People with soft tones teach the best. She seems like a calm woman and thats whats needed in the nursing field. Not aggressive woman and woman with a smart mouth.
Nobody prepares you for the, "But I can't take all of these at once," or "I can't take these on an empty stomach," or the "I don't take any of that at home..." or when you're patient's away from the unit for 3 or 4 hours doing a stress test. But the most surprising thing that nobody warns you about is when EVERY SINGLE PATIENT tries to dump the pills in the cup into their hand instead of straight into their mouth, and the pills spill everywhere. After 16 years, this one still gets me. Good luck future nurses!
For God so loved the world, that he gave his only begotten Son, that whosoever believeth in him should not perish, but have everlasting life. John 3:16 KJV, Jesus Christ is the only way.............
This is a clean procedure. The gloves (clean not sterile) are to protect the nurse. As long as your hands are clean- you can do your set up without gloves first. Then before you do the stick and have potential contact with blood- you put your gloves on.
@@thisgustin 1) lock off the secondary line 2) connect the secondary lines port to the first port on the primary line, open the primary line 3) lower the secondary bag to be lower than the primary bag, open the secondary line, and watch the NS from the primary bag fill secondary lines chamber until 1/3 or half.
@@maryhannah9685 lol oh shoot, right on point Mary. I just came back from class today to see your message. We were able to learn about that back priming. Thanks so much.
Back priming is not acceptable practice and isn't allowed in nursing school. This has the potential to dilute the med, which then becomes a med error because u changed the dilution. It's easy to back prime, but not allowed.
All clamps should be open, except the regulator on the primary that controls the flow. If you're hooking your secondary med into a pump line, all clamps should be open to prevent stress on the pump. The secondary clamp should be wide open, because the rate of the secondary infusion is always going to be governed by the primary line it's flowing into. If the primary line is on a pump, the flow will be controlled by the pump. If the secondary medication is hooked into a gravity line, you'll use the primary rolling clamp below the port to regulate the flow of both. It's always important to hang piggybacks on the highest y-site (port closest to the primary bag) so that The drug travels through the pump or roller clamp and gets regulated. Hooking the secondary to a port below the clamp/pump, as in a port closer to the patient, the secondary drug would run full force and bypass any regulation, leading to an overdose. The highest port on the primary tubing is always used for piggybacks, and the lower ports are used for syringe-pushed meds. The only times when clamps should be closed are when pausing or disconnecting an infusion, or if the patient's catheter has lumens that aren't being used. All the clamps in a running system to a single-lumen catheter should remain open unless the infusion is paused. Hope this helps.
@@ianshelton6662 Hi! I'm a new grad lpn and I've never done an IVPB via gravity. I had a patient the other day who wanted a prn morphine IV and I remember being so scared it will run too fast. The ER nurses helped me set it up and I swear they just eyeballed it. My question is what do I do with the roller clamps? I have 2 roller clamps (the secondary which is above the Y port and the primary which is below the y port ). Do I open the secondary and then regulate the flow through the primary roller clamp? or Do I regulate both roller clamp at the same rate (eg. 30drops/min on both) ?
@@jennadeleon4017 The first one was correct. You would leave the secondary clamp all the way open and then regulate below the y-site with the primary clamp. Although most protocols prefer IVPB on a pump. Does your hospital not have pumps at all?? To answer your question, you would leave the secondary open and regulate with the primary
@@ianshelton6662 Thanks Ian! We do have pumps but in ED they were short of pumps that night I guess. I remember looking for a pump in different parts of ED and I asked a nurse and she told me "Dont take any pump here". Man they were rude! It makes me wanna quit nursing.
Great
Just took my nursing assessment skill test on this. Supper helpful 🙏🏾🙏🏾
wow! This is wonderful, thank you very much!!!
your ring is truly beautiful.
So the primary doesn’t start until the primary is finished ?
I am checking off on infusion therapy this semester, and after watching this video I feel 1000% more confident!Thank you so much for sharing 🙏🏾
Thank for this leosen becouse for any health person important and l am clearly understand this prosiuser
❤thank you It's hepfull❤
Weeefffffvvvggggggggvvvvvvvbbbbbb ujhhhuiiiiiiiiiiiiiuuhhhhhhhh
Thank you! This video is very valuable and easy to follow. The rationalization is amazing. Please create more videos.
🏀🏐🏀🏀🏀⚽⚽⚽⚽⚽⚽
Nice video very easy to understand
I don’t like how you demonstrated without a pump
IV piggyback @4:50
Hi there I have been trying John for the message about the cost for me
Do we need to aspirate before flushing down the line?
NO
nursing school makes me feel so stupid
Thank you - that was clear and easy to understand! As a student nurse I am quite daunted by Infusion therapy.
People with soft tones teach the best. She seems like a calm woman and thats whats needed in the nursing field. Not aggressive woman and woman with a smart mouth.
Exactly,and their line of thinking flows
Exactly
Manar smaer mom yuor see
Manar samer mom yuor see
Very good presentation...and thorough too!..Glad I watched.
Oh nice
Neither of these patients seem to be having a very good day.
Oh my
You explained well and easy to understand. Thank you
Nobody prepares you for the, "But I can't take all of these at once," or "I can't take these on an empty stomach," or the "I don't take any of that at home..." or when you're patient's away from the unit for 3 or 4 hours doing a stress test. But the most surprising thing that nobody warns you about is when EVERY SINGLE PATIENT tries to dump the pills in the cup into their hand instead of straight into their mouth, and the pills spill everywhere. After 16 years, this one still gets me. Good luck future nurses!
thank ☺
😅
For God so loved the world, that he gave his only begotten Son, that whosoever believeth in him should not perish, but have everlasting life. John 3:16 KJV, Jesus Christ is the only way.............
This video is excellent and thoroughly explained. I learned alot from it. Hope you'll posted more videos soon.
Thanks to your vodeo
This is so helpful! Thank you!!
Love this demo. More videos please Ms. Dowd!
this was great. I have this skills check off tomorrow.
Lots of good tips
Thank u natalie
I am not the dummy but, this looks very painful. Also, why the gloves are not the first part of the procedure?
This is a clean procedure. The gloves (clean not sterile) are to protect the nurse. As long as your hands are clean- you can do your set up without gloves first. Then before you do the stick and have potential contact with blood- you put your gloves on.
@@caprag.1991 tjfhngmncnnvnmn
Backprime... and you suppose to open the pb clamp??
That’s so straight to the point. Great 👍
tube falling is considered contaminated
Great example!
Check compatibility with fluid to medication too
not advisable to lose any medication, back prime from the primary into the secondary!
Can you describe how to do that
@@thisgustin 1) lock off the secondary line 2) connect the secondary lines port to the first port on the primary line, open the primary line 3) lower the secondary bag to be lower than the primary bag, open the secondary line, and watch the NS from the primary bag fill secondary lines chamber until 1/3 or half.
@@maryhannah9685 lol oh shoot, right on point Mary. I just came back from class today to see your message. We were able to learn about that back priming. Thanks so much.
@@thisgustin no problem!
Back priming is not acceptable practice and isn't allowed in nursing school. This has the potential to dilute the med, which then becomes a med error because u changed the dilution. It's easy to back prime, but not allowed.
Thank you so much! This is so helpful! When you are administering a secondary medication, which clamps should be open? Which should be closed?
All clamps should be open, except the regulator on the primary that controls the flow. If you're hooking your secondary med into a pump line, all clamps should be open to prevent stress on the pump. The secondary clamp should be wide open, because the rate of the secondary infusion is always going to be governed by the primary line it's flowing into. If the primary line is on a pump, the flow will be controlled by the pump. If the secondary medication is hooked into a gravity line, you'll use the primary rolling clamp below the port to regulate the flow of both. It's always important to hang piggybacks on the highest y-site (port closest to the primary bag) so that The drug travels through the pump or roller clamp and gets regulated. Hooking the secondary to a port below the clamp/pump, as in a port closer to the patient, the secondary drug would run full force and bypass any regulation, leading to an overdose. The highest port on the primary tubing is always used for piggybacks, and the lower ports are used for syringe-pushed meds. The only times when clamps should be closed are when pausing or disconnecting an infusion, or if the patient's catheter has lumens that aren't being used. All the clamps in a running system to a single-lumen catheter should remain open unless the infusion is paused. Hope this helps.
@@ianshelton6662 Hi! I'm a new grad lpn and I've never done an IVPB via gravity. I had a patient the other day who wanted a prn morphine IV and I remember being so scared it will run too fast. The ER nurses helped me set it up and I swear they just eyeballed it. My question is what do I do with the roller clamps? I have 2 roller clamps (the secondary which is above the Y port and the primary which is below the y port ). Do I open the secondary and then regulate the flow through the primary roller clamp? or Do I regulate both roller clamp at the same rate (eg. 30drops/min on both) ?
@@jennadeleon4017 The first one was correct. You would leave the secondary clamp all the way open and then regulate below the y-site with the primary clamp. Although most protocols prefer IVPB on a pump. Does your hospital not have pumps at all?? To answer your question, you would leave the secondary open and regulate with the primary
@@ianshelton6662 Thanks Ian! We do have pumps but in ED they were short of pumps that night I guess. I remember looking for a pump in different parts of ED and I asked a nurse and she told me "Dont take any pump here". Man they were rude! It makes me wanna quit nursing.
@@jennadeleon4017 I'm not a nurse, but an oral surgeon who uses IVs in the office on regular basis!
Really helpful 👍👍👍
Thank you, Natalie! That's a great video.
She is a good teller and I love her and she teacher me good
lol
Thank you! It's helpful.
Thanks
Great video! One question- when you place the tagaderm is it ok to keep the medical tape on under it? Is this a risk for irritation to the skin?
W11⁰
Thanks Ms Nathalie for this educational video it helps a lot .
Great tips thank you.