How to Prepare and Prime a TPN Tubing | NICU-SJMC

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Neonatal Intensive Care Unit (NICU)
Dignity Health
St. Joseph's Medical Center.
1800 N California St
Stockton, CA 95204
[e-mail]
Department Manager: Sharyl Stanton, RN MSN
Producer, editor, videographer: Sangaroon Kast, RN
Presenters: Tami Majia, RN

[@madison8568]

I find it super interesting how every hospital does things different in regards to TPN preparation. I know the hospital who started me on TPN which I have now been on for nearly 4 months, have separate lipid and TPN bags and they piggy back the lipids into the TPN tubing which has filters for both sides and an extension (so the tubing is super long compared to normal IV fluids). They change the lipid tubing every day and the TPN tubing every 3 days. They do it like they would do any other IV fluids and do in the same manner but not in a designated sterile field. When I had my line infection and had peripheral TPN through IVs (I am completely dependant on it for nutrition and me going a week without nutrition is not an option; the first day I was there I missed the TPN cut off so they put me on D10 with additives for the night because I have blood sugar problems), I had to be super careful with my IVs. I am a horrible stick anyways because of my genetic condition and how many IVS I have had, but because my anti-fungal and TPN can't mix and my blood sugar problems (I am talking 40 if TPN gets stopped abruptly) I had to have two IVS at all times in order to be safe. I was seeing IV therapy 2-3 times a day I was going through IVS so fast.

[@melissahall7009]

Please more videos!! Many new NICU nurses will benefit!! :)

[@reneedrafts1356]

Love this, thanks!

[@MohammedIbrahim-uc2nf]

Thank you very much for the video with kindness and respect for excellent explaining

[@nursechrissymarie2865]

You guys did a great job! Thank you :)-Christine

[@nicusjmc5776]

+Nurse Chrissy Marie
Thank you :)

[@nicusjmc5776]

+Nurse Chrissy Marie
Thank you :)

[@saraq6233]

Please more procedures it’s very helpful thank you so much 💗

[@tiffanytrail1116]

Thank you! ❤

[@eurekina]

Amazing job! So helpful! I am preparing m y interview for NICU at the moment, any advice? Thanks a lot!

[@Deann7372]

Just do your best and always put your best foot forward. Remember, in NICU patients doesn’t talk, so you’re the best advocate for this little cute babies.

[@user-wm3fn4eu7k]

can you do a video on calculating rates and drips of medication in the NICU?

[@Deann7372]

By this time you must be very good at what you do as a nurse. But we will definitely put that request in mind. Thank you for viewing, congratulations and God bless.

[@jacquelinejoseph1905]

Thanks

[@ANonyMouse627]

4:42 Now when you flush the saline through the trifurcate, should the yellow and white lines be clamped so saline doesn't get in them?

[@farrellroberson9100]

Can y’all make more videos

[@mikelibbey2271]

Wonder why she didn't talk with the close up view?

[@angeladisabatino6354]

Placed the NSS syringe on the clean surface without capping it and used it to flush the catheter twice. Needs to be capped. Otherwise, great.