Turbulent stop-start flush ensures full flushing of the catheter. If resistance is felt, do not force flush. Flush the saline lock. Remove syringe from positive pressure cap; THEN clamp the extension tubing.
Always clamp after removing syringe from the positive pressure cap. Positive displacement occurs when the syringe is disconnected from the positive pressure cap. Close clamp on saline lock Clamp the extension tubing as close to the IV site as possible to prevent negative fluid displacement and accidental aspiration of blood at the catheter tip.
Wipe top of pressure cap. Ensure dressing is dry and intact, and the extension tubing is properly secured with tape. Properly secured extension tubing prevents accidental dislodgement of SL.
Dry and intact dressing. Remove gloves; discard supplies and perform hand hygiene. Proper disposal of equipment prevents the spread of microorganisms. Data source: Perry et al. Safety considerations: If at any time you think a piece of equipment has been contaminated, dispose of it immediately and obtain a new sterile piece. Always follow the safety seven rights x 3 for IV fluids and medications.
Educate the patient on signs and symptoms of phlebitis and when to call for assistance unexpected or adverse reactions. IV solutions must be recorded on the in-and-out sheet or patient chart. Patients on continuous IV solutions are at risk for fluid overload, especially patients with renal or cardiac conditions. Monitor output and input when patients are on a continuous infusion. Verify physician orders and collect supplies. You will need clean gloves, 3 to 5 ml prefilled 0.
Verify the rate and duration of solution. Prime IV tubing. Enter room and identify patient using two identifiers.
Identifying patient correctly prevents errors and enhances safe practices. Explain procedure, clean work surface and let dry, and perform hand hygiene. Educate patient about why IV fluids are being initiated.
Hand hygiene prevents the spread of microorganisms. Apply gloves, scrub the top of the positive pressure cap for 15 seconds, and let dry for 30 seconds. Appropriately disinfecting the positive pressure cap decreases the bacterial count and adheres to the principles of infection control. Clean positive pressure cap Max Plus with alcohol swab.
Open clamp on extension tubing and assess IV site. Open clamp on saline lock Clamp must be released to flush the extension tubing. Push up gently on plunger until a click is heard To purge air, remove the sterile dead-ender and push up gently on the plunger until all air is removed.
Attach NS prefilled Luer lock syringe by twisting the syringe to the positive pressure cap. Flush with normal saline. Proper disposal of equipment decreases the spread of microorganisms. Without breaking sterile technique, remove the cap on the distal end of the IV tubing. This ensures that the catheter is still clear and available to use again if more medications or fluids are needed later on.
Next, your healthcare provider cleans the IV port or hub, connects an IV saline flush syringe to the port, injects the flush solution into the IV line, and then starts the medication drip if indicated. Before beginning another medication in the line, your provider will flush the line again.
Flushes are usually scheduled once every eight hours, and before and after administering medication through your IV line. Close the catheter clamp just before the syringe becomes empty. This stops blood from flowing back into the catheter.
Some catheters may not need clamps. Fill a syringe—if you are not using a prefilled syringe First clean your hands with soap and running warm water. Step 2. Remove air from the syringe Hold the syringe with the needle or needle-free device pointing up.
Step 3. Wipe the port Wipe the port with an alcohol pad. This reduces the risk of germs entering the IV line. Step 4. Inject saline or heparin Open the catheter clamp.
Flush the catheter. Push the plunger in slowly and smoothly. Do not force it. Step 5. Finish flushing Close the catheter clamp just before the syringe becomes empty. Remove the needle or needle-free device and syringe from the injection port.
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