IV Medications & Pumps
Blood Transfusions
CVADs & IVs
Catheters & CBIs
CADD Pumps
100

If not shown in the MAR, I can determine the rate to infuse a mini bag here

What is the parenteral manual?

100
This type of tubing is used for packed red blood cells (PRBC)

What is blood tubing?

100
How many attempts can a single nurse make for IV insertion? 

2 attempts only 

100

Where do you obtain a urine culture from a catheter?

Sample port 

100

This is the code for locking CADD pumps

What is 728?

HINT: remember the first 3 digits of the hospital phone number.

200

This is the code for locking the Smart Infusion Pumps.

What is .963?

200

This is the recommended infusion time for packed red blood cells, according to the blood policy.

What is 120 minutes per unit (60-120 minutes per unit for hemodialysis)?

* Maximum four hours from time of issue.

200
Can you run incompatible medications through separate lumens on a double lumen PICC? 

Yes, the lumens exit the catheter at different points along its length

200

The rate of CBI can be adjusted/determined based on this.

What is the color and clarity of urine, as well as the presence of clots?

200

PCA tubing shall be changed this often

What is every 72hours with site change or when infusion bag has expired (see bag label)?

300
Peripheral IV sites should be changed at this interval
What is none? Assess site as needed. If long term use, advocate for PICC line
300

What rate do we start blood products at ? 

What is 50 cc/hour
300

What does IVAD stand for? 

Implanted venous access device. Ex: Port-a-cath

300

This can be done if your CBI is blocked and not infusing

What is manually irrigate (with an order obtained by the MRP)!

300

CADD pumps shall be cleared this often

For palliative patients, at end of shift and during TOA.

400

This is a infusion rate that CANNOT be overridden by nursing staff. It is a safety guard to ensure proper administration rate.

What is a HARD limit?

400

These are the required monitoring for vital signs required during a transfusion

What are:

1) Baseline vital signs prior to starting infusion

2) 15 minutes after initiation of the transfusion

3) 60 minutes after the start of the transfusion

4) Every hour until completed

5) At the end of the infusion

6) PRN with any change in patient's status

400

Troubleshooting for a blocked CVAD (4 examples) 

Move arm

Have patient turn head 

Have patient cough

Change blue hub 

400

For a 24hr urine collection, I can obtain the specimen container from here, and it must be stored this way.

Specimen container can be obtained from the laboratory, and it must be stored on ice during the collection

400

Can a patient's family member press the bolus button on CADD pump? 

Yes - if palliative patient does not have ability to press button and proper education provided to family. 
500

What to do if you cannot find a medication in mednet library? 

Select "no drug selected"

Email pumps@rvh.on.ca

500

What are the two forms of acceptable blood product consent?

Signed paper consent form

Documented consent in MRP report on e-chart

500

How often are we flushing CVADs and what is the process?

CVADs are flushed each shift upon assessment. 

Each lumen is flushed with 10-30ml NS, aspirate for blood return then use push pause method. 

500

This is how often a Foley must be exchanged

What is every 30 days?

500

Three things to educate patient on when initiating CADD pump 

They cannot overdose on machine

Understand pushing the button when pain elevated

Press the button when they have pain even if they will not receive a dose. 

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