DAILY MAINTENANCE
How often does a saline lock need to be flushed?
Every 12 Hours or Once a Shift
How many attempts can one practioner have?
2
We should always assess the site Q4H
False! Depending what kind of medication is infusing, we may need to assess the site Q1-2H
_______ is the unintended administration of medication or solutions into the tissues surrounding a vessel.
Infiltration
How often does an IV site need to be assessed?
Every 4 Hours
What should be included on the dressing?
Date, Time & Initials
If not using a Curos green disinfectant cap, you should use vigorous mechanical scrubbing for a minimum of 15 seconds with 70% isopropyl alcohol.
True
Signs and symptoms of a ____ ______ include redness, swelling, increased white blood cell count, elevated temperature and purulent drainage from the site
Site Infection
How often should standard IV tubing be changed?
All IV tubing will be labeled with the date and initials when the tubing is initially hung and changed at 96 hours. Change alcohol impregnated caps and connectors with tubing.
Oh No! The dressing is falling off! I'll just apply some tape over the site. Explain why we don't use tape and what we are looking for at the site?
We do not use tape because then we cannot see the site of insertion. We are looking for Infection, Phlebitis and Infiltration
After a blood transfusion the blue cap at the end of the saline lock should be changed?
True
______ of the vessel wall can be caused by chemical, mechanical or bacterial irritation
Phlebitis
Routine flushing is done with how many mLs?
Vented tubing is used for....
Glass bottle medications
Connectors should be changed each time TPN is taken down
False! These can be changed every 96 hours
_________ refers to the leaking of vesicant drugs into the tissue surrounding a vascular access device.
Extravasation