Podcast Beta
Questions and Answers
What is the first step to take when preparing the infusion pump for use?
What should be assessed at least every 4 hours during the infusion process?
What should be done immediately if the alarm on the IV pump sounds?
Which of the following must be ensured before opening the door of the infusion pump?
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When should the guide in the tubing be changed?
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What score reflects a student who requires moderate guidance and supervision during procedures?
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Which equipment is NOT listed among the necessary items for an IV infusion procedure?
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What is the first step in the implementation phase of using an IV infusion pump?
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Which of the following actions should be taken to ensure the IV site is safe before starting the infusion?
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What is the purpose of filling the drip chamber of the IV tubing?
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How high should the drip chamber be positioned above the infusion site?
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What would score a student a 'Very Satisfactory' rating in the checklist?
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What is the correct action after gathering all necessary equipment for IV infusion?
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Study Notes
Using an Infusion Pump Checklist
- Students are assessed on their ability to use an intravenous infusion pump machine.
- Assessment criteria are broken down into: Planning, Implementation, and Evaluation
- The assessment rubric uses a 5 point scale:
- 5 - Excellent
- 4 - Very Satisfactory
- 3 - Satisfactory
- 2 - Fair
- 1 - Poor
- Students must demonstrate proficiency in all three stages of the nursing process to pass the assessment.
- This assessment includes:
- Checking the IV site
- Identifying the medication
- Computing the flow rate
- Gathering necessary equipment
- Explaining the equipment to the patient
- Performing all steps of the procedure correctly, including:
- Attaching the infusion pump and tubing
- Priming the tubing to remove air bubbles
- Setting the volume to be infused and the flow rate
- Connecting the tubing to the IV site
- Monitoring the infusion rate and the patient's condition
- Responding appropriately to alarm sounds
- Documenting the infusion process
- The checklist includes specific instructions for monitoring the infusion process and troubleshooting potential problems.
Planning
- Students must gather all necessary equipment before performing the procedure.
- This includes:
- Infusion pump machine (must be functional)
- Compatible IV tubing
- IV pole
- Micropore tape
- Bandage scissor
- Alcohol swabs
- Hypodermic needle (if needed)
Implementation
- The student needs to explain the use of the machine to the patient
- The student must identify the patient correctly
- The student must wash their hands before the procedure
- The procedure includes a series of steps:
- Attaching the infusion pump to the IV pole
- Plugging the machine in
- Place the IV solution container and the tubing on the IV pole
- Filling the drip chamber with IV fluid
- Priming the tubing to expel any air bubbles
- Raising the IV pole to ensure the drip chamber is higher than the infusion site
- Attaching the drip sensor to the drip chamber
- Opening the door of the infusion pump
- Placing the IV tubing through the guide of the machine
- Closing the door of the infusion pump
- Pressing the power button ON
- Setting the Volume to Be Infused (VTBI) and the flow rate
- Connecting the IV tubing to the IV site
- Opening the IV controller completely
- Monitoring the drops being delivered to the patient
- Monitoring the condition of the tubing in the machine
- Monitoring the fluid level in the drip chamber
- Changing the tubing in the guide every 8 hours
- Responding to alarm sounds immediately
- Assessing the drip chamber (ensure at least 1/3 full)
- Assessing the IV container height
- Inspecting the tubing (assess for pinching)
- Assessing if the drip sensor is properly placed
- Assessing the needle and tubing placement (prevent kinking)
- Closing the IV regulator completely before opening the door of the pump
Evaluation
- Students need to document that the infusion has met the desired amount to be infused.
- Students need to periodically check the infusion rate
- Students are expected to be able to determine if the patient is experiencing overhydration or dehydration based on the infusion rate.
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Description
This quiz assesses students on their ability to effectively use an intravenous infusion pump, focusing on planning, implementation, and evaluation stages of the nursing process. Students will demonstrate proficiency in various tasks such as checking IV sites, identifying medications, computing flow rates, and performing procedures correctly. Mastery of these skills is essential for nursing practice.
