Spiking & Priming IV Bags
Included In This Lesson
Study Tools For Spiking & Priming IV Bags
Outline
Overview
- Purpose
- In order to administer IV fluids, tubing needs to be attached to the fluid bag.
- This process is called “spiking and priming”
- It should be done carefully to avoid piercing the bag or getting air bubbles in the tubing.
Nursing Points
General
- Supplies needed
- Bag of fluids
- Primary tubing
- IV Pole
- IV Pump
Nursing Concepts
- Steps and Nursing Considerations
- Verify provider order
- ALWAYS follow 5 rights BEFORE preparing medication
- Right Patient
- Right Drug
- Right Dose
- Right Route
- Right Time
- ALWAYS prepare medications at the patient’s bedside
- Gather supplies
- Perform hand hygiene
- Don clean gloves
- Let the patient know what fluids they will be receiving
- Remove IV fluid bag from package if applicable
- Open IV tubing package
- Clamp tubing with roller clamp
- If it has multiple clamps, make sure all are open except the roller
- Invert the IV fluid bag and remove stopper from port
- Remove the cover from the spike on the IV tubing
- Insert the spike into the port on the bag
- Push and twist
- Straight in to avoid puncturing bag
- Turn the bag right-side up and hang on an IV pole
- Squeeze the drop chamber so it’s ½ full
- Slowly unclamp the roller clamp until the fluid starts flowing
- Use the roller clamp to control the flow until the tubing is full of the IV fluid
- Remove ALL air bubbles
- Prime over a sink or trashcan
- Not too quickly or air bubbles will form in tubing
- Clamp tubing once fully primed
- Attach the tubing to the patient’s IV access
- Scrub the hub for 30 seconds with alcohol scrub
- Twist the leur-lock in place
- Insert the tubing into your IV pump and program appropriately according to your orders
- AFTER administration
- Document administration
- If using barcode medication administration
- Scan all meds before preparing
- Confirm administration AFTER giving to patient
- Discard all used supplies
- Remove gloves
- Perform hand hygiene
Patient Education
- Indication and possible side effect(s) of medication(s)
- Signs to report to nurse or provider
Transcript
In this video, we’re going to show you how to spike and prime IV bags and tubing. You will do this both for primary infusions AND secondary infusions or piggybacks.
First, of course, verify your order and use your 5 rights. Then remove the IV fluid bag from its package.
Then you’ll open the IV tubing package and clamp the tubing with roller clamp. Make sure that’s the only clamp that’s clamped.
Now, invert the IV fluid bag and remove the stopper from the port.
Then, remove the cover from the spike on the IV tubing and insert the spike into the port on the bag. You may have to push and twist to get it all the way in, just make sure you’re going straight so you don’t puncture the bag.
Now you can turn the bag right-side up and hang it on an IV pole.
You want to squeeze the drop chamber so it’s about ½ full.
Now you can slowly unclamp the roller clamp until the fluid starts flowing, and use the roller clamp to control the flow until the tubing is full of the IV fluid.
Usually we’ll do this over a sink or a trashcan. Just make sure you get all the bubbles out of it, then clamp the tubing.
Now you’re ready to attach the tubing to the patient’s IV access. Make sure you scrub the hub for 30 seconds with alcohol scrub and then twist the leur-lock in place
Then insert the tubing into your IV pump and program appropriately according to your orders. Make sure you unclamp the tubing before you hit start!
And, of course, follow your 6 rights and document the med administration.
That’s it, make sure you check out the video on hanging an IV piggyback to learn how to hang a secondary infusion. Now, go out and be your best selves today. And, as always, happy nursing!
NCLEX
Concepts Covered:
- Circulatory System
- Emergency Care of the Cardiac Patient
- Cardiac Disorders
- Cardiovascular
- Shock
- Shock
- Disorders of the Posterior Pituitary Gland
- Endocrine
- Disorders of Pancreas
- Disorders of the Thyroid & Parathyroid Glands
- Hematology
- Gastrointestinal
- Upper GI Disorders
- Liver & Gallbladder Disorders
- Newborn Complications
- Lower GI Disorders
- Multisystem
- Neurological
- Nervous System
- Central Nervous System Disorders – Brain
- Renal
- Respiratory
- Urinary System
- Respiratory System
- Noninfectious Respiratory Disorder
- Test Taking Strategies
- Note Taking
- Basics of NCLEX
- Prefixes
- Suffixes
- Medication Administration
- Gastrointestinal Disorders
- Respiratory Disorders
- Pregnancy Risks
- Labor Complications
- Hematologic Disorders
- Fundamentals of Emergency Nursing
- Factors Influencing Community Health
- Delegation
- Perioperative Nursing Roles
- EENT Disorders
- Basics of Chemistry
- Adult
- Emergency Care of the Neurological Patient
- Acute & Chronic Renal Disorders
- Emergency Care of the Respiratory Patient
- Respiratory Emergencies
- Studying
- Substance Abuse Disorders
- Disorders of the Adrenal Gland
- Behavior
- Documentation and Communication
- Preoperative Nursing
- Endocrine System
- Legal and Ethical Issues
- Communication
- Understanding Society
- Immunological Disorders
- Infectious Disease Disorders
- Oncology Disorders
- Female Reproductive Disorders
- Fetal Development
- Terminology
- Anxiety Disorders
- Cognitive Disorders
- Musculoskeletal Trauma
- Intraoperative Nursing
- Tissues and Glands
- Vascular Disorders
- Renal Disorders
- Eating Disorders
- Prenatal Concepts
- Microbiology
- Male Reproductive Disorders
- Sexually Transmitted Infections
- Infectious Respiratory Disorder
- Depressive Disorders
- Personality Disorders
- Psychotic Disorders
- Trauma-Stress Disorders
- Peripheral Nervous System Disorders
- Integumentary Disorders
- Neurologic and Cognitive Disorders
- Integumentary Disorders
- Newborn Care
- Basics of Mathematics
- Statistics
- Labor and Delivery
- Proteins
- Emergency Care of the Trauma Patient
- Hematologic System
- Hematologic Disorders
- Developmental Considerations
- Skeletal System
- Digestive System
- Urinary Disorders
- Postpartum Care
- Basic
- Musculoskeletal Disorders
- Bipolar Disorders
- Metabolism
- Cardiovascular Disorders
- Concepts of Population Health
- Musculoskeletal Disorders
- EENT Disorders
- Postpartum Complications
- Basics of Human Biology
- Postoperative Nursing
- Neurological Emergencies
- Prioritization
- Disorders of Thermoregulation
- Writing
- Community Health Overview
- Dosage Calculations
- Neurological Trauma
- Concepts of Mental Health
- Health & Stress
- Endocrine and Metabolic Disorders
- Childhood Growth and Development
- Prenatal and Neonatal Growth and Development
- Concepts of Pharmacology
- Integumentary Important Points
- Emotions and Motivation
- Renal and Urinary Disorders
- Developmental Theories
- Reproductive System
- Adulthood Growth and Development
- Psychological Emergencies
- Growth & Development
- Basics of Sociology
- Somatoform Disorders
- Reading
- Intelligence and Language
- Oncologic Disorders
- Med Term Basic
- Med Term Whole
- Central Nervous System Disorders – Spinal Cord
- Muscular System
- Neonatal
- Learning Pharmacology
- Pediatric
- Psychological Disorders
- State of Consciousness
- Sensory System