Online nursing school is hard. Only having a voiceover on a powerpoint explaining piggy backs is even harder. Thank you for showing what was voiced-over during our lecture!!
Hi there, great video! My onlu suggestion would be to make sure that all the clamps on the IV lines are open before pushing on the "Start" button of the pump. :)
Thank you so much, you go step by step and explain the instructions very clearly. It has helped me a great deal. Thank you again for doing these videos.
Hello Thank you so much for your helpful videos. Could you make a video about the required nursing skills after the blood transfusion reaction ( for example what to do with the iv line step by step if the transfusion reaction happens)?
Great idea. Here is a quick list. Stop transfusion. Initiate NS at the site closest to the patient. VS. Call the doc :). Save the line in case it is restarted or needs to be sent back to blood bank
Oh my goodness! So happy it was helpful ❤️ the whole reason I teach online is to give students access to content when they need it, where they need it. This makes me happy
Hello! Quick question. When you hang a very small IVPB (ex 50ml bag), how do you ensure the patient receives all of the medication including what’s in the secondary tubing??
NurseMinder I would like to clarify what I believe Amanda meant. There is a residual volume in the secondary line of about 2 inches. Sometimes I have seen a technique to lower the small IVPB and back flush from your primary bag and then re position your small IVPB again above the primary bag to run the remaining. Is this what you would recommend?
Please explain every little thing you are doing. Like when you had a 250 mL bag but only programmed 200 because you "like to give yourself a little time;" a little time for what? Please explain little things like this so we all know how to think like nurses.
With a 250 ml bag, we have used 25 to 30 ml to prime the IV line. I never program a primary line for the full amount of an IV bag for that reason. It will run dry and end up with air in the line. Second thing to remember is when programming it for 200 ml, I am giving myself a buffer. When it beeps that the fluid has finished, there will be another 20 ml in the bag. I can program the IV to continue running for 20 ml while it gives me time to get a new bag. Hope that helps
There are many reasons - and it depends on the infusion - some are so critical that I would not pause - perhaps the patient goes off the unit for a test, or to the shower - pausing an infusion may be ok in these circumstances
I also wonder if you are asking “do you pause the primary to let the secondary line infuse” / the secondary line will run and automatically pause the primary as the secondary bag will be higher - and the gravity pull stronger
Yes. If you have a maintenance fluid rate, ie 100 ml/hr, then it makes sense. If you are only needing the primary bag to flush your secondary med (and need 30 ml), then a smaller bag will do
@@NurseMinder Good to know. Thanks for clearing that up, I just know that every patient having IV sedation in a Dental office has a primary maintenance rate. (usually 500cc of NS, D5, or LR) I really find your nursing videos helpful! They could be used to train dentists on IV concepts for anaesthesia and sedation licensure.
Mavis Williams Hi Mavis. The use of gloves is important to protect us from coming into contact with bodily fluids. If you can share with me where you feel gloves are needed then I can provide you with a better response :)
Any contaminants can go inside the bag therefore entering the pt's bloodstream via intravenous fluids. I think the use of gloves would minimize the chance of that happening. In school we were taught to wash hands and use gloves. Even during med pass.
