21 st Century Health Care Consultants

Transcription

1 21 st Century Health Care Consultants Presents 1 Investing in your Infusion Specialty Program Presented by: Rhonda Surgnier RN Becky Tolson RN David Kachel CRNI

2 INFUSION THERAPY OBJECTIVES 2 At the completion of the program the participant will be able to: Identify 4 different types of infusion access Demonstrate insertion and removal of a Peripheral Infusion Device Explain the 5 stages of the phlebitis scale Identify 4 common types of infusion device occlusion Demonstrate proper technique for changing a central line dressing Identify the difference between a Midline catheter and a PICC Identify proper patient clinical documentation when providing infusion therapy

3 PROGRAM SPECIFICS 3 This program will provide an overview of the Home Infusion Services Standards of Care, referencing INS which serve as a template for high quality patient infusion care consistent with the Mission and Values of your organization. The program contains the most current federal regulations and practices based on the INS 4 th Edition Standards.

4 AGENDA OVERVIEW 4 Day 1- General Infusion Education Day 2- Competency Booths with hands-on demonstration of IV techniques Day 3- Developing and Marketing an Infusion Program

5 INFUSION BASICS 5

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7 Infusion Standards.Best Practices 7 Intravenous Nurse Society (INS) is recognized as the global authority in infusion therapy, dedicated to exceeding the public s expectations of excellence by setting the standard for infusion care. As the basis for professional nursing practice, infusion nurses are reminded that they must have knowledge of their scope of practice as defined in their states Nurse Practice Acts. Nurses must follow their agency s policies, procedures and/or practice guidelines, while acting in conformity with federal, state and regulatory agencies. Due to the invasive nature and risks associated with infusion therapy, nurses must have a basic understanding of the specialty and the principles that are implied for safe practice.

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10 Patient Care 10

11 Peripheral Access Landmark Selection 11

12 Venous Access Landmark Selection 12

13 13

14 Short Peripheral Lines 14

15 PIV SIZES 15 20g 18g 22g 24g

16 Steps of PIV Placement 16

17 Catheter Angle and Cannulation 17

18 Post Cannulation 18

19 Flashback 19

20 PIV Cannulated Secured and Infusing 20

21 Midlines 21

22 Midline Tip Location 22

23 Central Venous Access Devices 23

24 PICC Tip Location 24

25 Post X-ray 25

26 Single Lumen PICC Occlusive Secure Dressing 26

27 27 Dual Lumen PICC (with Statlock, Biopatch, Occlusive dressing)

28 Scrub Hub Every Connection (Reduces risk of BSI) 28

29 Lab Draw From PICC (Aseptic Always) 29

30 Non-Tunneled Subclavian Catheter 30

31 External-Internal Jugular Line 31

32 Non Tunneled Tip Location 32

33 Tunneled Catheters 33 Hickman Groshong

34 Groshong Valve 34

35 Groshong Cuff 35

36 Groshong Placement 36

37 Hickman Placement 37

38 Implanted Port 38

39 Different Size Ports Single and Dual Chamber 39

40 Implantable Port with Healed Outcome 40

41 Port Tip Placement 41

42 42

43 Non Vascular Infusions 43

44 Site selection 44

45 Subcutaneous Infusion 45

46 Disconnection 46

47 Flushing CVC Catheter (note the difference) 47

48 Position for Gentle Pull Removal PICC 48

49 Infusion Equipment and Supplies 49

50 Needle Safe Peripheral Catheters 50

51 Needle Safe Port Access Devices 51

52 Needleless Connections 52

53 Prefilled Flushes 53 **Prefilled syringes are for one time use only. Read syringe label closely. Discard after single use.

54 54 Straight tubing Dial-a-flo tubing

55 Disposable Pumps 55 Also called Elastomeric pumps Ease of use and teaching Tubing with 0.2 filter pre-attached-comes primed from Pharmacy Single use Costly Full Empty

56 Electronic Infusion Pumps 56 Pump types: Stationary-on a pole Ambulatory

57 Managing Infusion Complications 57

58 Fibrin sheath 58

59 59

60 Negative-pressure needleless connectors 60

61 Samples 61

62 62

63 Infection Happens 63

64 Infected Ports 64

65 Infiltration, Phlebitis, Hematoma 65

66 Infiltration Examples

67 Phlebitis Examples

68 DOCUMENTATION 68

69 Developing a Profitable Infusion Program 69

70 Stand Out From Your Competitors 70