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NO

Exactly,and their line of thinking flows

Exactly

Oh my

thank ☺

😅

This is a clean procedure. The gloves (clean not sterile) are to protect the nurse. As long as your hands are clean- you can do your set up without gloves first. Then before you do the stick and have potential contact with blood- you put your gloves on.

@@caprag.1991 tjfhngmncnnvnmn

Can you describe how to do that

@@thisgustin 1) lock off the secondary line 2) connect the secondary lines port to the first port on the primary line, open the primary line 3) lower the secondary bag to be lower than the primary bag, open the secondary line, and watch the NS from the primary bag fill secondary lines chamber until 1/3 or half.

@@maryhannah9685 lol oh shoot, right on point Mary. I just came back from class today to see your message. We were able to learn about that back priming. Thanks so much.

@@thisgustin no problem!

Back priming is not acceptable practice and isn't allowed in nursing school. This has the potential to dilute the med, which then becomes a med error because u changed the dilution. It's easy to back prime, but not allowed.

All clamps should be open, except the regulator on the primary that controls the flow. If you're hooking your secondary med into a pump line, all clamps should be open to prevent stress on the pump. The secondary clamp should be wide open, because the rate of the secondary infusion is always going to be governed by the primary line it's flowing into. If the primary line is on a pump, the flow will be controlled by the pump. If the secondary medication is hooked into a gravity line, you'll use the primary rolling clamp below the port to regulate the flow of both. It's always important to hang piggybacks on the highest y-site (port closest to the primary bag) so that The drug travels through the pump or roller clamp and gets regulated. Hooking the secondary to a port below the clamp/pump, as in a port closer to the patient, the secondary drug would run full force and bypass any regulation, leading to an overdose. The highest port on the primary tubing is always used for piggybacks, and the lower ports are used for syringe-pushed meds. The only times when clamps should be closed are when pausing or disconnecting an infusion, or if the patient's catheter has lumens that aren't being used. All the clamps in a running system to a single-lumen catheter should remain open unless the infusion is paused. Hope this helps.

@@ianshelton6662 Hi! I'm a new grad lpn and I've never done an IVPB via gravity. I had a patient the other day who wanted a prn morphine IV and I remember being so scared it will run too fast. The ER nurses helped me set it up and I swear they just eyeballed it. My question is what do I do with the roller clamps? I have 2 roller clamps (the secondary which is above the Y port and the primary which is below the y port ). Do I open the secondary and then regulate the flow through the primary roller clamp? or Do I regulate both roller clamp at the same rate (eg. 30drops/min on both) ?

@@jennadeleon4017 The first one was correct. You would leave the secondary clamp all the way open and then regulate below the y-site with the primary clamp. Although most protocols prefer IVPB on a pump. Does your hospital not have pumps at all?? To answer your question, you would leave the secondary open and regulate with the primary

@@ianshelton6662 Thanks Ian! We do have pumps but in ED they were short of pumps that night I guess. I remember looking for a pump in different parts of ED and I asked a nurse and she told me "Dont take any pump here". Man they were rude! It makes me wanna quit nursing.

@@jennadeleon4017 I'm not a nurse, but an oral surgeon who uses IVs in the office on regular basis!

lol

W11⁰