see. And I'm looking at my line, and I actually do not have any air in my line so I've done a really good prime. Once that line is primed I can go ahead and clamp the tubing. If I had any air I'm just going to let it keep running, the solution running, until the air runs out of the line. So this is all good and ready to go so I can just hang this here for a second. My extension set from my IV that I started earlier, I'm going to clean off the buff cap with an alcohol wipe. Take my cap off my flush, and I'm going to go ahead again Luer-Lok, and I'm going to flush. And again, I'm checking for any infiltration, any complaints from the patient of pain, and I'm flushing my line. If I have any resistance or anything like that, the IV site would not be good. Once I've flushed, I disconnect my flush, get rid of that, and I can and connect. Again, this luer locks together, and connect my IV line. A couple different things before we get this started. We're going to do what's called time taping the bag. This here is just a tape we can add to the bag. Again, this is a 250 ml bag. I verified my six medication rights. So according to that, my rate is 50 ml per hour. So I'm going to go ahead and I'm going to place my time tape on my bag. And what I want to do is put my start time, which is the solution start, and it's 12 noon. So if my solution is running at 50 ml per hour, at the
4 50 it's going to be one o'clock, at the 100 it's going to be two o'clock, three o'clock, four o'clock, and my solution will be done by five. So I can write at I'm going to put my initials, the date, and we already know the start time. If you have scanners in your institution it will calculate that as well. The other thing I'm going to put on here is my drip factor. So you have to figure out your drip factor, or your drip rate. You went through that in class. My drip factor for my actual primary IV tubing here is on here. It's ten drops per ml. I figured out my drip factor, and at 50 ml per hour I want about 8 drops per minute. So I'm going to adjust my roller clamp until I get eight drops per minute. I'm not going to run this for demonstration purposes because we don't want to run solutions into this manikin, since this manikin does not allow that. The last thing I'm going to place is my change date for me tubing on my IV tubing. So first thing when you come in the room, this is a fantastic visual for you to see if your tubings need to be changed that day. That's it for a primary IV. So now we have orders for a secondary IV. Those usually are antibiotics and things like that. We already have a primary IV running, so our line is patent. Same principles as we did with our primary. This is a secondary IV. Most medications in most facilities come already pre-mixed from the pharmacy. So we are, for demonstration purposes, going to say this is already labeled with the patient name, the medication, the time that it needs to be hung, et cetera. If you're in an environment which you need to add things to the bag you will have labels that you can add. But you're going to check with the policy and procedure of the facility that you're working in. Again, I've got my tubing. The difference is this is secondary tubing. And it's labeled as such. My drop factor is the same as my primary, which is 10 drops per ml. I don't need to flush because I already have a primary line running. However, I do need my date change for my secondary IV.
5 So again, this is exactly the same as a primary IV. We're going to open this up. We have an extra hanger in here. And I'll show you that in one second. So you can place that up on your line. Rule of thumb, first thing to do, take out any IV tubing, clamp the line. Otherwise it's going to run all over the floor. First couple times you do it you'll never do it again, guaranteed. So here we're going to remove our cap, maintaining sterile technique, connect in. This is already labeled with our medication of what it is. Place your day that your tubing needs to be changed. And with a secondary IV we're going to do what's called back priming because we don't want to lose any of the solution that is in this bag. So when we back prime we're going to connect to the primary Y connection on this tubing set. So I need to clean off that primary Y connection with my alcohol wipe. So the primary Y connection on this tubing is up here so we're going to clean this with an alcohol wipe, take the cap off the primary tubing, me and connect. On some IV tubings, primaries, you may find the buff caps further down as well. But you've got to be in the primary connection, so up here. To back prime what you're going to do is the bags are going to be at the same level. You're going to open up your secondary clamp. And you're seeing this drip, and the solution is running back up. And hopefully you can see this on the video. It's running back up, and we want to run it to the I on the secondary line. So I did not need to adjust my primary roller clamp at this point. So now my line is back primed. i'm going to clamp both at this point. I need to lower my primary bag. That's what this handy little hanger is for. Because the solution that is hanging highest is the solution that's going to run in. So I'm going to open back all the way up my secondary line. And I'm going to adjust my drip rate down here on my primary roller clamp. So for ease of purpose, our orders we verified, we have IV Ancef here. And it's going to go at 50 ml per hour. So we have the same drip factor, or drops per ml, which are 10. We want to calculate this, and look at this, and make sure it's running at eight drops per minute. We would do that.
6 The last couple of things you're always going to do on an IV is assess the site for any signs and symptoms of infiltration, extravasation or phlebitis. And lastly once I'm done I'm going to lower the bed to a low and locked position, make sure the call dials within reach. And I'm going to finish with my documentation, which includes physician orders, the IV solution, the site which I placed it because patient could have more than one IV, the assessment of the site, the rate any education I provided, and patient tolerance to procedure.
Medications or therapeutic solutions may be injected directly into the bloodstream
Intravenous Therapy Medications or therapeutic solutions may be injected directly into the bloodstream for immediate circulation and use by the body. State practice acts designate which health care professionals
More informationPATIENT GUIDE. Care and Maintenance Drainage Frequency: Max. Drainage Volume: Dressing Option: Clinician s Signature: Every drainage Weekly
PATIENT GUIDE Care and Maintenance Drainage Frequency: Max. Drainage Volume: Dressing Option: Every drainage Weekly Clinician s Signature: ACCESS SYSTEMS Pleural Space Insertion Site Cuff Exit Site Catheter
More informationPATIENT GUIDE. Care and Maintenance Drainage Frequency: Max. Drainage Volume: Dressing Option: Clinician s Signature: Every drainage Weekly
PATIENT GUIDE Care and Maintenance Drainage Frequency: Max. Drainage Volume: Dressing Option: Every drainage Weekly Clinician s Signature: ACCESS SYSTEMS Pleural Space Insertion Site Cuff Exit Site Catheter
More informationChanging Your Central Line Catheter Cap
Changing Your Central Line Catheter Cap The catheter cap on each lumen of your central line needs to be changed once a week. A lumen is a small tube within your catheter. These same steps can be used for
More informationNORTH CAROLINA BOARD OF NURSING NURSE AIDE II TRAINING MODULE
PART A: PREPARING FOR ADMINISTRATION OF IV FLUIDS All four parts of this module, including skills checklists must be successfully completed in order to complete this training module. This activity is a
More informationCaring for a Tenckhoff Catheter
Caring for a Tenckhoff Catheter UHN A Patient s Guide What is a Pleural Effusion? There is a small space between the outside of your lung and the chest wall (ribs). This space is called the pleural space.
More informationAll About Your Peripherally Inserted Central Catheter (PICC)
All About Your Peripherally Inserted Central Catheter (PICC) General Information Intravenous (IV) therapy is the delivery of fluid directly into a vein. An intravenous catheter is a hollow tube that is
More informationIntroduction. What does PICO do? How does PICO work?
Patient Information Introduction This patient handbook will provide you with important information while you are receiving negative pressure wound therapy (NPWT) from Smith & Nephew s PICO system. The
More informationPATIENT GUIDE. Understand and care for your peripherally inserted central venous catheter (PICC). MEDICAL
PATIENT GUIDE Understand and care for your peripherally inserted central venous catheter (PICC). MEDICAL Introduction The following information is presented as a guideline for your reference. The best
More informationParent & Healthcare Professional Instructions for the collection of Maternal & Umbilical Cord Blood
Parent & Healthcare Professional Instructions for the collection of Maternal & Umbilical Cord Blood 1 2 3 Contents List of Umbilical Cord Blood Collection Kit Thermally insulated transportation box - do
More informationPICCs and Midline Catheters
Patient Education PICCs and Midline Catheters Patient s guide to PICC (peripherally inserted central catheter) and midline catheters What are PICCs and midline catheters used for? Any medicine given over
More informationYour Guide to Peritoneal Dialysis Module 3: Doing Peritoneal Dialysis at Home
Your Guide to Peritoneal Dialysis Module 3: 6.0959 in Preparing to do PD One of the most important things about PD is to keep the dialysis area and anything that comes in contact with the PD equipment
More informationWithin the Scope of Practice/Role of APRN RN _ X_LPN CNA
Wyoming State Board of Nursing 130 Hobbs Avenue, Suite B Cheyenne, WY 82002 Phone (307) 777-7601 Fax (307) 777-3519 E-Mail: wsbn-info-licensing@wyo.gov Home Page: https://nursing-online.state.wy.us/ OPINION:
More informationCaring for Your PleurX Pleural Catheter
Caring for Your PleurX Pleural Catheter A PleurX Pleural Catheter has been placed in your chest through a small incision in your skin into the pleural space (see picture below). This allows you to drain
More informationPolicy and Procedure Flushing and / or Blood withdrawal Aspiration Procedure For PICC Line and Midline Catheters
Policy and Procedure Flushing and / or Blood withdrawal Aspiration Procedure For PICC Line and Midline Catheters Purpose: Blood Withdrawal: To obtain blood samples for laboratory evaluation, eliminating
More informationHow many hours a day do you need to use the therapy? Introduction. How long will it take to improve your wound? What does PICO do? Will it be painful?
Patient Information Introduction This patient handbook will provide you with important information while you are receiving negative pressure wound therapy (NPWT) from Smith & Nephew s PICO system. The
More informationMISSISSIPPI BOARD OF NURSING IV THERAPY COURSE FOR THE EXPANDED ROLE LICENSED PRACTICAL NURSE COURSE OUTLINE
THEORY MINIMUM 40 HOURS COURSE OUTLINE UNIT TOPIC HOURS* I LEGAL ASPECTS AND PRACTICE OF IV THERAPY 1 II REVIEW OF ANATOMY AND PHYSIOLOGY 6 III FLUID AND ELECTROLYTE BALANCE 10 IV EQUIPMENT AND PROCEDURES
More informationBiliary Drain. What is a biliary drain?
Biliary Drain What is a biliary drain? A biliary drain is a tube to drain bile from your liver. It is put in by a doctor called an Interventional Radiologist. The tube or catheter is placed through your
More informationModule 6.3 Client Catcher The Sequence (Already Buying Leads)
Module 6.3 Client Catcher The Sequence (Already Buying Leads) Welcome to Module 6.3 of the Client Catcher entitled The Sequence. I recently pulled over 300 of the local lead generation explosion members
More informationTo maintain a port of entry to venous flow when all available peripheral ports have failed.
I. Purpose: To maintain a port of entry to venous flow when all available peripheral ports have failed. II. General Comments: Since its development, these catheters have been used with increasing frequency
More informationWard 29 guide to the safe preparation and administration of intravenous (IV) antibiotics at home
Ward 29 guide to the safe preparation and administration of intravenous (IV) antibiotics at home Contents Page Important contact numbers 1 General information on preparing and administering IV antibiotics
More informationPolicies & Procedures. ID Number: 1118
Policies & Procedures Title: INTRAVENOUS AND/OR PERIPHERAL SALINE LOCK INSERTION AND MAINTENANCE ID Number: 1118 Authorization [X] SHR Nursing Practice Committee Source: Nursing Date Revised: September
More informationPICC & Midline Catheters Patient Information Guide
PICC & Midline Catheters Patient Information Guide medcompnet.com 1 table of contents Introduction 4 What is a PICC or Midline Catheter? 4 How is the PICC or Midline Catheter Inserted? 6 Catheter Care
More information1-800-862-2731 Administration of Meropenem For Child
1 Drug Name: _Meropenem 1-800-862-2731 Administration of Meropenem For Child Dosage: milligrams every hours over 5 minutes Key Points: FLUSHING: Meropenem Heparin flush 1. Always wash your hands with an
More informationBARD MEDICAL DIVISION UROLOGICAL DRAINAGE. Foley Catheter Care & Maintenance. Patient Education Guide
BARD MEDICAL DIVISION Foley Catheter Care & Maintenance Patient Education Guide WHAT IS A FOLEY CATHETER? Because of your medical problem, your body is having trouble completely emptying your bladder of
More informationUnderstanding your Peripherally Inserted Central Catheter (PICC) Patient Information
Understanding your Peripherally Inserted Central Catheter (PICC) Patient Information The Purpose of this Information Sheet This information sheet has been written by patients, members of the public and
More informationCatheter Care How to Care for a Urinary Catheter
Catheter Care How to Care for a Urinary Catheter Ensure patient/client is provided with any available product specific instructions along with this booklet. About Your Catheter Your urinary catheter allows
More informationINSTRUCTIONS FOR USE HUMIRA 40 MG/0.8 ML SINGLE-USE PEN
INSTRUCTIONS FOR USE HUMIRA (Hu-MARE-ah) (adalimumab) 40 MG/0.8 ML SINGLE-USE PEN Do not try to inject HUMIRA yourself until you have been shown the right way to give the injections and have read and understand
More informationCADD-legacy PCA pump Model 6300-100ml Cassette
HOW TO START THE CADD PUMP Press and hold the stop/start button CADD-legacy PCA pump Model 6300-100ml Cassette Three dashes will count down under the STARTING message STOPPED HOW TO STOP THE CADD PUMP
More informationGoing Home with a Urinary Catheter
Going Home with a Urinary Catheter Doctor: Phone Number: About Your Catheter A urinary catheter is a small tube that goes through your urethra and into your bladder. This tube then drains the urine made
More informationA4.7 Management of a totally occluded central catheter and persistent withdrawal occlusion (PWO)
A4.7 Management of a totally occluded central catheter and persistent withdrawal occlusion (PWO) Types of Catheter Related Thrombotic A catheter-related thrombus may be intraluminal (inside the catheter)
More informationInformation for patients and nurses
Information for patients and nurses Rocket IPC Pleural Catheter Indwelling Catheter Rocket Indwelling Pleural Catheter (IPC) Contents Contact Information...03 What s in the Rocket Dressing Pack and Bottle
More informationNURSING PRACTICE & SKILL
NURSING PRACTICE & SKILL ICD-9 99.29 Author Carita Caple, RN, BSN, MSHS Reviewers Eliza Schub, RN, BSN Sara Richards, MSN, RN Nursing Practice Council Glendale Adventist Medical Center, Glendale, CA Editor
More informationPeripherally Inserted Central Catheter (PICC) Patient Instructions
Patient Care Services 300 Pasteur Drive Stanford, CA 94305 Peripherally Inserted Central Catheter (PICC) Patient Instructions A Peripherally Inserted Central Catheter (PICC) is a soft flexible tube inserted
More informationCare of Your Hickman Catheter
Care of Your Hickman Catheter Johns Hopkins Kimmel Cancer Center, Revised 7/11 Contents What is a Hickman Catheter? Page 3 Does the Catheter Limit My Activities? Page 4 How Do I Care for My Catheter? Page
More informationCentral Line Blood Draw
Central Line Blood Draw Welcome to the Central Line dressing blood draw refresher. Please use the navigation below to advance to the next page. The Central Line blood draw module is also available as a
More informationTROUBLESHOOTING FLOW CHART
TROUBLESHOOTING FLOW CHART Revised and updated on January 16, 2003, by Tony Leger and Automation Lab Technology. FACScan(FC)\FACSort(FST) FACScalibur (FCB) Fluidics/Pneumatics troubleshooting guide DCM
More informationX-Plain Foley Catheter Male Reference Summary
X-Plain Foley Catheter Male Reference Summary Introduction A Foley catheter is a tube that is put through the urinary opening and into your bladder to drain urine. Your doctor may have placed or may ask
More informationTOTAL PARENTERAL NUTRITION (TPN) Revised January 2013
TOTAL PARENTERAL NUTRITION (TPN) Revised January 2013 OBJECTIVES Definition Indications for TPN administration Composition of TPN solutions Access routes for TPN administration Monitoring TPN administration
More informationINSTRUCTIONS FOR USE HUMIRA 40 MG/0.8 ML, 20 MG/0.4 ML AND 10 MG/0.2 ML SINGLE-USE PREFILLED SYRINGE
INSTRUCTIONS FOR USE HUMIRA (Hu-MARE-ah) (adalimumab) 40 MG/0.8 ML, 20 MG/0.4 ML AND 10 MG/0.2 ML SINGLE-USE PREFILLED SYRINGE Do not try to inject HUMIRA yourself until you have been shown the right way
More informationDDBA 8438: Introduction to Hypothesis Testing Video Podcast Transcript
DDBA 8438: Introduction to Hypothesis Testing Video Podcast Transcript JENNIFER ANN MORROW: Welcome to "Introduction to Hypothesis Testing." My name is Dr. Jennifer Ann Morrow. In today's demonstration,
More informationHow To Get A Kidney Transplant With A Medicare Plan
Medicare Coverage of Kidney Dialysis and Kidney Transplant Services If you have permanent kidney failure, this booklet is for you. It tells you... $ How to get Medicare if your kidneys fail. $ How Medicare
More informationThe $200 A Day Cash Machine System
The $200 A Day Cash Machine System Make Big Profits Selling This Opportunity From Home! This is a free ebook from Frank Jones. You should not have paid for it. COPYRIGHT Frank Jones. All Rights Reserved:
More informationGuy s, King s and St Thomas Cancer Centre The Cancer Outpatient Clinic Central venous catheter: Peripherally inserted central catheter
Guy s, King s and St Thomas Cancer Centre The Cancer Outpatient Clinic Central venous catheter: Peripherally inserted central catheter This information leaflet aims to help answer some of the questions
More informationSafety FIRST: Infection Prevention Tips
Reading Hospital Safety FIRST: Infection Prevention Tips Reading Hospital is committed to providing high quality care to our patients. Your healthcare team does many things to help prevent infections.
More informationPatient Information Guide Morpheus CT Peripherally Inserted Central Catheter
Patient Information Guide Morpheus CT Peripherally Inserted Central Catheter IC 192 Rev C A measure of flexibility and strength. Table of Contents 1. Introduction 2. What is the Morpheus CT PICC? 3. What
More informationHow to Overcome the Top Ten Objections in Credit Card Processing
How to Overcome the Top Ten Objections in Credit Card Processing Handling the Top Ten Objections Objection #1 I have a contract That s exactly why I m calling you, you see most people we work with have
More informationCare of a Foley Catheter
Care of a Foley Catheter A Foley catheter is a tube that is put into the bladder to drain urine out of the body. A Foley catheter can stay in the bladder for hours or weeks. Having the catheter put in
More informationPercutaneous Nephrostomy. Care of your Nephrostomy. Department of Urology
Percutaneous Nephrostomy Care of your Nephrostomy Department of Urology You may encounter some problems at home but these are usually easily overcome. Listed below are some questions patients commonly
More informationHUMULIN 70/30 KwikPen
1 Instructions for Use HUMULIN 70/30 KwikPen (70% human insulin isophane suspension 30% human insulin injection [rdna origin]) Read the Instructions for Use before you start taking HUMULIN 70/30 and each
More informationKwikPen Insulin delivery device
USER MANUAL KwikPen Insulin delivery device PLEASE READ THESE INSTRUCTIONS BEFORE USE Lilly Introduction The KwikPen is designed for ease of use. It is a disposable pen containing 3 ml (300 units) of U-
More informationHome Care for Your Wound Drain
PATIENT EDUCATION patienteducation.osumc.edu When you go home after surgery, you may have one or more drains in place to help your wounds heal. Hemovac, Jackson Pratt (JP) and Blake are common drains used
More informationMASTERING STUDY SKILLS
MASTERING STUDY SKILLS >> Patterson: Welcome, this is the presentation on opt for study skills on how to prepare you for the semester. I'm Dr. Pat Patterson. I'm from Counseling and Wellness and what I
More informationCytotoxic and Biotherapies Credentialing Programme Module 6
Cytotoxic and Biotherapies Credentialing Programme Module 6 1. Safe Handling and Administration of Cytotoxic and Biotherapies 2. Waste and Spill Management At the completion of this module the RN will
More informationPeripherally Inserted Central Catheter (PICC) for Outpatient
Peripherally Inserted Central Catheter (PICC) for Outpatient Introduction A Peripherally Inserted Central Catheter, or PICC line, is a thin, long, soft plastic tube inserted into a vein of the arm. It
More informationCare for your child s Central Venous Catheter (CVC)
Care for your child s Central Venous Catheter (CVC) This booklet is intended for general informational purposes only. You should consult your doctor for medical advice. Please call the clinic or your home
More informationPeripheral Venous Catheter Placement Simulator
Attention Do not let ink from pens, newspapers, this manual or other sources come in contact with the manikin, as they cannot be cleaned the manikin skin. MW9 Peripheral Venous Catheter Placement Simulator
More informationINSULIN INJECTION KNOW-HOW
0-0- INSULIN INJECTION KNOW-HOW Learning how to Congratulations for making the move to insulin therapy. It won t be long before you start enjoying better blood sugar control, more energy, and a host of
More informationIntroduction A JP Drain is a soft tube and container used to drain fluids that build up under the skin after surgery.
JP Drain Introduction A JP Drain is a soft tube and container used to drain fluids that build up under the skin after surgery. This reference summary explains what a JP Drain is and discusses how to take
More informationAppendix 1: Adaptable Email Templates
Appendix 1: Adaptable Email Templates The following emails are included for the benefit of anybody running a similar project. They are provided as templates, so that you don t need to start all of your
More informationX-Plain Subclavian Inserted Central Catheter (SICC Line) Reference Summary
X-Plain Subclavian Inserted Central Catheter (SICC Line) Reference Summary Introduction A Subclavian Inserted Central Catheter, or subclavian line, is a long thin hollow tube inserted in a vein under the
More informationVery simple: the phrase 'can I' followed by the verb. But what verb form comes after the phrase 'can I'? Listen to these two examples of asking.
BBC Learning English How to Asking permission Hello this is BBC Learning English dot com, with me, Jackie Dalton. This programme is about asking permission which means asking someone if you're allowed
More informationMy Doctor Says I Should Learn To Use Insulin... What Do I Do Next? BD Getting Started. Drawing and Injecting Insulin
My Doctor Says I Should Learn To Use Insulin... What Do I Do Next? BD Getting Started Drawing and Injecting Insulin It is important to know how to draw and inject insulin so that you can give your injection
More informationGetting Started with WebSite Tonight
Getting Started with WebSite Tonight WebSite Tonight Getting Started Guide Version 3.0 (12.2010) Copyright 2010. All rights reserved. Distribution of this work or derivative of this work is prohibited
More informationHome Care for Your Nephrostomy Catheter
Home Care for Your Nephrostomy Catheter This handout covers information about caring for your nephrostomy catheter right after placement and caring for it long term. If you have any questions, please call
More informationOkay, good. He's gonna release the computers for you and allow you to log into NSLDS.
Welcome to the NSLDS hands-on session. My name is Larry Parker. I'm from the Department of Education NSLDS. Today, I have with me a whole host of folks, so we're gonna make sure that if you have any questions
More informationIVR PARTICIPANT MANUAL
IVR PARTICIPANT MANUAL TABLE OF CONTENTS Introduction I. Calling In Pg. 4 II. Using the System Pg. 5-13 A. Entering Your I.D. Number and Password B. Your Calling Record Information C. Entering Amount of
More informationHow to Overcome the Top Ten Objections in Credit Card Processing
How to Overcome the Top Ten Objections in Credit Card Processing Section #1: Handling the Red Flags Just Fax Your Rates Response: I ll be happy to do that, but until we know if this is truly a fit for
More information>> My name is Danielle Anguiano and I am a tutor of the Writing Center which is just outside these doors within the Student Learning Center.
>> My name is Danielle Anguiano and I am a tutor of the Writing Center which is just outside these doors within the Student Learning Center. Have any of you been to the Writing Center before? A couple
More informationURINARY CATHETER INSERTION - STRAIGHT OR INDWELLING CATHETER
URINARY CATHETER INSERTION - STRAIGHT OR INDWELLING CATHETER PURPOSE To obtain a sterile urine specimen. To facilitate emptying bladder. To relieve bladder distention. To irrigate bladder. To measure residual
More informationCare of your peripherally inserted central catheter
Care of your peripherally inserted central catheter A guide for patients and their carers We care, we discover, we teach Contents What is a PICC?.... 1 How is it put in?.... 1 What are the benefits of
More informationMS Learn Online Feature Presentation Managing Symptoms: Vision Nancy Holland, Ed.D, RN, MSCN. Tom>> Welcome to MS Learn Online, I m Tom Kimball
Page 1 MS Learn Online Feature Presentation Managing Symptoms: Vision Nancy Holland, Ed.D, RN, MSCN Tom>> Welcome to MS Learn Online, I m Tom Kimball Tracey>> And I m Tracey Kimball. People living with
More informationYou have been sent home with. Suprapubic Catheter
You have been sent home with Suprapubic Catheter 1 SUPRAPUBIC CATHETER 1.- What is a suprapubic catheter? 2.- What do you need on discharge. 3.- Basic care 4.- Choosing your bag and bag care 5.- Possible
More informationI-140 Venipuncture for Blood Specimen Collection
I-140 Venipuncture for Blood Specimen Collection Purpose Obtain a blood specimen by venipuncture for laboratory analysis using aseptic technique. Applies To Registered Nurses Licensed Practical/Vocational
More informationCATHETER for Hemodialysis
CATHETER for Hemodialysis What You Need to Know to Stay Healthy with a Catheter One treatment choice for kidney failure is hemodialysis (HD). HD removes wastes and excess fluid from your blood. Your lifeline
More informationA. ADMINISTERING SUBCUTANEOUS MEDICATIONS INTERMITTENTLY/CONTINUOUSLY B. (SUBCUTANEOUS INFUSION) HYDRODERMOCLYSIS
SUBCUTANEOUS THERAPY A. ADMINISTERING SUBCUTANEOUS MEDICATIONS INTERMITTENTLY/CONTINUOUSLY B. (SUBCUTANEOUS INFUSION) HYDRODERMOCLYSIS PARTS I. Purposes II. General Information III. Responsibilities IV.
More informationTITLE CLIN_216 HEMODIALYSIS/PLASMAPHERESIS PROCEDURE AND CATHETER MANAGEMENT FOR THE ADULT AND PEDIATRIC PATIENT
Policies and procedures are guidelines and are not a substitute for the exercise of individual judgment. If you are reading a printed copy of this policy, make sure it is the most current by checking the
More informationPatients First. Tube Feeding Guidelines. Careful handwashing and a clean work surface help prevent infection. Patient Education CARE AND TREATMENT
Patient Education CARE AND TREATMENT Careful handwashing and a clean work surface help prevent infection. Tube Feeding Guidelines This information will guide you in learning about the procedure for tube
More informationSection 6: Your Hemodialysis Catheter
Section 6: Your Hemodialysis Catheter What you should know about your dialysis catheter How to change your catheter TEGO connectors Starting dialysis using a catheter End of dialysis using a catheter Changing
More informationACI UROLOGY NETWORK - NURSING BLADDER IRRIGATION GUIDELINES
ACI UROLOGY NETWORK - NURSING BLADDER IRRIGATION GUIDELINES The following pages provide examples of clinical guidelines to enable clinicians to develop their own resource material relevant to their hospital
More informationOrganizing Designs. Right click on the Start button, then left click on Explore. That'll bring up a string of folders, each labeled.
Organizing Designs Technology has added amazing depth and dimension to our lives. For most of us, the days of treadles and wooden embroidery hoops are a thing of the past. We now have computers and the
More informationSterile Dressing Change with Tegaderm CHG for Central Venous Catheter (CVC)
Sterile Dressing Change with Tegaderm CHG for Central Venous Catheter (CVC) The dressing protects your catheter site. It also helps prevent infection at the site. Keep your dressing clean and dry at all
More informationIntroduction to Open Atrium s workflow
Okay welcome everybody! Thanks for attending the webinar today, my name is Mike Potter and we're going to be doing a demonstration today of some really exciting new features in open atrium 2 for handling
More informationHow To Understand A Phone Conversation In Korean English
http://www.bbc.co.uk/worldservice/learningenglish/business/talkingbusiness /upravila Viera Rybárová/ Telephone Telephone: connecting Imagine you are calling a company and want to speak to someone who works
More informationBaxter Elastomeric Pumps CLINICIAN GUIDE
Baxter Elastomeric Pumps CLINICIAN GUIDE Portfolio Overview: Baxter Elastomeric Pumps are non-electronic medication pumps designed to provide ambulatory infusion therapy. Medication is delivered to the
More informationMath: Study Skills, Note Taking Skills, And Test Taking Strategies
Math: Study Skills, Note Taking Skills, And Test Taking Strategies Math Study Skill Active Study vs. Passive Study Be actively involved in managing the learning process, the mathematics and your study
More informationInstructions for Use PROCRIT (PRO KRIT) (epoetin alfa)
Instructions for Use PROCRIT (PROKRIT) (epoetin alfa) Use these Instructions for Use if you or your caregiver has been trained to give PROCRIT injections at home. Do not give yourself the injection unless
More informationMost Common Words Transfer Card: List 1
Most Common Words Transfer Card: List 1 the to a and in you that of it not for I is an Meg is in the bed. That is not for you. It is in a bag. I am not mad. Most Common Words Transfer Card: List 2 on with
More informationENGELSKA NIVÅTEST (1) Avancerad Sid 1(4)
Avancerad Sid 1(4) Namn:........................................ Poäng:........ Nivå :....... Complete each sentence with one item from those given below. Use each item once only. Example: John gets up
More informationonline version Understanding Indwelling Urinary Catheters and Drainage Systems Useful information When to call for help
When to call for help This will depend on the individual situation, but usually help should be sought if any of the following occurs: 1. The catheter does not start to drain, despite trying the problem
More informationManaging Your Non-Tunneled (Percutaneous) Catheter: PICC, SICC, and JCC. What is a PICC catheter?
Managing Your Non-Tunneled The staff of the Procedure, Vascular Access, Conscious Sedation Service has written this information to explain your new PICC (peripherally inserted central catheter), SICC (subclavian
More informationInstructions for Use HUMALOG KwikPen insulin lispro injection (rdna origin)
1 Instructions for Use HUMALOG KwikPen insulin lispro injection (rdna origin) Read the Instructions for Use before you start taking HUMALOG and each time you get a refill. There may be new information.
More informationTHE WINNING ROULETTE SYSTEM.
THE WINNING ROULETTE SYSTEM. Please note that all information is provided as is and no guarantees are given whatsoever as to the amount of profit you will make if you use this system. Neither the seller
More informationBINGO TRAINING. Last Updated August 2014
BINGO TRAINING Last Updated August 2014 Overview The Weekly Sunday Bingo at St John s is by far our greatest money maker. For the 2013-2014 Year, we made close to $225,000 in profit from Bingo. This effort
More informationBBC LEARNING ENGLISH 6 Minute English Have you got too much stuff?
BBC LEARNING ENGLISH 6 Minute English Have you got too much stuff? NB: This is not a word-for-word transcript Hello and welcome to 6 Minute English. I'm And I'm. Now,, what did you get up to at the weekend?
More informationLooking after your urinary catheter at home
Looking after your urinary catheter at home Information for patients and carers Useful contacts to keep: Name and title of community nurse Single point of access (SPA) for community nursing 24 hour service
More informationNursE GuidEliNEs NURSE GUIDELINES
NURSE GUIDELINES DISPOSABLE Ambulatory Pump NursE Guidelines WHaT IS an EcLIpSE? The EcLIPSE is a disposable, single use elastomeric drug infusion system with an integrated administration set, suitable
More informationBBC LEARNING ENGLISH 6 Minute English Is student life all good?
BBC LEARNING ENGLISH 6 Minute English Is student life all good? NB: This is not a word-for-word transcript Hello and welcome to 6 Minute English. I'm and I'm. Hello. Hello,. You went to university, didn't
More informationCentral Venous Catheter (CVC) Sterile Dressing Change - The James
PATIENT EDUCATION patienteducation.osumc.edu Central Venous Catheter (CVC) Sterile Dressing Change - The James A dressing protects your catheter site and helps reduce the risk of infection. You will need
More informationHow to care for a Midline Catheter
How to care for a Midline Catheter Developed by the health care professionals of the IV Program with assistance from the Department of Learning and Development. All rights reserved. No part of this book
More information