IV Medications & Pumps
If not shown in the MAR, I can determine the rate to infuse a mini bag here
What is the parenteral manual?
What is blood tubing?
2 attempts only
Where do you obtain a urine culture from a catheter?
Sample port
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.
Yes, the lumens exit the catheter at different points along its length
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?
PCA tubing shall be changed this often
What is every 72hours with site change or when infusion bag has expired (see bag label)?
What rate do we start blood products at ?
What does IVAD stand for?
Implanted venous access device. Ex: Port-a-cath
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
Troubleshooting for a blocked CVAD (4 examples)
Move arm
Have patient turn head
Have patient cough
Change blue hub
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
Can a patient's family member press the bolus button on CADD pump?
What to do if you cannot find a medication in mednet library?
Select "no drug selected"
Email pumps@rvh.on.ca
What are the two forms of acceptable blood product consent?
Signed paper consent form
Documented consent in MRP report on e-chart
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.
This is how often a Foley must be exchanged
What is every 30 days?
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.