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IV piggyback administration into primary line steps
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- 1Administration ofIntravenousPiggyback into aPrimaryLine (*Indicatesa criticalbehavior) Supplies Needed:Supplies Needed: IV Piggyback medication, IV administration secondary set,
extender hook, labels for infusion set, alcohol wipes, and IV pole; clean gloves
(optional). - 2prepare medication1. Prepare medication for one patient at a time.
- 3Assess the IV site2. Assess the IV site for the presence of inflammation or infiltration.
- 41st Check:3. *1stCheck: Check medication label with MAR and/or HCP's orders and verify name,
dose, frequency, and route. Check expiration dates and perform calculations, if
necessary.
a. *Verbalize the name, action, nursing considerations, safe dose ranges,
purpose for administration, and adverse effects and route. Follow specific
directions (i.e. compatibilities, infusion rate). - 5Remove piggyback4. Remove piggyback container from outer wrapper, and hang on IV pole.
- 6Position primary IV lower5. Position primary IV lower than IVPB container by placing primary IV on extender
hook. - 7remove secondary tubing6. *Remove secondary tubing from package. Close regulator clamp. Close or slow the
primary regulator clamp. - 82nd Check:7. *2nd Check: Check medication label with MAR and/or HCP's orders before
IVPB spiked. Remove safety cap from IVPB. Aseptically spike secondary
tubing into IVPB container. - 9Clear secondary tubing8. *Clear secondary tubing of air by back flushing - Cleanse port of primary tubing
closest to the primary bag; connect secondary line to primary line; lower secondary
bag below primary bag; open regulator clamp and clear tubing of air, filling drip
chamber to 1⁄2 full; raise secondary line and close regulator clamp. - 103rd Check9. *3rd Check: Check med label against MAR at the bedside, prior to giving it.
- 11Open the clamp10. *Open the clamp on the secondary tubing and set pump values, if administering via
pump. If infusing via gravity - adjust the flow rate using the regulator on the primary
tubing. - 12Label tubing11. *Label tubing with date, time and initials.
- 13Dispose of or remove12. Dispose of or remove equipment and supplies then exit room.
- 14Documentation13. *Documentation should reflect on the MAR the following:
a. Right Patient
b. Right Med
c. Right Dose
d. Right Frequency (time, date)
e. Right Route (site)
f. Right Reason
g. Right Response
h. Right Documentation - 15Immediately afterwards14. Immediately after the piggybacked medication has infused, close the clamp on the
secondary tubing, and readjust the flow rate on the primary bag and remove
primary bag from extender hook and hang on pole (not necessary if pump is
used)
Información
- Descripción
- Fichas sobre Sin título, creado por Wednesday Patches el 10/09/2018.
- Creado por
- Wednesday Patches
- Visitas
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