Adopting Best Practice for Infusion Teams
|
|
- Brittney Bradford
- 5 years ago
- Views:
Transcription
1 Adopting Best Practice for Infusion Teams Lori Mayer, DNP, MSN, RN Shirley O Leary, APN-BC Elida Grienel, APN-BC Infusion Therapies Nursing professionals have increasing responsibility in managing multiple sclerosis clinical disease and treatment NPs/PAs/RNs play important roles in educating patients about disease-modifying therapy options, decisions on therapy and managing potential adverse effects
2 Objectives Discuss practical applications, standards of care, as well as challenges of infusion therapy Framework for professional nursing approach to providing safe infusion care Gain an understanding of the approach to patient selection for infusion therapy Define recognize monitor and manage infusion related reactions Describe a broad understanding in mechanism of action, as well as infusion benefits vs risk Discussion Practical Application in Infusion Therapies Elida Greinel APN/BC University of New Mexico
3 Nursing: The Professional Standards Administering IV drugs is one of the most legally significant tasks nurses perform State and provincial practice acts guide nurses with regards to their defined limits Many state nurse practice acts do not specifically define scope of practice for RNs, but do address whether LPN or LVN can administer therapy The Infusion Nurses Society has developed standards for IV therapy (see ) - Site accessed 4/28/2016 Professional Standards cont. Understand and follow facility policy as well as possess the competence and knowledge base to perform IV therapy According to the INS, the goal is to protect and preserve the patient s right to safe, quality care and protect the nurse who administers infusion therapy
4 Infusion Codes of Conduct ONS, ASHP, OSHA, and INS all have published standards for safe delivery of chemotherapeutics and other infusible medications. Drug preparation can be performed by a trained nurse or pharmacist Equipment requirements are exacting Most facilities require that only chemotherapycertified nurses administer these medications Patient Education in Preparation of IV Therapy Start patient education at point of prescribing therapy Counsel patients with respect to treatment procedure and expectations from therapy Discuss medication side effects Instruct patient to report any discomfort involving the IV site and any chang in overall health status
5 Purpose Documentation Provides accurate record for facility and legal protection May be used for reimbursement of drug, supplies, etc Becomes part of patient s permanent record Documentation cont. Informed consent Process by which a fully informed patient participates in making decisions about his/her health care Includes information regarding the medication, benefits, type and probability of the risks, alternative treatments (including not having the treatment), and the prognosis
6 Documentation cont. Initiation of IV therapy Type of equipment used, including gauge and length of inserted device Healthcare provider responsible for insertion, and number of attempted starts Date, time, medication, and rate of infusion Location of insertion site Documentation cont. During IV therapy Condition of insertion site Vital signs according to best practice Any changes in drip rate or site changes
7 Documentation cont. Discontinuation of therapy Assessment of insertion site and intactness of venous access device being removed Condition of insertion site after access device is removed Any complications, patient reactions, or healthcare provider interventions that occurred Administering Peripheral IV Therapy Preparing the patient Choosing the right equipment Selecting the insertion site Complications of therapy
8 Preparing the Patient Managing expectations of patient before, during, and after IV therapy Review earlier teaching and encourage open and frank discussion about therapy concerns Explain procedure step-by-step as each task is approached Patients with history of needle phobia may develop a vasovagal response; education, distraction, and elevation of legs are techniques to offset this issue Attention should be given to age, developmental (psychosocial as well as psychomotor) and cognitive levels, and cultural and linguistic sensitivity. Manual of IV Therapeutics, Phillips, L., Gorski, L., p. 348, 2, Selecting the Right Equipment Generally speaking, IV administration sets used outside hospital settings with a pump are basic sets Volume-controlled sets deliver small, accurate amounts and are very helpful for gravity drip if a pump is not available Because of the many pumps on the market, it is important to refer to the manufacturer s recommendations for setup and troubleshooting guidelines of each EID. Filter use depends on medication requirements, policy, and the risk of phlebitis Supplies for cannulation
9 Selecting the Right Equipment cont. INS Standard The catheter selected shall be of the smallest gauge and length possible with the fewest number of lumens and shall be the least invasive device to accommodate and manage the prescribed therapy (INS, 2011, p. S37). Vein size, location, and length of infusion will also need to be considered Selecting the Infusion Site
10 Techniques for Peripheral Infusion Peripheral IV Therapy TECHNIQUES TO ASSIST WITH DIFFICULT VENOUS ACCESS Alterations in skin surfaces: Use tangential lighting. Hard sclerosed vessels: Use multiple tourniquet technique. Obesity: Use ultrasonography to locate and cannulate veins, use 2-inch catheter lateral veins, and/or consider Phillips multiple tourniquet technique. Edema: Displace edema with digital pressure. Fragile veins: Maintain traction using one-handed technique Manual of IV Therapeutics, Phillips, L., Gorski, L., p. 333, 2, 2014.
11 Skin Antisepsis According to the CDC (O'Grady et al., 2011), acceptable antiseptics for skin antisepsis include 70% alcohol, tincture of iodine, or iodophor or chlorhexidine/alcohol solution. Chlorhexidine/alcohol solution is the standard practice and is preferred antiseptic agent recommended by the INS (2011a); unlike the other antiseptic agents, it has a residual effect on the skin that lasts for up to 48 hours. Manual of IV Therapeutics, Phillips, L., Gorski, L., p. 81 2, Complications of IV Infusion Access Local complications of therapy can include Infiltration Extravasation Phlebitis, occlusion, pain at site, hematoma, vasovagal reaction, thrombosis, nerve damage Systemic complications of therapy can include Air embolism, sepsis, and allergic reaction
12 Complications of Infiltration Signs of infiltration Swelling Pain/burning Tight feeling Cool skin Slowing of flow rate Interventions Stop infusion D/C access device Apply ice or warm compress Elevate affected limb Restart in new location Complications of IV Access - Hematoma Hematoma is the most common complication of routine IV starts Symptoms include site swelling, tenderness, ecchymosis, and an ability to flush the IV Treatment includes removing the catheter, applying pressure, and a warm compress The presence of either ecchymoses or hematomas limits future us of the affected veins.
13 Phlebitis/Thrombophlebitis Chemical - Infusate chemically erodes internal layers. Warm compresses may help while the infusate is stopped/changed. Antiinflammatory and analgesic medications are often used no matter what the cause Mechanical - Caused by irritation to internal lumen of vein during insertion of vascular access device and usually appears shortly after insertion. The device may need to be removed and warm compresses applied Bacterial - Caused by introduction of bacteria into the vein. Remove the device immediately and treat w/antibiotics. The arm will be painful, red and warm; edema may accompany Complications of Therapy Mechanical Phlebitis Causes of mechanical phlebitis include Access device too large Improper taping Cannula is at a location of flexion, poor condition of vein Trauma during insertion Ways to avoid mechanical phlebitis include Using smallest gauge catheter possible Avoiding flexion Good aseptic technique Smooth insertion Anchoring catheter well
14 Complications of Therapy Chemical Phlebitis Causes of chemical phlebitis include Administering medications with a high ph Medications with a large amount of particulate matter Ways to avoid chemical phlebitis include Sufficient dilution of medication Use of a filter Complications of Therapy Bacterial Phlebitis Bacterial phlebitis is commonly caused by Contaminated equipment Infections in immunocompromised patients can lead to sepsis Ways to avoid bacterial phlebitis include Using aseptic, sterile technique Proper skin preparation will reduce the risk significantly
15 Complications of Infusion Infiltration Infiltration of a nonvesicant Vein flare Extravasation of a vesicant Leakage of a drug that can cause tissue necrosis and sloughing: THIS IS AN EMERGENCY Extravasation Emergency Stop the infusion policy will dictate whether the access device is removed or left to infuse steroids or an antidote Notify the doctor and follow manufacturer's specifications for antidote treatment Following antidote, remove access device Ongoing care to the site may include topical steroids, silver sulfadiazine (Silvadene ) cream. Serious conditions may require debridement, skin graft, possible a amputation
16 Infiltration/Extravasation The most common cause is damage to the wall during insertion or angle of placement. STOP INFUSION and treat as indicated by Pharmacy, Medication package insert or drug reference book. Notify MD and document Septicemia: Septicemia/Pulmonary Edema/ Embolism Severe infection that occurs to a system or entire body Most often caused by poor insertion technique or poor site care Discontinue device immediately, culture and treat appropriately Pulmonary edema: Caused by rapid infusion Pulmonary embolism: Caused by any free floating substances that require thrombolytic therapy for several months. Air embolism: Caused by air injected into IV system. Keep insertion site below level of heart
17 Prevention of Complications Know your medication, i.e., add diluents to irritating drugs Use good educated theory and technique when performing venipuncture Secure site well to prevent movement or friction of the access device Rotate site as much as possible Management of Infusion Therapies - Conclusions The landscape of treatment for MS is changing and evolving Infusion therapy is becoming more a part of this landscape, alone or in combination therapy Healthcare providers will be required to extend their knowledge base and become proficient in IV skills. They should follow the standards of the INS, OSHA, and their health care facility
Limitations and Guidelines Revised for Elastomeric Devices and IV Supplies and Equipment
Limitations and Guidelines Revised for Elastomeric Devices and IV Supplies and Equipment Information posted January 8, 2007 Effective for dates of service on or after March 1, 2007, benefit limitations
More informationEFFECTIVE OUTCOMES THROUGH IV THERAPY
EFFECTIVE OUTCOMES THROUGH IV THERAPY PROGRAM GUIDE FOR HEALTH CARE PROFESSIONALS National Educational Video, Inc. TM is an approved provider of continuing education. State Board provider numbers: Florida
More informationWyoming STATE BOARD OF NURSING
David D. Freudenthal Governor Wyoming STATE BOARD OF NURSING Mary Kay Goetter, PhD, RNC, NEA-BC Executive Director 1810 Pioneer Avenue Cheyenne, Wyoming 82002 Phone: 307-777-7601 FAX: 307-777-3519 http://nursing.state.wy.us
More informationM-fhUb~a.2. ~ Feidhmeannacht na Seirbhise Siainte Hea1Ul Service Executive
Feidhmeannacht na Seirbhise Siainte Hea1Ul Service Executive TITLE: Cannula Care Guideline for Nurses and Midwives at Mid-Western Regional Hospital, (MWRH),, Regional Orthopaedic Hospital, Croom and Regional
More informationHHVNA Infusion Therapy MIDLINE CATHETER
CONSIDERATIONS: 1. This midline procedure includes procedural steps for: a. Catheter Insertion b. Flushing c. Site care and dressing change d. Cap change e. Blood Draw f. Management of complications 2.
More informationIV 03 CRAIG HOSPITAL POLICY/PROCEDURE
CRAIG HOSPITAL POLICY/PROCEDURE Approved: NPC, P&P 12/06; P&T 2/07; Effective Date: 10/78 IC, MEC 03/07; NPC, P&P 08/09; MEC 9/09 P&T 12/10; MEC, P&P 01/11, 04/11; NPC, P&P 06/12, 06/15, 12/15 ; NPC, P&T,
More informationSARASOTA MEMORIAL HOSPITAL STANDARDS OF CARE STANDARDS OF PRACTICE DEPARTMENT OF IV THERAPY (IV THERAPISTS)
UNIT: SARASOTA MEMORIAL HOSPITAL STANDARDS OF CARE STANDARDS OF PRACTICE DEPARTMENT OF IV THERAPY (IV THERAPISTS) STANDARD #: EFFECTIVE DATE: REVISED DATE: STANDARD TYPE: 04/91 5/05, 3/08 DEPARTMENTAL
More informationPATIENT CARE MANUAL POLICY
PATIENT CARE MANUAL POLICY PAGE 1 OF 2 APPROVED BY: CATEGORY: TITLE: Vice President, Covenant Health Rural Health Services and Executive Lead for Professional Practice & Research Fluid / IV / Parenteral
More informationPeripherally Inserted Central Catheter
UW MEDICINE PATIENT EDUCATION Peripherally Inserted Central Catheter Understanding your PICC procedure and consent form Please read this handout before reading and signing the form Special Consent for
More informationCentral Venous Access Devices (CVAD) Procedures
SH CP 138 Central Venous Access Devices (CVAD) Procedures (e.g. Peripherally Inserted Central Catheter ( PICC lines) and Skin Tunnelled Central lines) Version:2 Summary: Keywords (minimum of 5): (To assist
More information21 st Century Health Care Consultants
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 INFUSION THERAPY OBJECTIVES 2 At the completion
More informationDISTRICT NURSING and INTERMEDIATE CARE
CLINICAL GUIDELINES DISTRICT NURSING and INTERMEDIATE CARE Schedule of guidelines attached: DNICT03 Community Procedure for the Administration of Intravenous Drugs via Bolus The guidelines scheduled above
More informationAdministration of IV Medication in the Community by the Children s Community Nursing Team Standard Operating Procedure
Administration of IV Medication in the Community by the Children s Community Nursing Team Standard Operating Procedure DOCUMENT CONTROL: Version: 1 Ratified by: Clinical Quality and Standards Group Date
More informationRecommendations for Improving Safety Practices With Short Peripheral Catheters
INS Position Paper Committee Chair: Cora Vizcarra, MBA, RN, CRNI, VA-BC Carolynn Cassutt, RN, CRNI, CLNC, VA-BC Nancy Corbitt, BSN, RN, OCN, CRNI Deb Richardson, MS, RN, CNS Dana Runde, RN, CRNI Kathy
More information201 KAR 20:490. Licensed practical nurse intravenous therapy scope of practice.
201 KAR 20:490. Licensed practical nurse intravenous therapy scope of practice. RELATES TO: KRS 314.011(10)(a), (c) STATUTORY AUTHORITY: KRS 314.011(10)(c), 314.131(1), 314.011(10)(c) NECESSITY, FUNCTION,
More informationCentral Venous Access Devices (CVADs)
Contents Purpose... 1 Policy... 1 Scope... 2 Associated documents... 2 1 Insertion of CVADs... 2 2 Endorsement/Certification... 2 3 Procedural Considerations... 3 3.1 Checking and Identification requirements...
More informationVenous Access Devices. Management of Central Venous Access Devices (CVADs) Central Venous Catheters. Outline. Implantable Port
Management of Central Venous Access Devices (CVADs) Bangkok June 2015 Venous Access Devices Implantable Port Central Venous Catheter (CVC) Boviac /Hickman catheters Margaret Conway BSN, RN, CPON Peripherally
More informationPeripheral IV Catheter
Approved by: Peripheral IV Catheter Vice President and Chief Medical Officer Vice President and Chief Operating Officer Corporate Policy & Procedures Manual Number: Date Approved December 15, 2014 January
More informationSARASOTA MEMORIAL HOSPITAL
SARASOTA MEMORIAL HOSPITAL TITLE: ISSUED FOR: NURSING PROCEDURE INTRAPERITONEAL (IP) PORT USE FOR Nursing DATE: REVIEWED: PAGES: 02/86 6/18 1 of 9 PS1094 RESPONSIBILITY: Chemotherapy RN who is also competent
More informationRegistered Nurse Intravenous Therapy and Peripheral Cannulation Competency Framework
Registered Nurse Intravenous Therapy and Peripheral Cannulation Competency Framework Name: Location: Date commenced: Contents Competency: Page No: Page 1. Core: Introduction Demonstrate knowledge that
More informationTHANK YOU!! YOUR IV NURSE CONSULTANTS TEAM AT WORK
YOUR IV NURSE CONSULTANTS TEAM AT WORK SPRING EDITION 2009 PROVIDED BY: SUSANNE SUTTICH RN, BSA ROLL BACK NAME CHANGE - SAME SERVICE IV Nurse Consultants Inc. was our original name when our company was
More informationTHE JOURNEY TO CLINICAL INDICATION: TIME TO MOVE THE NEEDLE
THE JOURNEY TO CLINICAL INDICATION: TIME TO MOVE THE NEEDLE Michelle DeVries, BS, MPH, CIC Senior Infection Preventionist Methodist Hospitals Gary, IN Michelle DeVries is a paid consultant of Ethicon US,
More informationDepartment Policy. Code: D: MM Entity: Fairview Pharmacy Services. Department: Fairview Home Infusion. Manual: Policy and Procedure Manual
Department Policy Code: D: MM-5615 Entity: Fairview Pharmacy Services Department: Fairview Home Infusion Manual: Policy and Procedure Manual Category: Home Infusion Subject: Chemotherapy Purpose: Ensure
More informationTotally Implantable Venous Access Devices (port) Information for patients. Cross section of a port
Cystic Fibrosis Unit, Ward 26 0121 424 2000 Information for Patients Totally Implantable Venous Access Devices (port) Information for patients This leaflet tells you about the procedures for Totally Implantable
More informationPractice Guideline: Approval Date: May 11, 2017
Page 1 of 7 1. PURPOSE To provide a safe, standardized, evidence-informed process, for Central Vascular Access Device (CVAD) dressing changes. This practice guideline does not include dialysis catheters.
More informationHealth & Social Services
The States of Jersey Department for Health & Social Services AGREED PROCESS FOR COMMUNITY INTRAVENOUS THERAPY Date approved DOCUMENT PROFILE Document Registration Document Purpose Short Title Author Publication
More informationRecommendation of a Neonatal Intravenous Infiltration Pathway. Lynsie E. Jones. Creighton University Graduate School of Nursing.
Running head: INTRAVENOUS INFILTRATION 1 Recommendation of a Neonatal Intravenous Infiltration Pathway Lynsie E. Jones Creighton University Graduate School of Nursing March 21, 2014 Abstract 2 Peripheral
More informationCHILDREN SUPPORTED BY MEDICAL TECHNOLOGY IN SCHOOLS: CARE AND MAINTENANCE OF CENTRAL VENOUS LINES
CHILDREN SUPPORTED BY MEDICAL TECHNOLOGY IN SCHOOLS: CARE AND MAINTENANCE OF CENTRAL VENOUS LINES Lauren E.B. Stone, MSN, RN, VA-BC Nurse Manager IV Team and Blood Donor Center Boston Children's Hospital
More informationThe 2011 Infusion Nurses Society Standards of Practice
The 2011 Infusion Nurses Society Standards of Practice Lisa A. Gorski MS, HHCNS-BC, CRNI, FAAN Chairperson Infusion Nurses Society 2011 Standards of Practice Clinical Nurse Specialist Wheaton Franciscan
More informationPeripherally Inserted Central Catheter (PICC)
Peripherally Inserted Central Catheter (PICC) Intravenous Therapy Patient information leaflet What is a PICC? A PICC is a very fine flexible tube measuring 50 60 cm in length. It is placed in a vein in
More informationNURSING LEADERSHIP IMPACTING CHANGE
NURSING LEADERSHIP IMPACTING CHANGE Nancy Moureau, BSN, RN, CRNI, CPUI, VA-BC PICC Excellence, Inc Griffith University Greenville Memorial and University Medical Center, SC Speaker Information Nancy Moureau
More information393 PICC INSERTION USING ULTRASONOGRAPHY AND MICRO INTRODUCER TECHNIQUE 06/10/03 1
393 ULTRASONOGRAPHY AND MICRO INTRODUCER TECHNIQUE 06/10/03 1 POLICY: General Information: 1. RN s validated to insert PICCs with the additional training in the use of ultrasonography (U/S) and microintroduction
More informationPeripheral intravenous catheter performance: investigating peripheral intravenous catheter dwell times
Peripheral intravenous catheter performance: investigating peripheral intravenous catheter dwell times Fourie A, RN, Certificate Wound Care (UOFS) Certificate Wound Management (UK), International Interdisciplinary
More informationSTANDARDIZED PROCEDURE NEONATAL / PEDIATRIC INTRAOSSEOUS LINE PLACEMENT (Neonatal, Pediatric)
I. Definition To place a large bore needle into the bone marrow for the purpose of emergency access for fluids and medications. II. Background Information A. Setting: Inpatient neonatal / pediatric patients
More informationCOURSE INFORMATION FORM
DATE SUBMITTED 6/24/13 CATALOG NO. PNUR 136 DATE DICC APPROVED 9/24/2013 DATE LAST REVIEWED 8/25/2009 DISCIPLINE COURSE TITLE COURSE INFORMATION FORM Practical Nursing Venous Access and Intravenous Infusion
More informationPeripherally inserted central catheter (PICC line) Information to accompany consent
Peripherally inserted central catheter (PICC line) Information to accompany consent Exceptional healthcare, personally delivered What is a PICC line? PICC stands for peripherally inserted central venous
More informationCENTRAL IOWA HEALTHCARE Marshalltown, Iowa
CENTRAL IOWA HEALTHCARE Marshalltown, Iowa CARE OF PATIENT POLICY & PROCEDURES Policy Number: 4.37 Subject: Implanted Venous Access Device (Infus-A-Port), Nursing Management Of (Indwelling Vascular Access
More informationYou and your Totally Implanted Vascular Access Device (TIVAD) - Portacath
You and your Totally Implanted Vascular Access Device (TIVAD) - Portacath Nursing A guide for patients and carers Contents What is a TIVAD?... 1 Why is a TIVAD necessary?... 2 How a TIVAD is inserted...
More informationMARSHALLTOWN MEDICAL & SURGICAL CENTER Marshalltown, Iowa
MARSHALLTOWN MEDICAL & SURGICAL CENTER Marshalltown, Iowa CARE OF PATIENT POLICY & PROCEDURES Policy Number: 4.37 Subject: Implanted Venous Access Device (Infus-A-Port), Nursing Management Of (Indwelling
More informationNew research: Change peripheral intravenous catheters only as clinically
Content page New research: Change peripheral intravenous catheters only as clinically indicated, not routinely. The results of a nurse led and nationally funded multicentre, randomised equivalence trial
More informationReproduction and distribution of these materials is prohibited without an RN.com content licensing agreement.
IV Therapy: Tips, Care, and Complications Contact Hours: 2.0 Course Expires: 08/31/2018 First Published: 5/30/2014 Reproduction and distribution of these materials is prohibited without an RN.com content
More informationTechnology Innovations in Vascular Access
Technology Innovations in Vascular Access Nancy Moureau, BSN, CRNI PICC Excellence, Inc. nancy@piccexcellence.com Introduction My experience RN for 35 years PICC Instructor and inserter 26 years As a trainer
More informationHome Intravenous Therapy Team - PICC and Midline. An information guide
TO PROVIDE THE VERY BEST CARE FOR EACH PATIENT ON EVERY OCCASION Home Intravenous Therapy Team - PICC and Midline An information guide Home Intravenous Therapy Team - PICC and Midline What is intravenous
More informationHow Do We Choose Optimal PIV Sites? Objectives. Good Vein, Bad Vein NIR & Choosing the Best IV Access Site. INS Site Choice Advice Key Points
Good Vein, Bad Vein NIR & Choosing the Best IV Access Site Greg Schears, MD Mayo Clinic, Rochester, MN Objectives Identify what is known regarding optimal PIV sites in guidelines and the literature Discuss
More informationPatient Self Administration of Intravenous (IV) Antibiotics at Home
Trust Policy Document Ref. No: PP(16)319 Patient Self Administration of Intravenous (IV) Antibiotics at Home For use in: For use by: For use for: Document owner: Status: Clinical Areas Clinical Staff Patient
More informationVascular Access Department Insertion of a peripherally inserted central catheter Information for patients
Vascular Access Department Insertion of a peripherally inserted central catheter Information for patients page 2 What is a peripherally inserted central catheter (PICC)? A PICC is a narrow, hollow tube
More informationSARASOTA MEMORIAL HOSPITAL
SARASOTA MEMORIAL HOSPITAL TITLE: NURSING PROCEDURE BLOOD CULTURE COLLECTION PROCEDURE (spe20) DATE: REVIEWED: PAGES: 6/10 9/18 1 of 6 PS1094 ISSUED FOR: Nursing/Lab RESPONSIBILITY: RN, LPN II, select
More informationLPN 8 Hour Didactic IV Education
LPN 8 Hour Didactic IV Education Nurse Practice Act and Regulations By Pamela Truscott, MSN, Nurse Educator, RN Provision of Nursing Care 172 NAC 99 99-003.01B - LPNs contribute to assessment of health
More information1. Infection Control, Centers for Disease Control and Prevention (CDC). (2002). Guideline for hand hygiene in health-care settings
HOSPITAL CORPSMAN SKILLS BASIC (HMSB) MAY 8 Checklist (PCL) Clinical Skill: Intravenous Therapy Circle One: Initial Evaluation Re-Evaluation Command: A. INTRODUCTION Upon successful completion of this
More informationPeripherally Inserted Central Catheter (PICC Line)
Feedback We appreciate and encourage feedback. If you need advice or are concerned about any aspect of care or treatment please speak to a member of staff or contact the Patient Advice and Liaison Service
More informationSTANDARDIZED PROCEDURE INFRARED COAGULATION THERAPY (Adults, Peds)
I. Definition Infrared Coagulation (IRC) Therapy is a treatment for anogenital warts, low grade squamous intraepithelial neoplasia (LGAIN) or high grade squamous intraepithelial neoplasia (HGAIN). IRC
More informationSARASOTA MEMORIAL HOSPITAL NURSING PROCEDURE
SARASOTA MEMORIAL HOSPITAL NURSING PROCEDURE TITLE: ISSUED FOR: (crc15-nursing) (crc.02-respiratory) Nursing Respiratory Care Services DATE: REVIEWED: PAGES: 02/93 9/17 1 of 8 RESPONSIBILITY: RN, LPN II
More informationCENTRAL VENOUS LINES: REMOVAL
[Type text] KINGSTON HEALTH SCIENCES CENTRE Kingston General Hospital site CENTRAL VENOUS LINES: REMOVAL LEARNING GUIDE FOR REGISTERED NURSES Prepared by: Nursing Education Services Date: 1993 December
More informationWYOMING STATE BOARD OF NURSING ADVISORY OPINION
WYOMING STATE BOARD OF NURSING ADVISORY OPINION INTRAVENOUS THERAPY BY LICENSED PRACTICAL NURSES Advisory Opinion Number: 03-123 Board Meeting Date: April 28-May 1, 2003 January 7-10, 2008 Introduction:
More informationASEPTIC TECHNIQUE LEARNING PACKAGE
ASEPTIC TECHNIQUE LEARNING PACKAGE Staff Name:... Date:... Table of Contents What is Aseptic technique? 3 Core infection control components 3 Key parts 5 References 6 Aseptic technique questionnaire 7
More informationBerinert Home Infusion Program. By: Loris Aro RN INNOMAR STRATEGIES
Berinert Home Infusion Program By: Loris Aro RN INNOMAR STRATEGIES Overview 1.Referral Process 2.Visit Planning 3.Teaching Session 4.Follow Up 3 The Berinert Assistance Program training process 1. Physician
More informationPROCESS FOR HANDLING ELASTOMERIC PAIN RELIEF BALLS (ON-Q PAINBUSTER AND OTHERS)
PROCESS FOR HANDLING ELASTOMERIC PAIN RELIEF BALLS (ON-Q PAINBUSTER AND OTHERS) REQUIRES SAFETY IMPROVEMENTS From the July 16, 2009 issue Problem: In our May 21, 2009, newsletter we noted an association
More informationReducing Infection Risks Related to Vascular Access Devices: Competency and Training
Reducing Infection Risks Related to Vascular Access Devices: A Focus on Personnel Competency and Training Lynn Hadaway, M.Ed., RN, BC, CRNI Lynn Hadaway Associates, Inc. Milner, Georgia 1 You can submit
More informationBRINGING THE PERIPHERY INTO FOCUS
BRINGING THE PERIPHERY INTO FOCUS RISKS ASSOCIATED WITH PERIPHERAL IVS Russ Olmsted, MPH, CIC, FAPIC Director, Infection Prevention & Control; Trinity Health, Livonia, MI This educational activity is brought
More informationMeeting the NEW RCN Standards for Infusion Therapy in practice
Meeting the NEW RCN Standards for Infusion Therapy in practice sumanshrestha@nhs.net Suman Shrestha MSc BSc RN Advanced Nurse Practitioner Intensive Care Frimley Park Hospital suman_sr FRIMLEY PARK HOSPITAL
More informationIntravenous Injection of Contrast Media COMPETENCY PROFILE. Prepared by The Ontario Association of Medical Radiation Sciences
Intravenous Injection of Contrast Media COMPETENCY PROFILE Prepared by The www.oamrs.org Assumptions Assumed prerequisite knowledge, skills and professional attributes: The Participant: 1. Has completed
More informationHospital Acquired Conditions. Tracy Blair MSN, RN
Hospital Acquired Conditions Tracy Blair MSN, RN A hospitalacquired infection (HAI), also known as a nosocomial infection, is an infection that is acquired in a hospital or other health care facility Hospital
More informationUPMC PASSAVANT Policy Manual. TITLE/SUBJECT: IntraOsseous Device POLICY NO:
UPMC PASSAVANT Policy Manual TITLE/SUBJECT: IntraOsseous Device POLICY NO: 240.005 DEPARTMENT: Emergency Medicine DATE: April 2015 INDEX TITLE: Dept Specific KEYWORDS: Vascular Access, IO POLICY It is
More informationNORTH SHORE MEDICAL CENTER NURSING PROCEDURE
NORTH SHORE MEDICAL CENTER NURSING PROCEDURE TITLE: IMPLANTED VASCULAR ACCESS DEVICE (VAD): DEVICE ACCESS, ADMINISTRATION OF IV FLUID OR MEDICATION, DRAWING BLOOD SPECIMENS AND REMOVAL OF NON-CORING RIGHT
More informationPROCEDURE FOR FLUSHING TOTALLY IMPLANTED INTRAVENOUS ACCESS DEVICE PORTS FOR ADULTS
PROCEDURE FOR FLUSHING TOTALLY IMPLANTED INTRAVENOUS FOR ADULTS First Issued Issue Version Purpose of Issue/Description of Change Planned Review Date One To ensure a safe and effective procedure for the
More informationNURSING POLICIES, PROCEDURES & PROTOCOLS
Page 1 of 10 NURSING POLICIES, PROCEDURES & PROTOCOLS CENTRAL VENOUS ACCESS DEVICE (CVAD) HEMODIALYSIS CATHETERS: DRESSING CHANGE, INITIATING OR DISCONTINUING AN INFUSION NO.: 00056 (Formerly NSG2146)
More informationAngele Caporicci, RN, CVAA Labour Relations Officer Ontario Nurses Association
Angele Caporicci, RN, CVAA Labour Relations Officer Ontario Nurses Association Karen Mallet, RN, CVAA, CON Stem Cell Transplant Nurse North East Cancer Centre, Sudbury Disclosure: no existing conflicts
More informationTUBE FEEDING WITH NUTRICIA CHOICE
TUBE FEEDING WITH NUTRICIA CHOICE NURSE SUPPORT FLEXIBLE DELIVERIES OUT OF HOURS SUPPORT ENTERAL FEEDING PUMP SUPPORTING ALL YOUR TUBE FEEDING NEEDS EASY TO ORDER & PAY COMPREHENSIVE TUBE FEED PACKAGE
More informationThe Nurse s Role in Preventing CLABSI
The Nurse s Role in Preventing CLABSI This course has been awarded one (1.0) contact hour. This course expires on February 28, 2020 Copyright 2017 by RN.com. All Rights Reserved. Reproduction and distribution
More informationIntravenous Therapy and Peripheral Cannulation Policy
SH CP 137 Intravenous Therapy and Peripheral Cannulation Policy Version 3 Summary: Keywords: Target Audience: To enable patients on intravenous therapy to continue or complete treatment within the primary
More informationMEDICATION ADMINISTRATION: BELOW THE DRIP CHAMBER
KINGSTON GENERAL HOSPITAL MEDICATION ADMINISTRATION: BELOW THE DRIP CHAMBER LEARNING GUIDE FOR REGISTERED NURSES AND REGISTERED PRACTICAL NURSES Prepared by: Nursing Education Date: 2001 November Revised:
More informationPeripherally Inserted Central Catheter (PICC)
University Teaching Trust Peripherally Inserted Central Catheter (PICC) IV Team 0161 206 0459 All Rights Reserved 2017. Document for issue as handout. Contents l What is a PICC? l Why do I need a PICC?
More informationWYOMING STATE BOARD OF NURSING ADVISORY OPINION INTRAVENOUS THERAPY BY LICENSED PRACTICAL NURSES
WYOMING STATE BOARD OF NURSING ADVISORY OPINION INTRAVENOUS THERAPY BY LICENSED PRACTICAL NURSES Advisory Opinion Number: 03-123 Board Meeting Date: April 28-May 1, 2003 January 7-10, 2008 February 18,
More informationSTANDARDIZED PROCEDURE HEPATIC ARTERY INFUSION OF CHEMOTHERAPY (Adults, Peds)
I. Definition Hepatic arterial infusion (HAI) of chemotherapy is accomplished by a small drug delivery system or pump that is implanted in a subcutaneous pocket in the lower abdomen. The pump reservoir
More informationMIDLINES/EXTENDED DWELL
MIDLINES/EXTENDED DWELL Peripheral venous access devices 3-8 inserted within 1.5 above or below antecubital fossa, tip terminates below axilla Therapies 2-4 weeks ideally, if no complications may extend
More informationALABAMA BOARD OF NURSING ADMINISTRATIVE CODE CHAPTER 610 X 6 STANDARDS OF NURSING PRACTICE TABLE OF CONTENTS
Nursing Chapter 610 X 6 ALABAMA BOARD OF NURSING ADMINISTRATIVE CODE CHAPTER 610 X 6 STANDARDS OF NURSING PRACTICE TABLE OF CONTENTS 610 X 6.01 610 X 6.02 610 X 6.03 610 X 6.04 610 X 6.05 610 X 6.06 610
More informationSTANDARDIZED PROCEDURE INTRAVENTRICULAR CHEMOTHERAPY VIA OMMAYA RESERVOIR (Adult, Peds)
I. Definition The administration of chemotherapy via Ommaya Reservoir into cerebrospinal fluid (CSF) for treatment of previously diagnosed central nervous system (CNS) involvement by leukemia and lymphoma
More informationADOPTED REGULATION OF THE STATE BOARD OF NURSING. LCB File No. R Effective April 4, 2016
ADOPTED REGULATION OF THE STATE BOARD OF NURSING LCB File No. R091-15 Effective April 4, 2016 EXPLANATION Matter in italics is new; matter in brackets [omitted material] is material to be omitted. AUTHORITY:
More informationFundamentals of IV Micronutrient Therapy And Clinical Applications of Parenteral Products Seminar
Fundamentals of IV Micronutrient Therapy And Clinical Applications of Parenteral Products Seminar Presented by: Intravenous Nutritional Therapy for Physicians and McGuff Company What: Fundamentals of IV
More informationVascuport in Children for Routine Flushing and Administration of Medication
Standard Operating Procedure 6 (SOP 6) Vascuport in Children for Routine Flushing and Administration of Medication Why we have a procedure? This guidance is to assist/ inform healthcare professionals on
More informationN: Emergency Nursing. Alberta Licensed Practical Nurses Competency Profile 135
N: Emergency Nursing Alberta Licensed Practical Nurses Competency Profile 135 Competency: N-1 Multi-Systems Assessment N-1-1 N-1-2 N-1-3 N-1-4 Demonstrate knowledge and ability to apply critical thinking
More informationInsertion of a PICC (Peripherally Inserted Central Catheter) / Mid Line
Insertion of a PICC (Peripherally Inserted Central Catheter) / Mid Line Department of Radiology Information for Patients i Radiology Leaflet No. 85 University Hospitals of Leicester NHS Trust Referral
More informationFacilitate arranging treatment around friends and family and organise social activities
Home Infusion Guide VPRIV (velaglucerase alfa for infusion) Gaucher disease, treatment and home infusion Together with your treating physician, you have decided to start home infusion therapy with VPRIV.
More informationThe 2016 INFUSION THERAPY STANDARDS. The Infusion Nurses Society (INS) publishes evidence-based practice 1.5
1.5 HOURS Continuing Education Approximately every 5 years, the Infusion Nurses Society publishes evidence-based practice standards. This article provides an overview of the process used in standards development,
More informationCLINICAL GUIDELINES FOR CENTRAL VENOUS CATHETER DRESSING PROCEDURE
CLINICAL GUIDELINES FOR CENTRAL VENOUS CATHETER DRESSING PROCEDURE Lead Clinician: Doctor SP Davies Implementation date: July 2014 Last updated: August 2016 Last review date: Planned review date: July
More informationCQI Project: Cannulation of AVF using Buttonhole technique
CQI Project: Cannulation of AVF using Buttonhole technique CHOW Yuen Ha (APN) Renal Unit Department of Medicine & Geriatrics Princess Margaret Hospital Background Vascular access (VA) is the lifeline of
More informationPICCs. Vascular access is the cornerstone in the. It s all about. Vascular safety:
Vascular safety: It s all about PICCs Optimal catheter and vein selection prove vital to patient safety initiatives. By Nancy Moureau, CRNI, BSN Practice challenges Special Vascular access is the cornerstone
More informationALABAMA BOARD OF NURSING ADMINISTRATIVE CODE CHAPTER 610-X-6 STANDARDS OF NURSING PRACTICE TABLE OF CONTENTS
ALABAMA BOARD OF NURSING ADMINISTRATIVE CODE CHAPTER 610-X-6 STANDARDS OF NURSING PRACTICE TABLE OF CONTENTS 610-X-6-.01 610-X-6-.02 610-X-6-.03 610-X-6-.04 610-X-6-.05 610-X-6-.06 610-X-6-.07 610-X-6-.08
More informationHickman line insertion in the interventional radiology department
Hickman line insertion in the interventional radiology department This leaflet explains more about what a Hickman line is, how it is inserted into the body and why your doctor has recommended this for
More informationTable of Contents. Nursing Skills. Page 2 of 8. Nursing School Made Simple Guaranteed 2014 SimpleNursing.com All Rights Reserved.
Table of Contents 1 Universal Competencies... 3 1.1 Universal Elements... 3 2 Critical Thinking Question... 4 3 Documentation... 4 4 Handwashing... 4 5 Moving a patient up in bed... 4 6 Applying restraints...
More informationPainful Infusions of Potassium A Potassium Protocol. Eve Holderman, BSN, RN, CPAN October 21, 2017 NYSPANA State Conference
Painful Infusions of Potassium A Potassium Protocol Eve Holderman, BSN, RN, CPAN October 21, 2017 NYSPANA State Conference Objective To identify strategies for intervention when the patient experiences
More informationAPPROVAL DATE June 2017
APPROVAL DATE June 2017 MANUAL: Standardized Procedure SECTION: Pediatric CHET TRACKING # SP 3-05 TITLE: INTRAOSSEOUS LINE PLACEMENT POLICY PROCEDURE STANDARD OF CARE STANDARDIZED PROCEDURE GUIDELINE OTHER
More informationBlood clot prevention. A guide for patients and carers
Blood clot prevention A guide for patients and carers Contents Introduction 1 What is a venous thromboembolism (VTE)? 1 What is a deep vein thrombosis (also known as a DVT)? 1 What is a pulmonary embolism
More informationThis document is NOT FOR PROMOTIONAL USE. Do not copy, distribute, or share with physicians, staff, or patients. FOR INTERNAL USE ONLY.
SIMPONI ARIA Infusion Suite Module Summary Page 1 of 5 The trademark, SIMPONI ARIA, has received provisional acceptance from the FDA. SIMPONI ARIA is an investigational agent currently under review by
More informationIdentifying Risk Factors for High Incidence of Peripheral Intravenous Catheters Complications: Reducing Infiltration Rate within the Hospital
Walden University ScholarWorks Walden Dissertations and Doctoral Studies Walden Dissertations and Doctoral Studies Collection 2015 Identifying Risk Factors for High Incidence of Peripheral Intravenous
More informationRisk Assessment Form HS 9 (1)
s Full Name: Date of Birth: NHS Number 1. The fully implanted port system Sitimplant is not regularly used in the community and nursing staff may be unfamiliar with the recommended care of this system
More informationCollege of Licensed Practical Nurses of Alberta. INTRADERMAL MEDICATION MODULE For Licensed Practical Nurses
College of Licensed Practical Nurses of Alberta INTRADERMAL MEDICATION MODULE For Licensed Practical Nurses August 2006 2002-2002 Edmonton, AB. Canada Printed April 2003 - revised for website August 2006
More informationAdministration of Medication IV Push to Neonatal/Paediatric & Adult Patients Self-Learning Package
Administration of Medication IV Push to Neonatal/Paediatric & Adult Patients Self-Learning Package Prepared by Cheryl Owen, CPL Medicine, Rose Owen CPL NICU/SCN; Jan. 2008 Revised by Rose Owen CPL NICU/SCN;
More information1. Communicate to the UAP any special information needed prior to the administration of the medication.
Objectives At the completion of this module, unlicensed assistive personnel (UAP) should be able to: 1. administer medications by intradermal injection. 2. document medication administration in the client
More information