Thank you so much. I passed the check off but never been really comfortable using them in clinical and my instructor walked me through each time. Now I can learn on my own and be a pro by fall.
Even as a surgical PA, I appreciate the consistent hands-on floor care the nurses provide with all the medications, fluids, procedures & empathic/ADL services they provide so also value & appreciate these instructional videos that not only are valuable for better understanding what it takes for the nurses to provide the care they do but also provide the seemingly simple care myself when there may be no nursing care frequently encountered in forward military operational environments. Thanks for helping me learn additional skills to care for patients!
Feeling some confidence to work where the Alaris pump is used. Thankyou for the video. I learnt some. Will have to watch re-runs of the video and other videos to feel more comfortable.
Awesome video!!!!! I'm a new nurse, I start next Monday! I've watched quite a few of your videos they are a great refresher as well as insightful! Thank you for taking the time make produce content such as this. You're a life saver in more ways than one 🤗
I used to work in a facility that used the Baxter Sigma pump. I work with Alaris now in a different facility. I definitely prefer the Baxter by far for several reasons. One reason: as far as I can tell the Alaris pump cannot be reprogrammed without turning it off. Say, the first antibiotic is complete and the patient needs another, the pump has to be turned off then on again, select same patient, the care area, then find the second drug in the drug library, etc, etc. Do you know of a more efficient way?
if the 1st abx has completed and the primary is running again, as stated in the prior answer, you do not need to turn it off. Program as usual. However, I do find the need to turn off when I'm running a tko primary NS waiting to hang blood. When I have the blood, I can't find a way to program it w/out turning off the NS and restarting to program the blood. Am I missing something?
This is probably a dumb question but I am curious about why you programmed the pump at 200mL instead of the actual volume of the solution (250mL)? Why not just program the pump to the volume of 250mL? What is the rational for "leaving room?"
Great question! The bag has 250 ml before I prime an IV line. Many lines will take up to 20 or 30 ml to prime, reducing the volume in the bag. If I use 200 ml, then when the pump alarms, it is 1) not empty and this means no air in the line and 2) it gives me time to get another bag as I can program a few more minutes of infusion
@@NurseMinder Ahhh I see! That clears things up as I was always unsure of why this was done. I appreciate you getting back to me so quickly! I'm starting my final term of nursing school next week (preceptorship) and your videos have been very helpful for review and as prep :). Thankyou!
Please note that the tubing is not loaded correctly. The filament on the top of the module needs to fit in the groove. If not, the pump may not administer the IV fluid or medication correctly. Alaris provided education around the country about this important issue in loading the tubing. Thank you!
Are you referring to the second pump - the one that had a line in it at the beginning of the video? I did not check it at the start of the video as I was focused on pump a
That is a great question! For small amounts of added fluid, we typically don’t add it to the vtbi. If you are adding a larger volume the you would. Of course we have to consider the size of the bag. 10 ml added to a 50 ml bag is different thana 1000 ml bag. Depending on your agency policy, you may find both will be accepted
It has been a while since I worked with it - for sure it will show volume remaining, maybe someone watching can confirm if you can switch to time v volume
If you put more than total volume the bag empties and air is in the line. I can see the rationale. If using a secondary bag multiple times, you back prime anyways to remove the air from the line. The amount of volume in the line is usually 10 to 15 ml so I would not program for more. If its a med infusion, a primary line should flush the remaining med in anyways
No. The medication should be followed by another solution like normal saline or ringers lacate to ensure all the medication is infused. That being said, practice can vary depending on where you work and the policies in your agency
It is a great question. the bag is 250 ml when full (before priming the line) Priming the line could use 15-20 ml, leaving the bag will around 235 ml If you enter 250, the line will run dry and will need to be changed If you enter 200 ml, the pump will beep and there should be a little left in the bag Three benefits 1. The IV line will remain primed and ready for another bag 2. The remaining volume (20 ml) can be programmed in and the patient continues to receive fluids while you have time to collect a new bag 3. Saves you time and stress
Thank you so much. I passed the check off but never been really comfortable using them in clinical and my instructor walked me through each time. Now I can learn on my own and be a pro by fall.
You are welcome. Being familiar with the pump is half the battle:)
Even as a surgical PA, I appreciate the consistent hands-on floor care the nurses provide with all the medications, fluids, procedures & empathic/ADL services they provide so also value & appreciate these instructional videos that not only are valuable for better understanding what it takes for the nurses to provide the care they do but also provide the seemingly simple care myself when there may be no nursing care frequently encountered in forward military operational environments. Thanks for helping me learn additional skills to care for patients!
Ah! Thanks for taking the time to share. I used to be in the military and that is a whole new level of care! Thanks for serving ❤️
I love that: Make it a great day. Excellent video, I needed help learning how to operate it!!! (RN Student of 2019)
woo hoo! Happy to help, by now you are probably a pro and wondering what was so scary about using the pump!
Ty so much! I'm a bew grad and never used this pump, live all your videos!
Yeah!!!! Happy to hear that
You are really helping me so much. Thank you for these videos. I am a paramedic to RN online student and a visual learner. You are saving my bacon!
Awesome!!!! Happy to hear this
Feeling some confidence to work where the Alaris pump is used. Thankyou for the video. I learnt some. Will have to watch re-runs of the video and other videos to feel more comfortable.
Excellent!!
Awesome video!!!!! I'm a new nurse, I start next Monday! I've watched quite a few of your videos they are a great refresher as well as insightful! Thank you for taking the time make produce content such as this. You're a life saver in more ways than one 🤗
Ah! Thank you so much. It inspires me to keep doing what I do
Thank you so much. I work with a differenr pump at my hospital. Ty for the refrsher. Havent seen these since nursing school
Glad that i had experienced using the Alaris pump way back in Saudi Arabia. Great video, great Educator 👩🏫
Why were you in the Middle East?
Excellent Lesson!
Happy it helped
Thank you so much for sharing the video
You’re welcome
you're a blessing
You are welcome
Wonderful thank youuuu please show me how yo add volume in the same medication just to adjust the valume
I would if I had access to a machine. I no longer work as a bedside nurse -
Do you have a video on how to set up the primary and secondary using a Rover
I do not :(. I hope you found something
I used to work in a facility that used the Baxter Sigma pump. I work with Alaris now in a different facility. I definitely prefer the Baxter by far for several reasons. One reason: as far as I can tell the Alaris pump cannot be reprogrammed without turning it off. Say, the first antibiotic is complete and the patient needs another, the pump has to be turned off then on again, select same patient, the care area, then find the second drug in the drug library, etc, etc. Do you know of a more efficient way?
I started with the Baxter pump too :). Oh the pump never needs to be turned off to program another med, just hit secondary line and program away
if the 1st abx has completed and the primary is running again, as stated in the prior answer, you do not need to turn it off. Program as usual. However, I do find the need to turn off when I'm running a tko primary NS waiting to hang blood. When I have the blood, I can't find a way to program it w/out turning off the NS and restarting to program the blood. Am I missing something?
This is probably a dumb question but I am curious about why you programmed the pump at 200mL instead of the actual volume of the solution (250mL)? Why not just program the pump to the volume of 250mL? What is the rational for "leaving room?"
Great question! The bag has 250 ml before I prime an IV line. Many lines will take up to 20 or 30 ml to prime, reducing the volume in the bag. If I use 200 ml, then when the pump alarms, it is 1) not empty and this means no air in the line and 2) it gives me time to get another bag as I can program a few more minutes of infusion
@@NurseMinder Ahhh I see! That clears things up as I was always unsure of why this was done. I appreciate you getting back to me so quickly! I'm starting my final term of nursing school next week (preceptorship) and your videos have been very helpful for review and as prep :). Thankyou!
Awesome! Enjoy your preceptorship
Please note that the tubing is not loaded correctly. The filament on the top of the module needs to fit in the groove. If not, the pump may not administer the IV fluid or medication correctly. Alaris provided education around the country about this important issue in loading the tubing. Thank you!
Are you referring to the second pump - the one that had a line in it at the beginning of the video? I did not check it at the start of the video as I was focused on pump a
that air bubble magic trick is something. as i understand, you get rid of air bubble with video edit function.
Video edit ? Nope. Legit.
Thank you! Very helpful.
Thank you for watching and taking the time to share your feedback
This was helpful, thank you!
thank you
Do you have a video for how to clear the pump? Thanks
I do not - would be a great idea to do one but I no longer work bedside
If you do learn and want to film it and share it here - we can add it to the video list
so helpful. Thank you.
you are welcome
Thank you Tammy
Doris!!! Thanks for connecting
Sorry if this is a stupid question. If I were to add 10ml of cefazolin to 50ml bag to run through iv pump, would I need to change the vtbi to 60ml?
That is a great question! For small amounts of added fluid, we typically don’t add it to the vtbi. If you are adding a larger volume the you would. Of course we have to consider the size of the bag. 10 ml added to a 50 ml bag is different thana 1000 ml bag. Depending on your agency policy, you may find both will be accepted
you are amazing
😊
Does Alaris have a setting that will display how much time is left for a medication and not just VTBI?
It has been a while since I worked with it - for sure it will show volume remaining, maybe someone watching can confirm if you can switch to time v volume
Very helpful video. I’m just wondering if there’s an option to be able to check the IV infusion pump history?
For fluid totals - yes I believe so but only useful if each shift clears totals
some nurses put more than the actual total volume ..to make sure its all infused..is it a correct way?
If you put more than total volume the bag empties and air is in the line. I can see the rationale. If using a secondary bag multiple times, you back prime anyways to remove the air from the line. The amount of volume in the line is usually 10 to 15 ml so I would not program for more. If its a med infusion, a primary line should flush the remaining med in anyways
@@NurseMinder so the line and bag are not supposed to empty/haveair after infusion complete?
No. The medication should be followed by another solution like normal saline or ringers lacate to ensure all the medication is infused. That being said, practice can vary depending on where you work and the policies in your agency
Thanks!
Thank You
😊
Thank you so much
Thank you
When the IV is done infusing, do you just shut off the pump or keep it on pause?
Turn it off, disconnect from the patient
Beautiful
Thank you
Helpful
Thank you
Great video. Ty for sharing! Alaris doesn't have a backprime option for getting air out the line like the Plum pump?
Not that I recall
Thank you! So helpful! 🌸
Yeah!!! That is my hope :)
Why do you put 200mls instead of 250mls, I get confused
It is a great question. the bag is 250 ml when full (before priming the line)
Priming the line could use 15-20 ml, leaving the bag will around 235 ml
If you enter 250, the line will run dry and will need to be changed
If you enter 200 ml, the pump will beep and there should be a little left in the bag
Three benefits
1. The IV line will remain primed and ready for another bag
2. The remaining volume (20 ml) can be programmed in and the patient continues to receive fluids while you have time to collect a new bag
3. Saves you time and stress
Thanks a lot.
Most welcome!
👍🏻
This is weird but I feel like Baxter is easier
I started on Baxter - its been a long time, but I have no issues with either
Goalie
May 15, 2016
It’s being sharped
We’re very trapped. It’s very talked.
Occluded - Patient Side
It’s being closed.
It’s being turned. It’s being paused.
@@blushy3001 hey are you okay
You didn't prime the line.
The line was already primed
How do you infuse Venofer or Mag sulfate on the alaris? Nurses are setting it up differently than a typical secondary.
I would have to see the monograph
Thank you, this was helpful!
Great!