Intravenous Drug Administration - PowerPoint PPT Presentation

Loading...

PPT – Intravenous Drug Administration PowerPoint presentation | free to download - id: de1d9-NDk3O



Loading


The Adobe Flash plugin is needed to view this content

Get the plugin now

View by Category
About This Presentation
Title:

Intravenous Drug Administration

Description:

discuss the way intravenous drug administration can cause infection; ... Have a clean trolley/surface area. Prepare. alcohol hand gel. drug required. alcohol wipes ... – PowerPoint PPT presentation

Number of Views:1238
Avg rating:3.0/5.0
Slides: 21
Provided by: evonne
Category:

less

Write a Comment
User Comments (0)
Transcript and Presenter's Notes

Title: Intravenous Drug Administration


1
Intravenous Drug Administration
  • Infection Control
  • NHS Greater Glasgow and Clyde
  • Glasgow Royal Infirmary

2
Learning Outcomes
  • discuss the way intravenous drug administration
    can cause infection
  • identify potential entry points where organisms
    may gain access to the system
  • state how line/infusate sepsis can be detected.
  • describe how risks of infection in intravenous
    drug administration and line use can be minimised

3
IV Drug Administration
  • Potentially the most life threatening of all
  • nursing interventions.
  • Be aware of all potential hazards.
  • Take great care to prevent complications.

4
Potential Implications
  • Pain
  • Infection
  • Delay in further intervention
  • Side effects of antibiotics
  • Delay in discharge
  • Death

Patient
5
Potential Implications
  • Division
  • Sundries
  • Increased medical and nursing intervention
  • Delay in discharge/next admit
  • Resistant organisms
  • Litigation

6
Where organisms gain entry
7
From the infusate
  • Through contamination of the infusate
  • Most at risk are long term (gt10 hour) infusates
  • Specifically those made up in-house
  • Time for small numbers of organisms to grow
    profusely.
  • Direct infusion of organisms severe sepsis
  • Particularly some Gram negative organisms which
    grow well in solutions.

8
Solutions which increase growth potential
  • TPN
  • Blood and blood products
  • Lipid emulsions/drugs

9
Complications
  • Phlebitis
  • Catheter related sepsis
  • Infusate Contamination

10
Preparation
  • Have a clean trolley/surface area
  • Prepare
  • alcohol hand gel
  • drug required
  • alcohol wipes
  • needle, syringe and if required new
  • connection
  • gloves
  • sharps bin

11
  • Never reuse single use vials
  • Never prepare drugs in advance

12
  • Hand hygiene
  • Check solution is clear
  • Disinfect ampoule
  • Disinfect the hub
  • Put on gloves
  • Administer drug

13
  • Use non-touch technique of equipment/drugs in
    contact with the internal lumen of the cannula.
  • Avoid infusing drugs into the port on top of the
    venflon.

14
After Care
  • Discard sharps immediately.
  • Remove gloves and wash hands.
  • Record as necessary.
  • Watch for signs of sepsis.
  • If on a pump/TPN, central line - four hourly temp
    chart.
  • Venflon care plan.

15
Giving sets
  • Change giving set after administration of blood
    or blood products
  • After 24 hours of TPN administration
  • After 72 hours if clear fluids are used
  • Use filters if infusing in-house prepared
    infusions lasting longer that 12 hours
  • All in-house infusion should be changed after 24
    hours

16
Infusate Sepsis
  • 10 hours after infusion 3 commenced patient
    spiked a temp.
  • Patient pulled out venflon.
  • Venflon resited same infusion recommenced.
  • Temp spiked again, blood cultures taken.
  • Environmental Pseudomonas sp isolated from blood.

17
Treatment
  • Stop the infusion - inform medical staff
  • Send the infusate for culture.
  • Send blood cultures swab from site.
  • Monitor vital signs.
  • Remove the line - send tip.

18
Dressings
  • Not the most important factor.
  • Dry dressings - do not alter skin flora
  • Film dressings can increase skin flora
  • Non-sterile tape - no evidence against for
    peripheral veins.
  • Dont store tape in pockets.

19
Key points
  • intravenous drug administration if not done
    properly can cause infection
  • hand hygiene, aseptic technique, correct
    preparation and administration of
    iv.drugs/solutions and line changes will minimise
    the risk of infection
  • patients should be closely monitored for signs
    of infection

20
Most Important Factor
  • Remember
  • What have you just done?
  • What are you going to do?
  • Hand Hygiene
About PowerShow.com