In my opinion, no. Anti-free flow mechanism is intended to prevent
the automatic free flow of fluids when the tubing is temporarily
removed from the pump. In other words if the tubing was pulled out of
the pump, the nurse would not have to do anything to stop the free
flow of fluid. But there are times when bolus infusions are required
so there would be a way to adjust this or turn on the flow. Lynn
At 10:25 PM -0500 6/22/06, [EMAIL PROTECTED] wrote:
This brings up a question for me. What about the preventing free flow
patient safety initiatives? Using pumps and tubing that prevent free
flow of fluids. Do those guidelines indicate that preventing free
flow of fluids includes fluid challenges like you are discussing?
Gwen Irwin
Austin, Texas
----- Original Message -----
From: Lynn Hadaway <[EMAIL PROTECTED]>
Date: Thursday, June 22, 2006 5:27 pm
Subject: Re: Fluid bolus administration
To: [EMAIL PROTECTED], IV list server <[EMAIL PROTECTED]>
I don't think there is one answer that will work for every patient
in
every situation. What volume is to be used and how much is
remaining
in the bag? What meds may be added to the bag and can those be
infused at the same rate as the fluid challenge. What max rate
will
the inserted catheter allow - large CVC vs small PIV? I have seen
fluid challenges done with and without a pump, with the primary
fluids and with a new bag of a different fluid. So many variable
to
consider, I think the nurse will have to use critical thinking
skills
in each situation and don't know how you would craft a policy and
procedure for each situation. Lynn
At 5:06 PM -0500 6/21/06, [EMAIL PROTECTED] wrote:
>I have been ask to find information on administering a fluid
>challenge bolus of IV fluids to a hospitalized patient. The
>question arises do you use a pump, or take the tubing out of a
pump
>and run it in wide open, or set the pump to run in at the max
rate
>the pump with deliver, hang a bag with the amount of fluid
ordered
>for the bolus or use the existing bag??? I looked for guidance
in
>the INS P&P, Infusion Therapy in Clinical Practice and Core
>Curriculum of Intravenous Nursing and can not find where safe
>administration is addressed.
>Thank you for any help and references to best practice.
>Janis Strickland RN, BSN, CRNI
>Education Consultant
>SMGSI, Mt. Vernon Campus
>605 North 12th Street
>Mt. Vernon, IL 62864
>Phone: 618-241-2050
>Beeper: 618-325-4348
>Fax: 618-241-3835
>[EMAIL PROTECTED]
>
>
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--
Lynn Hadaway, M.Ed., RNC, CRNI
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
http://www.hadawayassociates.com
office 770-358-7861
--
Lynn Hadaway, M.Ed., RNC, CRNI
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
http://www.hadawayassociates.com
office 770-358-7861
