A piggyback allows you to use a single line to administer a second fluid or medication. It also pauses the primary while the piggyback/secondary infuses. If you got a second pump and connected it at the y-site, both infusions would be going at once, which may or may not be desired based on what they are. The order itself should say whether this is to be run as a piggyback or not :)
Just a tip, instead of priming the secondary line before you connect it to the primary line, you can connect the secondary line first, then lower the mini bag to about your hip to back flow NS into the line, that way you aren’t wasting medication.
That's called back priming, which isn't allowed in nursing school skills testing and shouldn't be allowed in the field because of the risk of diluting the medication ordered, which if it's diluted in anyway, then that's a med order
@@noelleabra147 if you think a little extra saline in a mini bag is a med error, then you’re going to be in for a BIG surprise in the real world. Good luck to you. 🤣
1. Pull the plunger back to break the pressure in a saline syringe and avoid squirting saline out. 2. The port should be cleaned before attaching the secondary line. 3. Using a back priming technique is best to not waste medication.
The primary line is generally not running while the secondary or piggyback is running. This can be done using gravity (hanging the secondary drip higher) or most pumps are made to pull only from the secondary when it is programed. Not to confuse you, but there ARE pumps that allow you to run both lines concurrently (at the same time). So, it just depends on what pump you're using and what your patient needs! :) - Ellis
I usually try to show students how backpriming is done because they'll see it in clinical but do think learning to prime the line this way is still important! - Ellis
I’ve never used the little hook that comes with the secondary line tubing packages because the pump allows me to program which line I’m infusing, either A or B, so when would I use the hook?
The facility I'm usually working at also uses a pump that allows for setting A or B without the need to adjust the bags for gravity. However, other types of pumps require the lowering of the primary for the secondary to run. It's good habit to always use the hooks, but just be sure if you're ever using a pump you're unfamiliar with that you ask for or look up how to use it! - Ellis
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Hi Is it not easier to get another pump? just curious
A piggyback allows you to use a single line to administer a second fluid or medication. It also pauses the primary while the piggyback/secondary infuses. If you got a second pump and connected it at the y-site, both infusions would be going at once, which may or may not be desired based on what they are. The order itself should say whether this is to be run as a piggyback or not :)
@@LevelUpRN ok thanks so much for the helpful information
Some facilities require a flush bag with IV meds especially antibiotics so you’ll have to piggyback anyways.
Just a tip, instead of priming the secondary line before you connect it to the primary line, you can connect the secondary line first, then lower the mini bag to about your hip to back flow NS into the line, that way you aren’t wasting medication.
That's called back priming, which isn't allowed in nursing school skills testing and shouldn't be allowed in the field because of the risk of diluting the medication ordered, which if it's diluted in anyway, then that's a med order
@@noelleabra147 if you think a little extra saline in a mini bag is a med error, then you’re going to be in for a BIG surprise in the real world. Good luck to you. 🤣
@Noelle Abra that's how they taught us and I'm in nursing school right now.
It is allowed in my nursing program. Sometimes the instructors just want to give you hell…
@@noelleabra147I always back prime. A little extra NS isn’t gonna do anything 😂
1. Pull the plunger back to break the pressure in a saline syringe and avoid squirting saline out. 2. The port should be cleaned before attaching the secondary line. 3. Using a back priming technique is best to not waste medication.
would backflushing be preferred that way you are not wasting medication?
Alcohol impregnated caps do not replace the need to clean the port.
It is just an added measure.
Can you actually explain the use of the settings in the pump thanks
Is the primary line closed while side drip is infusing?
The primary line is generally not running while the secondary or piggyback is running. This can be done using gravity (hanging the secondary drip higher) or most pumps are made to pull only from the secondary when it is programed.
Not to confuse you, but there ARE pumps that allow you to run both lines concurrently (at the same time). So, it just depends on what pump you're using and what your patient needs! :) - Ellis
So how much do you set the primary to infuse for after the secondary is finished?
This was awesome ! Thank you 🙏🏾
You're so welcome!
You said, Hi, I'm Ellis :)
But the video is informative, thanks 🙏
Hello! Yes, This is Ellis in this video. Thanks for watching! 😊
I wish the camera was focused on the machine
This didn't clear up anything for me about piggy backing 😢
I wish I could see what she’s doing
Thank you for not back priming. In nursing school, they don't allow us to back prime for skills.
I usually try to show students how backpriming is done because they'll see it in clinical but do think learning to prime the line this way is still important! - Ellis
I’ve never used the little hook that comes with the secondary line tubing packages because the pump allows me to program which line I’m infusing, either A or B, so when would I use the hook?
The facility I'm usually working at also uses a pump that allows for setting A or B without the need to adjust the bags for gravity. However, other types of pumps require the lowering of the primary for the secondary to run. It's good habit to always use the hooks, but just be sure if you're ever using a pump you're unfamiliar with that you ask for or look up how to use it! - Ellis