Peripheral IV
Central Line
Nursing Interventions
Resources
What went wrong?
100
How long is an IV good for?
As long as its good.
If placed at CC, it can stay in as long as its working.
100
What does CVAD stand for?
central venous access device
100
How long do you scrub the hub, and with what?
15 seconds, with alcohol
100
Name 2 nursing personnel you can consult for assistance and guidance.
Preceptor
Charge RN
Educator
ANM/NM
100
What is wrong with the picture below?
dressing peeling up
dressing covering insertion site
dressing reinforced with tape
200
How many attempts does an RN get when inserting a peripheral IV?
2 per RN, total of 2 RNs before using additional resources
200
Where do central lines terminate?
superior vena cava
200
How often do we change the dressing for IV's and central lines?
Every 7 days
200
Where would you go to look for information regarding what IV gauge you need for specific tests?
VARN page
Today page
200
What complication of a peripheral IV is pictured below?
phlebitis
300
You admit a patient transported from an outside facility, how long can the IV remain in the patient?
for 24 hours
300
Name 3 types of central lines
PICC
Implanted Vascular Device
Dialysis Lines- tunneled and non tunneled
Non tunneled central lines
Tunneled Central lines
300
How long do you scub the skin and with what?
30 seconds with chlorhexidine
# motion
300
You have a difficult stick, what technology is available to assist in placement?
Ultrasound
Vein finder/ vein viewer
300
What is wrong with this photo?
loop of death
bacteria on the end now going into the tubing
use a curos cap
400
Name one factor to consider when determining IV gauge to use on your patient.
Fluids intermittent or continuous
Antibiotics
Electrolytes
Blood
400
What is the difference between a PICC and a midline?
Midlines are peripheral lines, not central lines. Midlines are essentially longer peripheral lines
You should not infuse vesicant medications for extended periods
400
Give 2 reasons why we would change a dressing before the 7 day mark.
no date on dressing
dressing peeled up
blood (greater than dime size)
400
Where can you find the infiltration or phlebitis scale?
Epic
400
What complication of a peripheral IV is pictured below?
extravasation
500
What area should we avoid at all costs when inserting an IV?
the wrist
500
Name one type of tunneled catheter?
Hickman
Broviac
Groshong
500
If tubing is disconnected, how long is it good for?
24 hours
500
What national organization does the Cleveland Clinic consult for our educational information?
Association for vascular access
INS
500
Name 2 incorrect aspects of this photo.
Hanger not fully extended
No curos caps
No stickers on tubing for date and time
No stickers on the bags for date and time