IVs and Pumps
2 attempts only
What is blood tubing?
This is measured every shift / PRN as part of your daily assessment for your patient with a PICC line
What is external catheter length?
This type of catheter needs to be in place to initiate a CBI
What is a three-way catheter?
This is the code for locking CADD pumps
What is 728?
HINT: remember the first 3 digits of the hospital phone number.
This is the code for locking the Smart Infusion Pumps.
What is .963?
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.
This type of CVAD requires special training and sign off to be able to access and de-access the device
What is Implanted Venous Access Device or Porta Cath?
Catheter care must be performed by a nurse, clinical extern or PCA at the minimum of this often
What is every 8 hours?
PCA tubing shall be changed this often
What is every 72hours with site change or when infusion bag has expired (see bag label)?
when a doctor orders a bolus of fluids, this is the rate of ml/hr you set on the pump unless otherwise specified in the order
What is 999 ml/hr ?
What rate do we start blood products at ?
Yes, the lumens exit the catheter at different points along its length
This can be done if your CBI is blocked and not infusing
What is manually irrigate (with an order obtained by the MRP)!
CADD pumps shall be cleared this often
For palliative patients, at end of shift and during TOA.
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?
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
CVADS are flushed with 20-30 ml of 0.9% sodium chloride using this method
What is the push pause method?
This is the frequency that indwelling foley catheters need to be changed
What is every 30 days?
Can a patient's family member press the bolus button on CADD pump?
Swelling, pitting edema, pallor, coolness and pain at the insertion site are signs of this common complication associated with IVs
What are the two forms of acceptable blood product consent?
Signed paper consent form
Documented consent in MRP report on e-chart
Troubleshooting for a blocked CVAD (4 examples)
Move arm
Have patient turn head
Have patient cough
Change blue hub
This is the colour of drainage that exemplifies that the CBI is flowing at the appropriate rate
What is pink or clear drainage
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.