Supplies Needed

Week 1 Self Study Oct 2-9 Nursing Clinical 360

Supplies Needed

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Chance Reaves

MSN-Ed,RN

Master

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Outline

Overview

General Supplies needed
1. Appropriate IV size
2. Saline flush
3. IV start Kit
  1. J-loop/Extension set
  2. Transparent dressing
  3. Tape
  4. Chlorhexidine Swab or wipe
  5. Tourniquet
4. Order from Provider

Nursing Points

General

IV Selection
1. Appropriate IV size is based on several factors
  1. Medical history
    1. History of drug use or difficult access
  2. Age of the patient
  3. Health or fitness level of the patient (% of body fat)
  4. Current medical conditions
  5. Body hair
2. Consider the needs of the patient when selecting the size of the IV
  1. What kind of therapy will they receive IV
    1. Blood products
    2. Crystalloids
    3. Viscous drugs (i.e. Mannitol or Dextrose)
3. IV Selection Pitfalls
  1. Do not select an IV size based on phlebotomy collection

Patient Education

Inform patient of the procedure about to be performed.
Educate the patient on what to expect of the procedure (a small poke and discomfort).
Educate the patient to vocalize extreme discomfort.

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Transcript

All right guys. In this lesson, we are going to take a look at all of the supplies that you are going to need for your patient.

The first thing you want to make sure is that you have an order, always make sure that your patient actually needs the IV. Maybe the IV is not the best selection or the best route to give their fluids, or maybe they are going to need blood products or maybe they are going to need pressers or maybe they’re going to need a lot of different things, so we always want to make sure that the is the peripheral Ivy is the most appropriate one, but when we talk about IVs, you’re going to start with a couple of different things. First off, you’re going to start with the appropriate Ivy, so what does that mean? That means that you are going to have to figure out whats going on with your patient and maybe some past medical history to see what size we need.
Also consider things like what kind of therapy they may need. Are they going to need blood products? Are they going to need contrast? Where is it going? There is a lot that plays into it. Check out those lessons that talk more specifically about the IV selection process, but you’re going to have your IV. The next thing that you’re gonna have is aJ loop. This J loop is actually going to help you. This is going to hook up to the Ivy. That way you can flush it and always make sure that you have a cap as well. You want to make sure that the cap is actually going to go on the end of the J loop. The other thing you’re going to want to make sure that you have is a flush. Make sure that you’ve got the flush and that its ready to go and always prime your J loop before you get anything during the setup.
The last thing that you’re gonna have is this Ivy start kit. So let’s go over all of the things that are in this Ivy start kit. In the kit, you’re going to have several different things. Your going to have some sort of antiseptic, so this is a chloroprep. This is the one that is most commonly used. Its a chlorhexidine impregnated with alcohol. There's a, there's a white version, and then theres also this chloroprep
swab. So you make sure you have them. Your also going to have some sort of clear tape. You’re going to have a tourniquet. You’re usually going to have a gauze square, which is this, and then you have your Tegaderm. These are all of the supplies that you’re going to need to start your IV on your patient. So hopefully these tips have been helpful. Now go out and be your best selves today, and as always, happy nursing.