IV Piggyback and IV Push/Bolus Medication Demonstration

Presenter

• Ellis from Level Up RN

Overview

• Demonstration on how to hang an IV piggyback (secondary line) and perform an IV push or bolus medication.
• Following steps from clinical nursing skills cards.
• Tips for effective execution.

Initial Tips

• Saline Flush:
  • Eject air before use to prevent air bubbles and ensure ease of use.
  • Demonstration of ejecting air from the saline flush.
• Saline Lock:
  • Ensure the clamp is unclamped before administering an IV push or saline flush.
  • Common mistake: Students fail to unclamp, preventing medication flow.

Preparation for Secondary (Piggyback) Administration

• Hand Hygiene:
  • Wash hands and wear gloves.
• Compatibility Check:
  • Ensure compatibility with primary line, e.g., running normal saline.
• Equipment Setup:
  • Take stopper out of the bag.
  • Clamp secondary tubing before attaching it to the bag.
  • Spike bag carefully.
  • Hang secondary bag on pump.
• Drip Chamber Management:
  • Fill drip chamber halfway.
  • Carefully control the roller clamp to prime the tube without wasting medication.

Priming and Connection

• Priming Tube:
  • Careful control of roller clamp to avoid wasting medication.
• Cleaning Port:
  • Use antiseptic swab if no disinfectant cap available.
• Secondary Line Setup:
  • Unclamp secondary line to avoid occlusion signals from the pump.
  • Use the correct port above/on the pump to avoid gravity administration.
  • Ensure the primary line is lower than the secondary line for gravity assistance.

Pump Settings

• Rate Setting:
  • Program the correct rate on the pump for administration.
• Ensure Proper Line Connection:
  • Avoid connecting secondary line to incorrect port to maintain control over administration rate.

Conclusion

• Encourage viewers to subscribe and share the video.
• Engage with audience by asking for feedback and comments.