HEALTH SERVICES NURSING PROCEDURE. CATEGORY: RN - Special Nursing Procedure CODE A.2.2 A. ASSISTING WITH INSERTION PURPOSE
|
|
- Erica Shields
- 5 years ago
- Views:
Transcription
1 NURSING PROCEDURE TITLE: ARTERIAL LINE PEDIATRIC Less than 30Kg a. Assisting with Insertion b. Maintenance c. Dressing Change d. Withdrawal of Blood e. Removal CATEGORY: RN - Special Nursing Procedure A. ASSISTING WITH INSERTION PURPOSE To assist with the insertion of an intra-arterial pressure monitoring system to enable continuous pressure monitoring in pediatric patients under 30Kg. Potential complications include Accidental disconnection within the system resulting in exsanguination Local and/or systemic infection Thrombus formation, emboli, distal limb ischemia If limb distal to arterial catheter ever shows signs of circulatory compromise, physician must be notified immediately and the catheter must be removed. EQUIPMENT 1. Personal protective equipment 2. Pressure module and cable 3. IV pump administration set 4. Blood conservation system Vamp Junior (Special Order item) 5. 6 inch pressure tubing SPD # IV pump ml bag of Normal Saline 8. Heparin 1000U/mL 9. Patient body mount sticker 10. Towel (if transducer will not be mounted on patient) 11. Dressing set 12. #24 IV cathlon (or age appropriate size) 13. Local anesthetic 1% or 2% Xylocaine without Epinephrine ml syringe for anesthetic 15. #25 & #27 needles for anesthetic 16. Chlorhexidine 2% aqueous solution Approval Date: June 14, 2012 Page 1 of 11
2 17. 2 x 2 gauze 18. Steristrips 19. ½ & 1 tape 20. Semi transparent dressing 21. Appropriate size limb securing board 22. Disposable bed saver pad PROCEDURE A. Preparing Flush System 1. Prepare IV flush solution by adding Heparin 250Units to 250 ml Normal Saline; allows for 1unit/1mL concentration. 2. Label solution with date, time & signature. 3. Tighten all connections on IV tubing and transducer set. 4. Attach solution to IV pump administration set tubing. 5. Attach IV tubing to the open port on the transducer of the VAMP Jr. 6. Attach the 6 inch pressure tubing to the proximal (closest to the patient) end of the VAMP Jr. 7. Prime tubing, including all stopcocks. NOTE: Replace all vented caps on ports of stopcocks with non-vented caps. 8. Place IV administration set on infusion pump and set rate at 3 ml/hr. NOTE: Rate may be decreased to 1 or 2 ml/hr if fluids must be greatly restricted; order must be obtained by physician to infuse at 1 or 2mL/hr. All pediatric arterial lines are to be maintained on an infusion pump to allow for verification of hourly fluid administration. Use of a pressure bag is not optimal because many children cannot tolerate the fluid administered via a standard infusion device providing 3 ml/hr. Malfunction of the one way valve in the flow limiting infusion device may allow delivery of excessive volumes of fluid. B. Preparing The Bedside Monitor 1. Attach pressure cable to pressure port of Multimeasurement Server of the bedside monitor, or pressure module on the bridge of the bedside monitor. 2. Attach open end of cable to pressure tubing transducer. Approval Date: June 14, 2012 Page 2 of 11
3 3. Zero transducer: 3.1 Close stopcock to patient line. 3.2 Silence alarm. 3.3 Open stopcock to atmosphere. 3.4 Press and hold ZERO button until audible BEEP is heard. 3.5 Close stopcock to atmosphere. 3.6 Return stopcock to monitoring position. C. Insertion Insertion of an arterial line is the responsibility of a physician or respiratory therapist certified in this procedure. Common sites of arterial line insertions include the radial, brachial, femoral or pedal arteries. If any artery is used in the leg, patient must be maintained on strict bedrest. 1. Explain procedure to patient (if age appropriate) and/or parents. 2. Place disposable bed saver pad under selected insertion site. 3. Don protective equipment as indicated. 4. Open the arterial line pack or dressing set. 5. Add Chlorhexidine 2% aqueous solution to sterile bowl. 6. Add syringe to sterile field. 7. Provide #25 or #27 gauge needle as requested. 8. Provide Xylocaine solution as required. 9. Assist with positioning of selected limb as necessary Place a rolled towel under wrist if extension is required. 10. Stabilize patient s limb during insertion as required. 11. Assist with connecting arterial pressure line once catheter is insitu. Approval Date: June 14, 2012 Page 3 of 11
4 12. Assist with catheter securement. 13. Use patient mount to secure transducer at level of phlebostatic axis. 14. Evaluate arterial waveform 14.1 Re-zero pressure line Adjust pressure scale as needed Adjust ABP alarm parameters as appropriate. 15. Document the following: Physician who performed the insertion. Location of arterial line insertion site. Site condition. Patient tolerance of procedure (any pre-medication required). Hard copy of wave form analysis. B. MAINTENANCE PURPOSE To safely carry out the invasive arterial monitoring for the duration that the catheter is insitu. For the purposes of monitoring, ensure ABP alarms remain on. PROCEDURE 1. Ensure that the infusion pump rate is set at 3 ml/hr unless otherwise ordered by the physician. 2. Ensure transducer remains secured and leveled to the phlebostatic axis. 3. Ensure all tubing connections remain tight. 4. Ensure alarm parameters are individualized for the patient on an ongoing basis. 5. Assess limb distal to insertion site for color, sensation and movement every hour and prn. 5.1 Document changes from initial assessment. 5.2 Report any abnormal findings to the physician immediately. Approval Date: June 14, 2012 Page 4 of 11
5 If limb distal to arterial catheter ever shows signs of circulatory compromise, physician must be notified immediately and the catheter must be removed. 6. Assess and change dressing as recommended. 7. Ensure correct position of extremity (i.e. armboard, restraint) for optimal waveform. 8. Zero transducer at beginning of each shift and after any interruption in monitoring. 9. Document a waveform strip at beginning of each shift. NOTE: Square wave test is not performed when arterial line is maintained with an IV pump. 10. Document any alterations in the waveform quality and report to physician prn. C. DRESSING CHANGE NOTE: Transparent semipermeable dressing to be changed every 7 days or PRN. Transparent dressing to be changed every 4 days or PRN. Gauze dressing to be changed every 2 days or PRN. For children with sensitivities to Chlorhexidine, alcohol followed by providone-iodine is an acceptable alternative. EQUIPMENT 1. Personal protective equipment 2. Sterile dressing set 3. Chlorhexidine 2% aqueous solution 4. Steri-strips 5. Transparent semipermeable dressing is preferred PROCEDURE 1. Explain procedure to patient if age appropriate and/or parents. 2. Don personal protective equipment. 3. Remove old dressing. 4. Observe insertion site for signs of infection. Obtain swab for C&S, if indicated. 5. Prepare dressing set. 6. Cleanse a 5 cm radius around insertion site and up the catheter with cleaning solution. Approval Date: June 14, 2012 Page 5 of 11
6 7. Resecure catheter with steri-strips as necessary. 8. Apply sterile occlusive dressing. 9. Document, indicating due date for next dressing change. D. WITHDRAWAL OF BLOOD PURPOSE To aseptically withdraw blood specimen from arterial line with a blood conservation device. EQUIPMENT 1. Personal protective equipment 2. Appropriate pediatric blood specimen containers 3. ABG kit (if necessary) 4. Vacutainer luer lok access device 5. Needleless shielded cannulas 6. Alcohol swab 7. Disposable bed saver pad 8. 3 ml syringe 9. Normal Saline (10 ml vial) PROCEDURE 1. Explain procedure to patient and/or parents. 2. Don personal protective equipment. 3. Draw up 2 ml of normal Saline into 3 ml syringe. Edwards Lifesciences 2003 VAMP Jr. Venous/Arterial Blood Management Protection System Package Insert Approval Date: June 14, 2012 Page 6 of 11
7 4. Attach needleless shielded cannula to vacutainer luer lok access device and normal saline filled syringe (ABG syringe is necessary). 5. Silence the alarms on the monitor while blood sampling is performed. 6. Close distal shut-off valve by turning the handle perpendicular to the tubing. 7. Pull up on the reservoir plunger smoothly and evenly, until the plunger stops and the reservoir has reached its full capacity. The minimum clearing volume that should be drawn into the VAMP Jr. reservoir is 1 ml. Recommended rate to pull the reservoir plunger up to the fully open position is approximately 1 ml every seconds (approximately seconds to fill reservoir to capacity). 8. Close the proximal shut-off valve by turning the handle perpendicular to the tubing. 9. Swab the proximal site with alcohol. 10. Attach the vacutainer access device with attached needleless shielded cannula to the proximal sampling site. Edwards Lifesciences 2003 VAMP Jr. Venous/Arterial Blood Management Protection System Package Insert 11. Fill required blood tubes, drawing coagulation last. 12. Remove vacutainer access device with attached needleless shielded cannula by pulling it straight out. 13. Procurement of ABG s: 13.1 Use syringe ABG kit and set plunger to desired sample volume of 1 ml Remove needle from syringe and attach Needleless Shielded Cannula. Approval Date: June 14, 2012 Page 7 of 11
8 13.3 Insert cannula into sampling site Allow syringe to fill to 1mL Remove syringe from sampling site Eject any air bubbles from ABG syringe Remove shielded cannula and cap syringe with rubber stopper from package Label specimen Place specimen on ice and transport specimen to lab. Edwards Lifesciences 2003 VAMP Jr. Venous/Arterial Blood Management Protection System Package Insert 14. Open proximal shut-off valve. 15. Depress reservoir plunger smoothly, slowly and evenly until it is in a fully closed position and all blood is reinfused into the line. Recommended rate to push the reservoir plunger to the closed position is approximately 1 ml every seconds (approximately seconds to empty a completely filled VAMP Jr. reservoir). The clearing sample should not remain in the reservoir for longer than three minutes. It is recommended that the VAMP Jr. be changed if the clearing volume remains in the reservoir for longer than three minutes. Approval Date: June 14, 2012 Page 8 of 11
9 16. Flushing the line. NOTE: The approximate volume required to flush the line is ml Fill the 3 ml syringe with 1.5 ml of normal saline Attach a needleless shielded cannula to the syringe Insert syringe/cannula to the distal access/flush site Flush the tubing to clear pressure tubing of blood Open the distal shut-off valve. Edwards Lifesciences 2003 VAMP Jr. Venous/Arterial Blood Management Protection System Package Insert E. REMOVAL PURPOSE To remove an intra-arterial catheter in a safe and aseptic manner. EQUIPMENT 1. Sterile 2 x2 gauze 2. Elastoplast fabric tape 3. Personal protective equipment PROCEDURE 1. Verify physician s order. 2. Explain procedure to patient if age appropriate and/or parents. 3. Turn off infusion pump. Approval Date: June 14, 2012 Page 9 of 11
10 4. Turn stopcock off to patient. 5. Disconnect cable from transducer and remove pressure module from monitoring rack. 6. Press reset on monitor to remove pressure waveform from screen. 7. Don personal protective equipment. 8. Remove tape and dressing over arterial site carefully. 9. Inspect site and swab for C&S if signs of infection present. 10. Place 2 x2 gauze over site, apply steady pressure and gently withdraw catheter from artery. 11. Ensure that catheter is intact upon removal. 12. Maintain manual pressure to site for five minutes. 13. Apply pressure dressing to site. NOTE: Pressure dressing may be removed in 24 hours. 14. Assess for signs of bleeding. 15. Dispose of the tubing and flush system. 16. Document the following: Time removed. Condition of site. Condition of catheter (e.g. catheter removed intact). Description of dressing applied and; Patient s tolerance of procedure. Approval Date: June 14, 2012 Page 10 of 11
11 REFERENCES Calgary Health Region. (2002). Hemodynamic Monitoring. Child health policies and procedures H-1.0, Calgary, AB. Curley, M. & Moloney-Harmon, P. (2001) Critical care nursing of infants and children (2 nd ed). St. Louis, MO: W.B. Saunders Company. de Neef, M., Heijboer, H., Van Woensel, J., & DeHaan, R. (2002). The efficacy of heparinization in prolonging patency of arterial and ventral venous catheters in children: A randomized double-blind trial. Pediatric hematology & oncology, 19 (8), Edwards Lifesciences (2003). VAMP Jr. Venous/Arterial Blood Management Protection System Package Insert. Irvine, CA. Edwards Lifesciences (2003). Pressure Monitoring Kit with TruWave Disposable Pressure Transducer Package Insert. Irvine, CA. Fuhrman, B.P., Zimmerman, J.J., Carcillo, J., & Clark, R. (2011). Pediatric critical care, (4 th ed). St. Louis, MO: Elsevier Saunders. Gonce Morton, P., Fontaine, D., Hudak, C., & Gallo, B. (2005). Critical care nursing: A holistic approach (8 th ed). Philadelphia, PA: Lippincott Williams & Wilkins. Hazinski, M. (1992). Nursing care of the critically ill child (2 nd ed). Mosby Year Book. Monagle, P., Chan, A., Massicotte, P., Chalmers, E., & Michelson, A. (2004). Antithrombotic therapy in children : the Seventh ACCP Conference on Antithrombotic and Thrombolytic Therapy. Chest, September pp 645s-687. Verger, J. & Lebert, R. (2007). AACN procedure manual for pediatric acute & critical care. St. Louis, MO: Saunders Elsevier. Revised by: Tracy Wilson, CNE MPICU; Michele Myrah, Manager MPICU Date: June 2008 Revised by: Justin Rae, CNE MPICU; Dr. J. Soper, Medical Directory Department of Pediatrics RQHR; Michele Myrah, Manager MPICU Date: April 2012 Approved by: Date: June 14, 2012 Regina Qu Appelle Health Region Health Services Nursing Procedure Committee Approval Date: June 14, 2012 Page 11 of 11
HEALTH SERVICES CODE A.2
NURSING PROCEDURE TITLE: ARTERIAL LINES Adult/Pediatric Patients greater than 30 Kg A. Assisting with Insertion I. Preparing Pressure System II. Preparing Bedside Monitor III. Insertion B. Maintenance
More informationROUGE VALLEY HEALTH SYSTEM PRACTICE STANDARDS MANUAL
ISSUED BY: PPL, CRITICAL CARE COMMITTEE PAGE: 1 of 5 PURPOSE To ensure standardized practice in the care of Arterial line Catheters To provide guidelines for care, maintenance, monitoring, troubleshooting,
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 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 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 informationSTANDARDIZED PROCEDURE ARTERIAL CATHETER INSERTION (Adult)
I. Definition: This protocol covers the task of arterial line insertion by an Advanced Health Practitioner. The purpose of this standardized procedure is to allow the Advanced Health Practitioner to safely
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 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 informationHEALTH SERVICES CODE C.2
NURSING PROCEDURE TITLE: CENTRAL VENOUS CATHETER (CVC) (Short term) A. Assisting with Insertion B. Assessment C. Establishing or Changing Needleless Access Adapter D. Flushing E. Administration of Intravenous
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 NURSING PROCEDURE
SARASOTA MEMORIAL HOSPITAL NURSING PROCEDURE TITLE: ISSUED FOR: HEMODIALYSIS TEMPORARY CATHETER (INSERTION, DRESSING CHANGE, REMOVAL, MEDICATION AND BLOOD DRAWS, DISCONTINUATION OF MEDS AND IV FLUIDS)
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 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 informationRN Entry Level Competency
Policies & Procedures Title: CENTRAL VENOUS CATHETERS BLOOD WITHDRAWAL (, SHORT TERM, TUNNELED, IMPLANTED) LPN Additional Competency (LPNAC) Central Venous Catheters - Blood Withdrawal from with an Established
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 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 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 informationLimitations 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 informationGiving Intravenous (IV) Nutrition Through a Central Line with a CADD Pump
Home Care Services Giving Intravenous (IV) Nutrition Through a Central Line with a CADD Pump Receiving medicine and supplies When you receive a shipment, make sure you have the correct medicine and supplies.
More informationCENTRAL LINE ASSOCIATED BLOOD STREAM INFECTIONS (CLABSI)
CENTRAL LINE ASSOCIATED BLOOD STREAM INFECTIONS (CLABSI) A Step-by- Step Approach 1 Evidence Based Recommendations for the Prevention of CLABSI 2013 CLABSI FACTS An estimated 41,000 central line-associated
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 informationAll about Your Implanted Venous Access Device (IVAD, Port )
All about Your Implanted Venous Access Device (IVAD, Port ) Your doctor has chosen an Implanted Venous Access Device (IVAD) for you based on your treatment needs. Because the IVAD can remain in place for
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 informationSTANDARDIZED PROCEDURE CENTRAL LINE PLACEMENT and TEMPORARY NONTUNNELLED CENTRAL VENOUS DIALYSIS CATHETER INSERTION (Adult, Peds)
I. Definition: This protocol covers the task of central (venous) catheter placement and temporary nontunnelled central venous dialysis catheters by the Advanced Health Practitioner. The purpose of this
More informationSee Policy #1302 (Nursing Student Privileges and Limitations) for full details. Central Line dressing care, declotting and discontinuation may ONLY
To assure a standardized knowledge base related to CVL Care and CLABSI prevention, ProMedica requires all Instructors/Faculty on adult and pediatric units to complete this educational module. This content
More informationVAN WERT COUNTY HOSPITAL. Policy/Procedure: Interdepartmental No.: N Issue Date: 6-90 By: Nursing No. of Pages: 9
VAN WERT COUNTY HOSPITAL Policy/Procedure: Interdepartmental No.: N 7-14 Issue Date: 6-90 By: Nursing No. of Pages: 9 Reviewed: 6-14, 12-13, 5-11 Revised: 6-14 Distribution List: All Nursing Departments,
More informationRoutine Venipuncture Guidelines
Department: Administration Procedure Name: Specimen Collection Policy Page: 1 of 5 Procedure Number: Adm. 020 Replaces Policy Dated: Effective Date: October 23, 2006 Retired: Routine Venipuncture Guidelines
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 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 informationSTANDARDIZED PROCEDURE BONE MARROW ASPIRATION (Adult,Peds)
I. Definition: This protocol covers the task of bone marrow aspiration by an Advanced Health Practitioner. The purpose of this standardized procedure is to allow the Advanced Health Practitioner to safely
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 informationSTANDARDIZED PROCEDURE REMOVAL OF EXTERNAL VENTRICULAR DRAINAGE CATHETER OR INTRACRANIAL PRESSURE DEVICE (Adult, Peds)
I. Definition This procedure will take place when a neurosurgery physician deems appropriate. The purpose of this standardized procedure is to allow the Advanced Health Practitioner to safely remove an
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 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 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 informationSTANDARDIZED PROCEDURE FEMORAL VENOUS BLOOD DRAW (Adult, Peds)
I. Definition The Femoral venous blood draw (FVBD) is the procedure of performing a needle stick into the femoral vein for the purpose of drawing blood work that will assist in lab monitoring. II. Background
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 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 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 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 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 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 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 informationPolicies and Procedures. RNSP: RN Procedure. I.D. Number: 1067
Policies and Procedures RNSP: RN Procedure Title: CHEMOTHERAPY BLADDER INSTILLATION (INTRAVESICAL) CARE OF CLIENT I.D. Number: 1067 Authorization: [] SHR Nursing Practice Committee Source: Nursing Date
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 informationRNSP: Advanced RN Intervention
Policies and Procedures RNSP: Advanced RN Intervention Title: CHEST TUBES: IRRIGATION AND/OR ADMINISTRATION OF A MEDICATION TO THE PLEURAL SPACE I.D. Number: 1016 Authorization: [X] SHR Nursing Practice
More informationNottingham Renal and Transplant Unit
Nottingham Renal and Transplant Unit GUIDELINES FOR THE COMMENCEMENT AND TERMINATION OF EXTRA CORPOREAL THERAPIES VIA A CENTRAL VENOUS CATHETER (TUNNELLED AND NON TUNNELLED) USING CITRATE 46.7% LOCKING
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 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 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 informationPICU tracheostomy protocol
PICU tracheostomy protocol This protocol is based on the joint Royal Brompton & Harefield NHS Trust and Great Ormond Street Hospital for Children NHS Trust, Great Ormond Street Hospital Manual of Children
More informationIntravenous Medication Administration via a Central Venous Line
Standard Operating Procedure 11 (SOP 11) Intravenous Medication Administration via a Central Venous Line Why we have a procedure? This procedure is to assist/ inform healthcare professionals on how to
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 informationPATIENT CARE MANUAL PROCEDURE
PATIENT CARE MANUAL PROCEDURE NUMBER III-130 PAGE 1 OF 5 APPROVED BY: CATEGORY: Vice President and Senior Operating Officer, Rural Health Services & Professional Practice Lead Medication Administration
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 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 informationCARE OF THE PATIENT REQUIRING CONTINUOUS FLOLAN INFUSION GUIDELINE
Page Number: 1 of 5 TITLE: CARE OF THE PATIENT REQUIRING CONTINUOUS FLOLAN INFUSION GUIDELINE PURPOSE: To provide guidelines for the nursing care of the patient with a Flolan infusion delivered thru continuous
More informationSTANDARDIZED PROCEDURE ALLOGENEIC /AUTOLOGOUS HEMATOPOIETIC STEM CELL INFUSION (Adult, Peds)
STANDARDIZED PROCEDURE I. Definition: The infusion of allogeneic /autologous hematopoietic progenitor cells as a part of hematopoetic stem cell transplant or donor lymphocyte infusion. II. Background Information
More information#29 & #30 MEASURING INTAKE AND OUTPUT/WOUND DRAINAGE SYSTEMS (TEST)
#9 & #30 MEASURING INTAKE AND OUTPUT/WOUND DRAINAGE SYSTEMS (TEST) I acknowledge I have physically practiced and successfully learned the following skill(s): Student: Date: TIME LIMIT: 5 Minutes Must complete
More informationIf viewing a printed copy of this policy, please note it could be expired. Got to to view current policies.
If viewing a printed copy of this policy, please note it could be expired. Got to www.fairview.org/fhipolicies to view current policies. Department Policy Entity: Fairview Pharmacy Services Department:
More informationSHARED HAEMODIALYSIS CARE HANDBOOK
SHARED HAEMODIALYSIS CARE HANDBOOK Name: Hospital Number: Shared Haemodialysis Care Named Nurse: Date: Machine Type: Dialysis Unit: INTRODUCTION CONTENTS Please tick the topic/procedure you are interested
More informationMedication Administration Using the Home Pump (Eclipse)
Medication Administration Using the Home Pump (Eclipse) Phone Number: Nurse/Contact: Receiving IV Therapy in the Home Your doctor has ordered for you to receive your IV medication at home. Receiving IV
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 informationClinical Skills Validation: Alaris Pump System
Clinical Skills Validation: Alaris Pump System These documents are intended for use by CW Nurse Clinical Leadership Team. The method used to implement the validation of the Alaris Pump System is unit specific.
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 informationSHARED HAEMODIALYSIS CARE HANDBOOK
SHARED HAEMODIALYSIS CARE HANDBOOK Name: Hospital Number: Shared Haemodialysis Care Named Nurse: Date: Machine Type: Dialysis Unit: INTRODUCTION This handbook has been developed as a shared care education
More informationSTANDARDIZED PROCEDURE LUMBAR DRAIN INSERTION (Adults, Peds)
I. Definition The purpose of this standardized procedure is for the Advanced Health Practitioner to safely place a lumbar drain. II. Background Information A. Setting: The setting (inpatient vs outpatient)
More informationAREAS OF RESPONSIBILITY
Title: Vascular Access Device (VAD) Maintenance Applies To: UNM Hospitals Responsible Department: Director, PICC/Conscious Sedation Revised: 11/2017 Procedure Patient Age Group: ( ) N/A (X) All Ages (
More informationButton, Button. Where s The Button?
Button, Button. Where s The Button? A Discussion of Gastrostomy Tubes Elizabeth Paton, RN, MSN, PNP, FAEN OBJECTIVES Discuss History of Gastrostomy Tubes in Pediatrics List Types of Gastrostomy Tubes Troubleshoot
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 informationPROCEDURAL SAFETY CHECKLIST
PROCEDURAL SAFETY CHECKLIST Before any medical or patient care procedure, review checklist together with the other members of the procedural team. This checklist can be used by any health professional
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 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 informationInformation for Patients
Having a Radiologically Inserted Gastrostomy (RIG) Information for Patients In this leaflet: Introduction.. 2 What is a RIG feeding tube?. 2 Why do I need a RIG?. 2 Are there any risks?.2 Are there any
More informationDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES Medication Administration Observation
: Make random medication observations of several staff over different shifts and units, multiple routes of administration -- oral, enteral, intravenous (IV), intramuscular (IM), subcutaneous (SQ), topical,
More informationSURVEY ON THE PRODUCTION AND PREPARATION OF CYTOSTATIC DRUGS
Please fax the complete questionnaire to: +49 (40) 79 14 36 01 SURVEY ON THE PRODUCTION AND PREPARATION OF CYTOSTATIC DRUGS Date: 1. Identification of your institution Institution: No. of departments:
More informationSARASOTA MEMORIAL HOSPITAL
SARASOTA MEMORIAL HOSPITAL TITLE: ISSUED FOR: NURSING PROCEDURE Nursing DATE: REVIEWED: PAGES: RESPONSIBILITY: RN, LPN I, LPN II Per Job Description 03/93 2/18 1 of 6 PURPOSE: KNOWLEDGE BASE: To provide
More informationVenepuncture, obtaining blood cultures and managing blood samples
Venepuncture, obtaining blood cultures and managing blood samples Aims To ensure that students are able to demonstrate the safe and correct technique for venepuncture, obtaining blood cultures and managing
More informationSARASOTA MEMORIAL HEALTH CARE SYSTEM CORPORATE POLICY
PS1006 SARASOTA MEMORIAL HEALTH CARE SYSTEM CORPORATE POLICY TITLE: INFECTION PREVENTION FOR INTRAVASCULAR Job Title of Responsible Owner: Executive Director, Quality POLICY #: EFFECTIVE DATE: REVIEWED/REVISED
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 informationDESCRIPTION/OVERVIEW This document standardizes the transfusion of packed red blood cells and/or other blood components.
Applies To: UNM Hospitals & UNMCC Responsible Department: Blood Bank Revised: 5/2017 Procedure Patient Age Group: ( ) N/A (X) All Ages ( ) Newborns ( ) Pediatric ( ) Adult DESCRIPTION/OVERVIEW This document
More informationBlood Culture Policy
Policy No: IC27 Version: 5.0 Name of Policy: Blood Culture Policy Effective From: 21/09/2015 Date Ratified 15/09/2015 Ratified Infection Prevention and Control Committee Review Date 01/09/2017 Sponsor
More informationNOTE: Massive Transfusion Protocol (MTP) go to Appendix 17 and 17a for nursing guidelines and algorithm.
NURSING PROCEDURE TITLE: BLOOD PRODUCTS ADMINISTRATION Crossmatched & Uncrossmatched Products: Packed red blood cells, platelets, plasma, cryoprecipitate (homologous, autologous & directed donor) A. Prior
More informationADMINISTRATION OF BLOOD PRODUCTS (RED CELLS, PLATELETS, PLASMA, & CRYOPRECIPITATE) NICU SYRINGE METHOD
PURPOSE ADMINISTRATION OF BLOOD PRODUCTS To provide guidelines for the administration of blood products (red blood cells, platelets, plasma and cryoprecipitate) via syringe delivery in NICU SITE APPLICABILITY
More informationSt. Vincent s Health System Page 1 of 8. Nursing Administration HOSPITAL SHARED POLICY?
St. Vincent s Health System Page 1 of 8 TITLE: Rapid Response Team FACILITY: St. Vincent s East FUNCTION: ORIGINATING DEPT: Nursing Administration HOSPITAL SHARED POLICY? EFFECTIVE DATE: _X_ Yes No DOCUMENT
More informationWyoming State Board of Nursing
Wyoming State Board of Nursing CNAII Training and Competency Evaluation Course Curriculum OVERALL OBJECTIVE: For the Wyoming State Board of Nursing to establish curriculum standards for Level II Certified
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 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 information1. Nurses may remove non-tunneled catheters upon the order of a physician. Physicians remove tunneled catheters.
Removal of Non-Tunneled Central Venous Catheter (CVC) (Approved Aug 15, 2011/Rev Dec 16, 2011/Rev Jun 13, 2012) Vascular Access Guideline Table of Contents This procedure is posted on the BC Provincial
More informationSkills/Experience Checklist Hospice Registered Nurse (RN)
This form is a self-assessment of your current skills and abilities. This form is also used to document skill demonstration EMPLOYEE PROFILE Last Name First Name Middle Initial Employee Number Direct Supervisor
More informationTo provide a guide for the monitoring of patients and the transport of monitored patients within CHN facilities.
PATIENT CARE SERVICES POLICY & PROCEDURE Title: Section: Provision of Care, Treatment and Services Dept. of Origin: Patient Care Services Effective Date: 8/2000 / Revision Dates: 6/25/12 CNO Signatures:
More informationEuroELSO GUIDELINES FOR TRAINING & CONTINUING EDUCATION OF ECMO PHYSICIANS
EuroELSO GUIDELINES FOR TRAINING & CONTINUING EDUCATION OF ECMO PHYSICIANS PURPOSE The "EuroELSO Guidelines for Training & Continuing Education of ECMO Physicians" is a document developed by the Extracorporeal
More informationImmunizations Criminal Background check Infection Control HIPPA Health Insurance Portability and Accountability Act
Reedsburg Area Senior Life Center Welcome to Reedsburg Area Senior Life Center for your clinical! We hope you will have a positive and rewarding learning experience. If you have any questions during your
More informationCleaning a Wound and Applying a Dry, Sterile Dressing
144 Skill Checklists for Taylor's Clinical Nursing Skills: A Nursing Process Approach, 3rd edition Name Unit Instructor/Evaluator: Date SKILL 8-1 Cleaning a Wound and Applying a Dry, Sterile Dressing Goal:
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 informationFetal Scalp Blood Sampling (FSBS) (NUSURGIX NataWand FSBS & Accessory Kit with NataLux Amnioscope)
Edmonton Acute Fetal Scalp Blood Sampling (FSBS) (NUSURGIX NataWand FSBS & Accessory Kit with NataLux Amnioscope) Women s Health Manual Respiratory Therapy Current Best Practice Guidelines Original Date
More informationNHSGGC CME T34 SYRINGE PUMP COMPETENCY FRAMEWORK for PALLIATIVE CARE in ADULTS PRIMARY CARE
NHSGGC CME T34 SYRINGE PUMP COMPETENCY FRAMEWORK for PALLIATIVE CARE in ADULTS PRIMARY CARE In compliance with professional guidelines, NMC: The Code: standards of conduct, performance and ethics for nurses
More informationPatient Safety and Quality Measures for CRRT: The UAB Experience. Ashita Tolwani, M.D. University of Alabama at Birmingham CRRT 2012
Patient Safety and Quality Measures for CRRT: The UAB Experience Ashita Tolwani, M.D. University of Alabama at Birmingham CRRT 2012 Quality Healthcare Quality is the extent to which health services for
More informationPolicies & Procedures
Policies & Procedures Title: ENTERAL FEEDING TUBE WITH A STYLET: ASSISTING WITH INSERTION OF: CARE OF, REMOVAL OF Authorization [X] SHR Nursing Practice Committee ID Number: 1109 Source: Nursing Date Reaffirmed:
More informationCENTRAL VENOUS ACCESS DEVICE POLICY
CENTRAL VENOUS ACCESS DEVICE POLICY Version: 1 Date of Issue: April 2018 Review Date: April 2021 Applies to: All clinical staff who care for patients with Central Venous Access Devices (CVADs) as part
More information