PICC Perfect
This is the smallest syringe that should be used when manually flushing a PICC
What is 5 ml syringe
This is the maximum time a prepared formula can remain at room temp before it must be discarded
1 hour
High alert medications require this process before administration
Independent Double Check
This happens if the oxygen or air is not flowing properly and will only stop if the issue is resolved
What is a high pitched noise
A PICC line will not flush, what do you NOT do?
Do not force the flush
A PICC dressing has dried blood at the insertion site. According to the policy what should happen?
What is change the dressing
Name 5 components on the breastmilk label
Pt name, MRN, Date, Time, 2 RN verifiers
The 2nd RN independently verifies these essential medication elements before administration
Right:
patient, drug, dose, dose calculation, route of administration, time, indication, expiration date and infusion pump settings at the bedside prior to administration.
This is placed at the entrance to the room for a patient with ordered oxygen limits
What is an OWL card
The RN cannot verify milk preparation details. What happens next?
The milk should be discarded
2 additional products used to help secure PICC lines in our NICU (Not the actual dressing)
Netting
Velcro straps
Poseys
Once thawed how long is EBM good for?
What is 24 hours
What can be used to determine if an infant is remaining withing desired oxygen limits for a period of time
What is a Histogram
An infant is undergoing an ordered 6 hr fast, the glucose has dropped to 48,critical labs are ordered for BG less than 50. What is your 1st action?
Draw the critical labs and notify provider
This cannot be given via PICC line
Blood products unless it is...
Once fortified how long is the mixture good for?
What is 24 hours
What is ETT placement with another provider
These are included on the card taped to the ventilator?
What is ETT size, Depth (location and depth) suction depth, RCP safety check off
My IV is infiltrated, besides notifying MD what workflow will the bedside RN initiate
PIVIE workflow
An infant has a non central PICC. This is the maximum glucose concentration that can be ordered.
What is D 12.5%
This is the maximum amount of time a continuous feed can remain on the pump before needing to be changed
What is 4 hours
Neopuff settings/function, suction (ETT, oral, repogle) Oxygen settings (compare to ordered settings), vent settings,line placement verification, pump settings, incubator doors and brakes
This is why our preterm infants are at risk for ROP if hyperoxygenated
abnormal growth of weak, fragile retina vasculature
This technique is used to secure the ETT and to prevent accidental extubations?
What is upward pressure on ETT against palate