Thank you so much for the steps in this video; she was incredibly concise and eased my anxiety regarding using an Alaris pump. Thank you, nurse Kathleen.
For God so loved the world, that he gave his only begotten Son, that whosoever believeth in him shall not perish, but have everlasting life. John 3:16 KJV, Jesus Christ is the only way
Don’t want anything to do with a god that allows so much pain and suffering in this world. Respectfully, please take your sermon elsewhere, we are here to learn how to administer medications correctly, not how to worship deities that may or may not exist. Peace and love to all regardless of your religious beliefs.
Question: while the secondary is infusing, is the primary not infusing? Is it ever indicated to run the abx through its own primary tubing through its own module on the the pump and y site near the pt so that the NS is not interrupted?
Yes you can run an antibiotic as a primary. You will need two iv sites or a multilumen PICC or central line in order to administer both antibiotics and NS at the same time. You would run both as a primary to separate ports. Most often though you will run it as a secondary.
Yes.....I understand your question. The Baxter pump allows for concurrent infusion of both primary and secondary line. I've been using Baxter for 14 years now....and I am having such a hard time with Alaris as a new traveling RN
This is nice! I just graduated from my community college with an AAS in Paramedicine, and our service uses those. In school they made us calculate the rate, and drip by eye, but I never knew we were going to need these for interfacility transfers, so this makes it less scary. In my ER clinicals, the nurses really didn't feel like taking the time to explain the pump functions to me. They would mostly just use me for IV cannulation, especially in COVID rooms they didn't want to go in.
Wow that’s very convenient of them to do!! Sorry you didn’t get the proper education you needed, hopefully you’ve mastered IVs and got the opportunity to master the pumps now too :)
When back priming, do you need the primary clamp open? Also when administering iv meds through secondary piggy back method, do you have the primary tubing roller clamp open or closed?
This is a good video. I'm moving from Baxter pumps to Alaris pumps. I'm finding the alaris pump a little bit difficult to learn as there so many steps. These are not user-friendly pumps. I really hate them. A lot of videos on RUclips just run through it so quickly that it's hard to learn it but this was good. Thanks
Thank you very much it was thoroughly explained. I used this pump 4 years ago doing an assignment now that requires experience with Alaris pumps. Again thank you and God bless you 🙏🏽🙏🏽🙏🏽❤️
Back priming is just one of two ways to prime your secondary line. Back priming is quick and allows you to hang consecutive piggyback medications while flushing the tubing without changing the secondary line until indicated per policy (e.g. IV line expiration). When initiating a new medication and a new secondary line, you can certainly prime it like you would with your primary IV using the roller clamp method.
You must lower the primary bag if you are running a piggyback. This prevents the pump from drawing from the primary bag. Once the piggyback has infused, the primary will run even though it is still lower.
Which ever bag is higher will be the bag that is running. So if you want the medication to run you put that bag higher but if you want the primary bag to run, you put that bag higher but as a person mentioned above, once the secondary Medication is finished the primary will start to run even though its lower because they'll be nothing in the medication bag to run ( it will be empty)
A piggyback allows you to run a secondary infusion/medication through a primary line without necessitating a second IV site, so long as primary and secondary solutions are compatible (fewer lines/IV sites decreases risk of infection). Piggyback technique allows antibiotics to be added quickly to your primary infusion (e.g. normal saline) which makes nursing much more efficient when multiple antibiotics are required throughout a shift.
Hello, do i need to prime the secondary tubing before connecting it to primary tubing to prevent any air or bubbles? I need reply asap for tomorrow preceptorship
Back priming is just one method. But it can save time and resources (secondary tubing) when hanging the same rx multiple times throughout a shift along with other medications that are compatible with your primary fluid.
Wow, thanks for sharing this. I am a new nursing student and just started clinicals. I was so confused during simulations on how to do this. This is a huge help. I can watch over an over to get all the details. Great job! I just subscribed to your channel.
VTBI is the volume of the fluid/Rx or whatever is in the bag as you say, e.g. VTBI 1000 ml for 1L NS or LR (some might program slightly less than the actual bag volume to avoid running the line dry). Alaris pumps have a programmed library of various infusions that, when using the guardrails feature, will have preset dosages/volumes to select from. VTBI always needs to be programmed when using the basic infusion setting. Always follow your facility's policies and procedures.
I am a new LPN working in oncology/hematology infusion. I work at the top! of my license and this helps me SO much in my orientation!! Whew! So much to learn and do.
The piggyback will infuse through the primary fluid line. The primary fluid will resume at its set rate after the piggyback infusion is complete. They do not run simultaneously.
Thank you so much for the steps in this video; she was incredibly concise and eased my anxiety regarding using an Alaris pump. Thank you, nurse Kathleen.
Baby steps just how a teacher is supposed to teach. Thank you
Why did it not scream like a banshee when she first inserted the tubing into the pump?
Thank you from a new RN working a med-surg residency and had shitty clinicals in school due to Covid
Glad to have helped! Covid must have been rough on clinicals. Plz recommend any other nursing content you'd like to see.
Thank you! As a new graduate lpn nurse I got my first job in a hospital! This helps! God bless! ❤️
You're welcome!
Very informative! I like the way you explained everything. It's very clear, I hope all the preceptor like you. More videos please.
honestly so simple and helpful had to watch it before clinical tomorrow thank you !
Thanks for watching!
this is an excellent video, thank you.
Thanks! We strive to make higher quality skills vids Please share.
Thankyou for this helpful video. I have been struggling with this !
As a nursing student, this is such a big big help!! Thank you so much for this Channel!
You're welcome! What other nursing content would you like to see?
@@NURSEiT I'm not sure if you guys cover this, but maybe a refresher on how to use a CERNER?
@@kobiebuat8908 That's a great idea! Will put it on the list.
For God so loved the world, that he gave his only begotten Son, that whosoever believeth in him shall not perish, but have everlasting life. John 3:16 KJV, Jesus Christ is the only way
Don’t want anything to do with a god that allows so much pain and suffering in this world. Respectfully, please take your sermon elsewhere, we are here to learn how to administer medications correctly, not how to worship deities that may or may not exist. Peace and love to all regardless of your religious beliefs.
Hey just so you know you’ve been reported as spam.
Amen
Amen. ❤
Amen!
Question: while the secondary is infusing, is the primary not infusing? Is it ever indicated to run the abx through its own primary tubing through its own module on the the pump and y site near the pt so that the NS is not interrupted?
Yes you can run an antibiotic as a primary. You will need two iv sites or a multilumen PICC or central line in order to administer both antibiotics and NS at the same time. You would run both as a primary to separate ports. Most often though you will run it as a secondary.
Yes.....I understand your question. The Baxter pump allows for concurrent infusion of both primary and secondary line. I've been using Baxter for 14 years now....and I am having such a hard time with Alaris as a new traveling RN
using alaris pumps for the first time after 5 years of using something else so this was super helpful
This is nice! I just graduated from my community college with an AAS in Paramedicine, and our service uses those. In school they made us calculate the rate, and drip by eye, but I never knew we were going to need these for interfacility transfers, so this makes it less scary. In my ER clinicals, the nurses really didn't feel like taking the time to explain the pump functions to me. They would mostly just use me for IV cannulation, especially in COVID rooms they didn't want to go in.
Wow that’s very convenient of them to do!! Sorry you didn’t get the proper education you needed, hopefully you’ve mastered IVs and got the opportunity to master the pumps now too :)
When back priming, do you need the primary clamp open? Also when administering iv meds through secondary piggy back method, do you have the primary tubing roller clamp open or closed?
Hi after back priming the antibiotic do we fully clamp the secondary tubing until we have fully set it up into the Alaris pump?
Well explained, this is what I was looking for, thank you
This is a good video. I'm moving from Baxter pumps to Alaris pumps. I'm finding the alaris pump a little bit difficult to learn as there so many steps. These are not user-friendly pumps. I really hate them. A lot of videos on RUclips just run through it so quickly that it's hard to learn it but this was good. Thanks
Thank you so much. Awesome video! God bless you. (Nursing Student)
Thanks! Please share with your nursing buds.
New grad here , what was the reason to back prime it ?
Thank you very much it was thoroughly explained. I used this pump 4 years ago doing an assignment now that requires experience with Alaris pumps. Again thank you and God bless you 🙏🏽🙏🏽🙏🏽❤️
could you explain why we would need to back prime? we've gone over it before, and i still don't seem to get it. thank you in advance
Back priming is just one of two ways to prime your secondary line. Back priming is quick and allows you to hang consecutive piggyback medications while flushing the tubing without changing the secondary line until indicated per policy (e.g. IV line expiration). When initiating a new medication and a new secondary line, you can certainly prime it like you would with your primary IV using the roller clamp method.
Does the pump regulate both IV bags run concurrently?
Will it beeps after the Antibiotic's complete?
Thank you
Yes it will as long as you remember to list it and input the correct dosage into the pump.
Thanks so much for sharing this very informative video...very easy to understand. Respect.
Why did you lower the primary fluid after adding secondary medication bag.
You must lower the primary bag if you are running a piggyback. This prevents the pump from drawing from the primary bag. Once the piggyback has infused, the primary will run even though it is still lower.
Which ever bag is higher will be the bag that is running. So if you want the medication to run you put that bag higher but if you want the primary bag to run, you put that bag higher but as a person mentioned above, once the secondary Medication is finished the primary will start to run even though its lower because they'll be nothing in the medication bag to run ( it will be empty)
Thank you guys
Just started doing contract work and my next hospital they are using this type of pump. Thank you
You're welcome 🙂
Great video!! 👏🏾👌🏾👍🏾
How do you program concurrent
Totally awesome ! Thank you !
How do I slow down the rate on the primary line once both my primary and secondary are infusing?
Channel select and change the primary solution rate/volume
Very smooth, and helpful! Thank you!
8589 Donnelly Plains
Thanks Ma'am for your clarity and careful lecture of the Alaris IV infusion pump product. It's a presentable advanced hospital equipment.
Do you need to add volume to the pump for VTBI since you are adding the backprimed fluid?
Thank you
Thank you. Easy and precise. This video eased my anxiety. Please do more on titration
Чи є у медичних закладах України подібні інфузомати(чи як їх правильно звати)?
I think if your video without music will become better
Now that is an educational video. Thank you so much. Helps me alot on how to use this pump.
How do we program on the pump
if another type of fluids is ordered?
Thanks for sharing this informative video 👍👍
Thank you, this was very helpful!
This was excellent! Thank you!
Well I work for mobile equipment at the hospital and I always wanted to know how it works, thank you for the info!
Quick question: Is it okay to just prime the IV piggyback line instead of having the fluid flow up the chamber of the IV piggyback? Thank you!
There are two ways: back prime or prime the way you mentioned
Thank you so much! Needed this refresher!
we are using this pump in the middle east.
Great video! Thank you!
In the intro what type of sound did you use
What is the purpose of piggy back it’s never been explained in nursing school
A piggyback allows you to run a secondary infusion/medication through a primary line without necessitating a second IV site, so long as primary and secondary solutions are compatible (fewer lines/IV sites decreases risk of infection). Piggyback technique allows antibiotics to be added quickly to your primary infusion (e.g. normal saline) which makes nursing much more efficient when multiple antibiotics are required throughout a shift.
Hello, do i need to prime the secondary tubing before connecting it to primary tubing to prevent any air or bubbles? I need reply asap for tomorrow preceptorship
ruclips.net/video/3PWI4-NeM0I/видео.html
And does back priming always need to be done ? I noticed during clinicals it wasn't always does
Back priming is just one method. But it can save time and resources (secondary tubing) when hanging the same rx multiple times throughout a shift along with other medications that are compatible with your primary fluid.
Wow, thanks for sharing this. I am a new nursing student and just started clinicals. I was so confused during simulations on how to do this. This is a huge help. I can watch over an over to get all the details. Great job! I just subscribed to your channel.
you look 40
How do you setup the nurse call on this unit?
How do you know what to put for VTBI? Is that whatever is in the bag?
VTBI is the volume of the fluid/Rx or whatever is in the bag as you say, e.g. VTBI 1000 ml for 1L NS or LR (some might program slightly less than the actual bag volume to avoid running the line dry). Alaris pumps have a programmed library of various infusions that, when using the guardrails feature, will have preset dosages/volumes to select from. VTBI always needs to be programmed when using the basic infusion setting. Always follow your facility's policies and procedures.
Will this pump communicate with your charting system?
They do have EMR interoperability with Epic (maybe others) but depends on the facility on whether that's utilized.
thank you so much . big help for me as a new nurse. no one in my unit do it step by step for me!!!
Glad to know our content helps! Check out some of our other skills vids too. More to come ;)
Thank you, thank you !!!! You really helped me.
You're welcome 😁
Change mickey g tube
Very nicely filmed and easy to follow! Thank you!
I need the intro song name
Thank you that was really helpful!!
Thank you for this very clear explanation! I am starting my clinicals in maternity today!
Great! You may find this postpartum assessment video helpful then ruclips.net/video/DzVhumIrqd0/видео.html. Stay tuned for new content coming soon.
Thank you so much
I am a new LPN working in oncology/hematology infusion. I work at the top! of my license and this helps me SO much in my orientation!! Whew! So much to learn and do.
thank you so much
Thank you!
Will they run together, the IV fluids and the PIggy?
The piggyback will infuse through the primary fluid line. The primary fluid will resume at its set rate after the piggyback infusion is complete. They do not run simultaneously.
@@NURSEiT Ok thank you for that info!
Amazing video ,thank you for your time to share that 🙏🙏
Thanks for watching! Please share and subscribe.
Excellent Video thank you so much!
Thanks! Plz share.
Thank you.
God bless u
Best vedio
SOOO helpful!!!
Thank you it very helpful
You're welcome!
Thank You
Thank you so much for your tutorial.
What other tutorials would you like to see?
Wow, great!
excellent thanks
8015
Thank you
Great video
Have you ever set the saline at 5 ml/hr?
That would be considered a TKO (to keep vein open) rate.
@@NURSEiT thank you for your reply
You made that look really easy! Thanks for explaining it so simply! I just got out of a clinical and I was confused about it all. Thanks again!🥰
You do not have to loosen the end cap to prime the tubing. It is a vented endcap.
Intro and outro music was a bit much. You're showing basic instructions, not touring the streets of Tokyo. Thank you though!