Understanding All The IV Set Ports

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Chance Reaves
MSN-Ed,RN
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Outline

Nursing Points

General

  1. On an IV primary tubing set, there are typically three ports:
    1. Port above the safety clamp
    2. Middle port
    3. Port nearest the patient
    4. Also known as “valves”
  2. The port nearest the drip chamber and above the safety clamp
    1. This port is for hanging piggybacks that must be infused through the pump
    2. The flow of the infusion at this port is controlled by the IV pump
    3. If the medication needs to be given over a specific time frame and is safety regulated by the pump, then use this port
  3. The middle port is below the safety clamp
    1. Intermittent or long term infusions that are infused by gravity should be used in this port
      1. Example: Albumin
    2. Medications that can be controlled with a flow regulator should utilize this port
  4. The port nearest the patient
    1. Used for the direct administration of medication
      1. Examples: Pain medications or anti-emetics

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Transcript

Okay guys, in this lesson we’re going to talk about the IV ports. Now, this is a broad overview, but we’re going to cover some specifics that you need to know anytime you’re using one of these IV sets. Now there are ports along with this entire IV tubing known as Y sites or ports. This is where medication is attached or other maybe an intermittent tubing or an intermittent type of medication that you need to give. Typically there’s three on this two being set. There’s two, but we’re going to talk about the third one as well. So first off, you’ve got your upper one. The upper port is important because this one is the one that deals with piggybacks. It’s always going to be above the safety clam. There’s also a Y site or a port that’s closest to the patient. This is going to be really helpful for some intermittent infusions and also for any direct IV medications that you need to give.

So if you have to give lane Zofran or maybe some pain medications via IV push, this is the port that you’re going to want to do that in the third port. That’s really important that you’ll get sometimes in these priority tunings is one that’s really, really helpful for medications that don’t have to be regulated by the pump. These are things like albumin. If you can have something that can go just down a drip maybe from gravity or maybe it has its own flow meter, that’s a really good run for the goat that goes in that middle port.

Okay, guys, I hope that this has been really helpful. Now go out and be your best selves today and as always, happy nursing.

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Week 1 Self Study Oct 2-9 Nursing Clinical 360

Concepts Covered:

  • Labor Complications
  • Newborn Complications
  • Musculoskeletal Trauma
  • Integumentary Disorders
  • Neurologic and Cognitive Disorders
  • Oncology Disorders
  • EENT Disorders
  • Cardiac Disorders
  • Respiratory Disorders
  • Gastrointestinal Disorders
  • Hematologic Disorders
  • Medication Administration
  • Upper GI Disorders
  • Understanding Society
  • Tissues and Glands
  • Adulthood Growth and Development
  • Fundamentals of Emergency Nursing
  • Newborn Care
  • Intraoperative Nursing
  • Circulatory System
  • Postoperative Nursing
  • Microbiology
  • Respiratory Emergencies
  • Central Nervous System Disorders – Brain
  • Liver & Gallbladder Disorders
  • Musculoskeletal Disorders
  • EENT Disorders
  • Legal and Ethical Issues
  • Integumentary Disorders
  • Neurological Trauma
  • Pregnancy Risks
  • Postpartum Complications
  • Urinary Disorders
  • Urinary System
  • Noninfectious Respiratory Disorder
  • Respiratory System

Study Plan Lessons

Adult Vital Signs (VS)
Pediatric Vital Signs (VS)
General Assessment (Physical assessment)
Integumentary (Skin) Assessment
Neuro Assessment
Head/Neck Assessment
EENT Assessment
Heart (Cardiac) and Great Vessels Assessment
Thorax and Lungs Assessment
Abdomen (Abdominal) Assessment
Lymphatic Assessment
Peripheral Vascular Assessment
Musculoskeletal Assessment
Genitourinary (GU) Assessment
Bariatric: IV Insertion
Dark Skin: IV Insertion
Tattoos IV Insertion
Geriatric: IV Insertion
Combative: IV Insertion
Tips & Advice for Newborns (Neonatal IV Insertion)
Tips & Advice for Pediatric IV
Supplies Needed
Using Aseptic Technique
Selecting THE vein
Tips & Tricks
IV Catheter Selection (gauge, color)
IV Insertion Angle
How to Secure an IV (chevron, transparent dressing)
Drawing Blood from the IV
Giving Medication Through An IV Set Port
How to Remove (discontinue) an IV
IV Placement Start To Finish (How to Start an IV)
Maintenance of the IV
IV Complications (infiltration, phlebitis, hematoma, extravasation, air embolism)
Needle Safety
IV Drip Therapy – Medications Used for Drips
IV Drip Administration & Safety Checks
Understanding All The IV Set Ports
IV Push Medications
Spiking & Priming IV Bags
Chest Tube Management
Pressure Line Management
Drawing Up Meds
Insulin Mixing
SubQ Injections
IM Injections
Hanging an IV Piggyback
NG (Nasogastric)Tube Management
NG Tube Med Administration (Nasogastric)
Stoma Care (Colostomy bag)
Wound Care – Assessment
Wound Care – Selecting a Dressing
Wound Care – Dressing Change
Wound Care – Wound Drains
Pill Crushing & Cutting
EENT Medications
Topical Medications
Medications in Ampules
Nursing Skills (Clinical) Safety Video
PPE Donning & Doffing
Sterile Gloves
Mobility & Assistive Devices
Spinal Precautions & Log Rolling
Restraints
Starting an IV
Drawing Blood
Blood Cultures
Central Line Dressing Change
Inserting a Foley (Urinary Catheter) – Female
Inserting a Foley (Urinary Catheter) – Male
Trach Suctioning
Trach Care
Inserting an NG (Nasogastric) Tube