How to use an IV pump... intro!!

EmpoweRN
5 Jan 201406:54
EducationalLearning
32 Likes 10 Comments

TLDRThe video script offers a step-by-step guide on setting up and operating an IV pump for a basic infusion to treat dehydration. It covers the preparation of the IV tubing, priming the chamber, attaching the bag of normal saline, and programming the pump with the correct settings. The script also emphasizes the importance of maintaining sterility, proper documentation, and the timing for changing IV tubing and fluid bags in accordance with healthcare facility guidelines.

Takeaways
  • 📋 The video provides a tutorial on setting up an IV pump for a basic infusion of normal saline to treat dehydration.
  • 💧 Normal saline is ordered at a rate of 100 mL per hour for the demonstration.
  • 🏥 The procedure is set in a medical environment, presumably a med-surge floor of a hospital.
  • 🔌 IV tubing comes packaged with an empty chamber and a clamp to control fluid flow.
  • 💉 The IV tubing must be primed with fluid, ensuring no air bubbles are present before use.
  • 🖱️ The IV pump has a user interface that guides through patient information and infusion settings.
  • 📋 The pump screen prompts for patient ID and selects the type of infusion, such as IV fluids or basic infusion.
  • 🏥 The nurse must select the appropriate channel (Channel A or B) and set the infusion rate according to the doctor's order.
  • 📌 The bag of normal saline should be labeled with the date, time, and initials upon starting the infusion.
  • ⏰ The IV tubing should be changed every 72 hours, and the fluid bag should be replaced every 24 hours.
  • 🚫 Nurses typically do not add drugs to the IV fluid for a basic normal saline infusion.
Q & A

  • What is the primary purpose of the IV pump demonstration in the video?

    -The primary purpose of the IV pump demonstration is to educate viewers on the process of setting up and operating an IV pump for a basic infusion treatment, specifically for a patient admitted with dehydration.

  • What is the medical condition that the patient in the demonstration is dealing with?

    -The patient in the demonstration is dealing with dehydration, and the IV infusion is intended to treat this condition.

  • What is the rate at which the doctor orders the normal saline solution to be administered?

    -The doctor orders the normal saline solution to be administered at a rate of 100 mL per hour.

  • How is the IV tubing prepared for use?

    -The IV tubing is prepared by first ensuring it is pointing upwards to prevent fluid from entering the tip, then priming the chamber and tubing by squeezing and pushing the fluid through while opening the clamp to remove any air bubbles.

  • What type of pump is being used in the demonstration?

    -An AIS (Ambulatory Infusion System) pump is being used in the demonstration.

  • How does the pump determine the type of infusion being administered?

    -The pump determines the type of infusion being administered through a series of prompts and selections made by the operator, including choosing the type of fluid (e.g., IV fluids, drugs, basic fusion) and specific settings based on the patient's needs.

  • What is the significance of the 'Channel A' and 'Channel B' options on the pump?

    -The 'Channel A' and 'Channel B' options on the pump allow for the administration of two different types of infusions simultaneously, providing flexibility in treatment options.

  • How often should the IV tubing be changed according to the video?

    -According to the video, the IV tubing should be changed every 72 hours.

  • What is the maximum duration the bag of fluid can be in use?

    -The bag of fluid can be in use for up to 24 hours before it needs to be changed.

  • How is the patient's IV site prepared for connection to the tubing?

    -The patient's IV site is prepared by cleaning the area with alcohol and ensuring that the IV is working properly before connecting the tubing.

  • What information should be recorded and labeled on the fluid bag and tubing?

    -The fluid bag and tubing should be labeled with the patient's information, the time and date the infusion was started, and a note indicating that no drugs have been added (unless applicable).

Outlines
00:00
💡 Setting Up the IV Pump and Infusion

This paragraph outlines the initial steps in setting up an IV pump for a patient with dehydration. The process begins with identifying the ordered medication, in this case, normal saline at 100 mL per hour. The script details the preparation of the IV bag, the priming of the IV tubing, and the connection to the pump. It also explains the pump's operation, including the selection of the correct channels and settings according to the patient's location and needs. The importance of maintaining sterility and the correct flow rate is emphasized, as well as the need to prime the tubing to remove air bubbles. The paragraph concludes with the insertion of the tubing into the pump and the initial setup of the infusion parameters.

05:01
🩺 Connecting the IV to the Patient and Documentation

The second paragraph focuses on the final steps of connecting the IV infusion to the patient and the necessary documentation. It begins with the preparation of the patient's site by cleaning with alcohol and ensuring the IV line is functioning properly. The script then describes the connection of the tubing to the patient and the observation of the infusion to ensure correct flow. Following the setup, the paragraph explains the documentation process, including noting the start time, date, and initials on the IV setup label. It also covers the labeling of the IV bag with the time and date it was hung and the requirement to change the tubing and bag every 72 hours or as per facility policy. The paragraph ends with a reminder to label any added drugs and a conclusion that emphasizes the importance of cleanliness and proper change of IV equipment.

Mindmap
Keywords
💡IV pump
An IV pump is a medical device used to control the infusion rate of fluids and medications directly into a patient's vein. In the video, the IV pump is essential for administering normal saline to a patient admitted with dehydration. The script describes the process of setting up the pump, including attaching the IV tubing and programming the correct infusion rate as ordered by the doctor.
💡Normal saline
Normal saline is a solution containing 0.9% sodium chloride, which is isotonic to human blood. It is commonly used in medical settings to treat dehydration or as a fluid replacement during medical procedures. In the video, the nurse explains that the doctor has ordered normal saline at a rate of 100 mL per hour for a patient.
💡Dehydration
Dehydration occurs when the body loses more fluids than it takes in, leading to an imbalance in the body's electrolytes. It can cause symptoms such as dizziness, dry mouth, and fatigue. In the context of the video, the patient is admitted with dehydration, and the nurse is demonstrating how to set up an IV pump to administer normal saline to address this condition.
💡IV tubing
IV tubing is a flexible tube that connects a bag of intravenous fluid to the patient's vein. It is used to deliver fluids, medications, or nutrients directly into the bloodstream. In the video, the nurse explains how to prepare and connect the IV tubing to the pump and the patient, ensuring it is primed with fluid and free of air bubbles.
💡Priming
Priming refers to the process of filling a medical device, such as IV tubing, with fluid to prepare it for use. This is done to remove air bubbles and ensure a smooth and uninterrupted flow of the infusion. In the video, the nurse demonstrates how to prime the IV tubing by squeezing the chamber and opening the clamp to allow the fluid to flow through the tubing.
💡Infusion rate
The infusion rate is the speed at which fluids or medications are administered to a patient through an IV. It is typically measured in milliliters per hour (mL/h) and is determined by the doctor's order based on the patient's needs. In the video, the nurse sets the infusion rate to 100 mL/h as per the doctor's order for a patient with dehydration.
💡Sterile technique
Sterile technique involves procedures and practices aimed at preventing infection by maintaining an environment free from microorganisms. In the context of the video, the nurse emphasizes the importance of keeping the IV tubing tip sterile before priming and connecting it to the patient. This is achieved by handling the tubing with clean hands and ensuring no contamination occurs during setup.
💡Patient ID
Patient ID refers to a unique identifier assigned to each patient for the purpose of medical record keeping and tracking medical treatments. In the video, the nurse inputs the patient ID into the IV pump to ensure the correct patient receives the ordered treatment. This is a crucial step in maintaining patient safety and accurate record-keeping.
💡Med Surge
Med Surge, short for Medical Surgical unit, is a hospital unit that provides care for patients with a variety of medical and surgical conditions. In the video, the nurse selects 'Med Surge' as the area of work when setting up the IV pump, indicating that the patient is in a general medical-surgical ward rather than a specialized unit like the ICU or pediatrics.
💡Channel selection
Channel selection on an IV pump refers to the specific channel or port through which the infusion is administered. The video mentions selecting Channel A for the basic infusion setup. This allows the nurse to manage multiple infusions simultaneously by assigning each one to a different channel on the pump.
💡Infusion label
An infusion label is a tag attached to the IV bag or tubing that contains important information about the infusion, such as the type of fluid, the start time, and the healthcare provider's initials. This label helps track the infusion's duration and ensures proper timing for replacement or discontinuation. In the video, the nurse emphasizes the importance of labeling the infusion with the start date, time, and initials, as well as the fluid type and duration before attaching it to the IV bag.
Highlights

Introduction to IV pump operation and setup.

Explanation of normal saline infusion for dehydration.

Demonstration of unwrapping and preparing the IV bag.

Details on preparing and priming the IV tubing.

Importance of keeping the IV tip sterile during priming.

Procedure for hanging the IV bag and tubing setup.

Priming the IV chamber and tubing to remove air bubbles.

Inserting the tubing into the AIS pump and starting the infusion.

Navigating the pump's interface for new patient setup.

Selection of appropriate channels and infusion types on the pump.

Setting the correct infusion rate as ordered by the doctor.

Ensuring the IV tubing does not run dry to avoid repriming.

Connecting the IV tubing to the patient with proper hygiene and checks.

Documentation of infusion start time, date, and initials.

Guidelines for changing IV tubing and bags in healthcare facilities.

Labeling the IV bags with patient information and hang time.

Conclusion and encouragement for further educational content.

Transcripts

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IV TherapyDehydration TreatmentMedical EquipmentNursing SkillsHealthcare TutorialPatient CareFluid InfusionMed SurgeHealthcare Training