Thank you so much ! As always, precise and informative.

This was best simple , informative and at point video I have seen so far.....

@NurseMinder

4 жыл бұрын

Thank you!

Wow! A nurse willing to demo on herself! I am a patient! I so appreciate you bravery to do this... You are an amazing nurse! Well described and demonstrated - giving me the courage and strength!

@NurseMinder

4 жыл бұрын

Haha. I would demo on my husband but he always says no! Trying to figure out a way to demo IV insertion ... 😜

@rhiajustice2477

2 жыл бұрын

Hello, in nursing school we had to practice everything on each other 3 times before we started on patients! We still practice things on each other sometimes to keep skills up.

I am happy I found this channel

@NurseMinder

3 жыл бұрын

I am happy you are here!

Thank you. So many questions answered.

@NurseMinder

4 жыл бұрын

high five!

Great video. Compact but wholesome and very great explanation. Thank you. Dr Samuel.

@NurseMinder

2 жыл бұрын

Thank you 🙏

Reviewed this today as it's been a while since I've done one in nursing school. Very helpful

@NurseMinder

3 жыл бұрын

Awesome! I had never worked with it until I came to Alberta

@lt0518

3 жыл бұрын

SAME! Had a patients with this today and used this video to brush up!

Great video! The fact you did a self demo made me subscribe!! 👌

@NurseMinder

Жыл бұрын

Haha. I believe in working with the product

You are awesome, good job with the teaching. Dr Bonilla.

@NurseMinder

2 жыл бұрын

☺️

Thank you very much for this video.

@NurseMinder

2 жыл бұрын

Thank you for taking the time to write :)

Thanks for making this

@NurseMinder

Жыл бұрын

Your welcome

Wow, great video!

@NurseMinder

Жыл бұрын

Thanks!

Your channel is GOLD! 🌟😃🏆 I just discovered it recently. Please continue to create Fundamental Nursing Skills topic. Our university is home to the highest number of nursing students in the entire state. We can definitely benefit from your channel. Thanks in adv.😘🏆⭐

@NurseMinder

Жыл бұрын

Thank you for sharing :)

❤ thank you

@NurseMinder

Жыл бұрын

You are welcome!

This reminds me of the Silhouette and Varisoft subcutaneous infusion sets that are for insulin pumps that I have used for years.

@NurseMinder

10 ай бұрын

Awesome

great video! it’s the most informative video I found regarding hypodermoclysis. I just have a couple of questions: is it considered a safe procedure for patients with cachexia? and what are the contraindications for hypodermoclysis? Thank you!

@NurseMinder

4 жыл бұрын

for patients with cachexia you would need to consider the risks over the gains and if other options exist. Contraindications: Unless they have an allergy to the pastic; I can't think of any as it is a route for med admin and fluid admin. If you know of any, please share

Your Rock Nurse Jacky

@NurseMinder

Жыл бұрын

😂

Hi I am in nursing school and I would like to thank you for your videos. I also have a question. What it is considered a dedicated line? A line for one type of medication only? Or it means that no pump will be used instead intermittent flushes of meds will be administered.

@conquerconflict9017

5 жыл бұрын

Thanks for the question. Yes a dedicated line refers to a single medication and would have that information on the dressing label. For example Morphine 2.5 mg/ml. That tells the nurse that this line is already primed with this medication and at that concentration. If another medication or dose is required, a new site should be administered. It is not uncommon for a patient to have more than one HDC. If the preference is to have just one HDC than each medication must be flushed after admin .

Excellent vid.. with an hdc line would one not prime the line with the drug or solution prior to starting the line

@NurseMinder

5 жыл бұрын

Dl Aires it depends on what you are using the line for. If you are infusing normal saline at 50 ml/hr you can simply connect the line and start the infusion. If you are using it for medication delivery of one med only, you need to calculate the priming volume with the first infusion only. If you use it for multiple meds, you need to flush afterwards. Video on this is coming :)

@NurseMinder

5 жыл бұрын

Video is up now :)

HI!! YOU'RE AMAZING AS USUAL! I am a new nurse and work in a dementia wing and I have a patient that's severely dehydrated, and no one can get an IV started on him. No one even suggested this, and I randomly thought about seeing if you did a video on it! I'm so glad you did! The patient is extremely combative, but also severely dehydrated. I know hypodermoclysis is meant for mild to moderate dehydration, but we have no other options. So I'm coming to you... I was thinking of recommending this to my supervisor... I also don't believe we have pumps at our facility, so we we may have to do it manually. I just did some research and found literature stating we can bolus 500mL in 1 hour. That being said, and assuming my tubing is 10gtt/mL, would this be correct: 500mL/hr X 10gtt/mL X 1hr/60 min = 83.33gtt/min... so 83gtt/min --> then I'd divide by 4 so 20.75 drops or basically 20 drops PER 15 seconds (just so I can calibrate my line quickly)... Any and all advice would be very appreciated! PS: The last time I commented on one of your videos I am pretty sure I mentioned how I wanted to quit nursing school because of a bully clinical instructor! But found your vids and you really rekindled my faith in nursing and being taught by other nurses :-) Thank you thank you!

@BriNJ1983

4 жыл бұрын

OH - and he pulls at everything. Literature states best place to put is arms, abd and thigh (like you said). Can we also put in upper back? (I'm really just trying to think where we can put this on him...

@NurseMinder

4 жыл бұрын

yes you can use the upper back, soft tissue only so not over any bony areas. Check out this link (local hospital) and page 6 extcontent.covenanthealth.ca/Policy/VII-B-315.pdf

@NurseMinder

4 жыл бұрын

Thanks Brian.

@BriNJ1983

4 жыл бұрын

NurseMinder how crazy! I found that document right after I posted here. Yes, thank you for taking the time to help confirm! As always, you’re awesome! Thank you!

Does it matter if the cannula goes towards distally than proximal?

@NurseMinder

3 жыл бұрын

Not for an HDC

@1208yabz

3 жыл бұрын

@@NurseMinder Thank you!

If patient has left breast cancer and on radiation therapy,is it ok to administer at right chest wall

@NurseMinder

4 жыл бұрын

Great question, in the absence of other reasons to not use the right side, it sounds like a potential location.

when inserting the needle in the thigh does it matter the direction of insertion? in your demo the needle was inserted facing towards lower part of the legs

@NurseMinder

5 жыл бұрын

jkasidemir great question. It does not matter the direction when inserting peripherally. In the abdomen the main considerations are for patient comfort (horizontal for waist line to prevent occlusions with bending)

@jkasidemir

5 жыл бұрын

thank you very much! good video!

@Jad-in9oe

4 жыл бұрын

Actually it does matter. It depends on the organization you work at. In some workplaces, the direction should be towrds the venous return direction. So in the thigh, it should face towards the hip (up)

do we need to flush before and after giving meds eg dilaudid?

@NurseMinder

2 жыл бұрын

It will depend on if your line is a single use (for one med only) or a multimed port (yes flush the line)

Thanks so much for posting this. Probably a naive question, but when giving subcutaneous fluids to our dogs, we just use an 18-gauge hypodermic needle without the plastic insert tube and leave the needle in the dog throughout the infusion. Why do you think there a difference between how we administer fluids to animals versus humans? I assume we just place higher priority on patient safety/comfort in humans. Again, I know it’s a somewhat random question outside of the purview of your videos, so thanks for any perspective you have.

@NurseMinder

2 жыл бұрын

No - we used to have the same type before the plastic inserts came along! These are placed in tissue that is less mobile, i,e not a joint where it can be wiggled out

@rynothedino912

2 жыл бұрын

@@NurseMinder awesome, that makes sense. Thanks so much for taking the time to respond.

Do you have to prime the line first or is that not necessary?

@NurseMinder

7 ай бұрын

Only if you have two ports, then you can prime one line.

Hi, I can see that the insertion of needle is towards the feet, its like opposite the direction of IV cannula. Is this the ruling?

@NurseMinder

3 жыл бұрын

An HDC is subcutaneous and not embedded into a vessel. This means the direction is of little consequence as the fluids / meds will need to be absorbed. You can insert them point up, sideways, or down

@happykat1795

3 жыл бұрын

@@NurseMinder sorry, so does this mean that it would not matter where the needle is pointing proximally or distally? It would still be acceptable?

@happykat1795

3 жыл бұрын

@@NurseMinder oh thanks. I saw you edited your response. Your video is really good. I feel more confident now to insert. Thanks

Should HDC line been primed or did it already NS 0.9 % preloaded ?

@NurseMinder

2 жыл бұрын

Great question. There are a few different types. If it has dual lumen then you prime. If it is a single lumen you cannot prime it because of the wire in situ

@robertdemitro1520

2 жыл бұрын

@@NurseMinder : Thank you for answering my question . I watched your video on working with staff that make you uncomfortable . Brings back memories of the bullies in special care units . The infighting I witnessed and dealt with was unbelievable . Sometimes you can't talk to certain people , because the go off on you like a loaded gun . I worked both sides , administration and bedside . I worked with some very , very intelligent nurses , who were trained by physicians in early 1970s and early 1980s ; super skilled nurses . I seen nurse mangers get escorted out of the hospital by security , directors and CEOs fired , all because they would not listen and follow the rules . I used be so uncomfortable, when I was told I could leave early . Most times I would stay when my shift was over if there was only one person in the preoperative cardiac surgery area . I wanted to jump out my skin when patients had post operative ECG changes and a one to one RN would be placed by the bedside only to find her reading a novel . I am sure you have tons horrific situations you could talk about too . High risk medicine is only stressful , when the staff you work with are slacking off or making trouble .

@tiffanyjones7589

7 ай бұрын

I came here to ask the same question

do you need to prime before inserting it?

@NurseMinder

Жыл бұрын

Only if it has a second port - prime the second port

How often do you change the needle?

@NurseMinder

8 ай бұрын

You will want to check with your facility policy, and many stay in longer than policy as long as they are inspected daily and remain healthy

@aurorakokici122

8 ай бұрын

@@NurseMinder Do you have any scientific evidence to suggest to me regarding this practice?

My mother has dementia, and won't allow an IV, so I researched this, and found your video. The doctor refuses to try because she said it is very painful. She also says my mother will die of kidney failure because she refuses to drink much. This is getting so frustrating because I saw that this can help frail, older, dehydrated patients. Is it painful, or do you think this could work for her? Thanks.

@NurseMinder

Жыл бұрын

I am sorry to hear about your experience. An HDC is not painful and could be helpful for hydration

@MissKittenCinema

Жыл бұрын

@@NurseMinder Thank you very much. You do wonderful videos even for someone not training to be a nurse, or currently a nurse.

Why do you need to clamp, when the clamp can be removed?

@NurseMinder

3 жыл бұрын

Yes. Great question. Many times I see the clamp removed. The better question to ask is “why does it come with a clamp?” Clamps are utilized to maintain pressure in the system to prevent backflow which can result in clotting

@barbaraclarke5896

3 жыл бұрын

@@NurseMinder i saw on a youtube clip on Bd safe intima they stated the clamp can be removed

angle of insertion?

@NurseMinder

2 ай бұрын

It’s been a while, but as I remember, 15-20 degrees

Well ..however it doesn’t go to vein but to subcutaneous you are supposed to insert needle facing upward to the heart level not like you inserted downward on your thigh .😊

@NurseMinder

6 ай бұрын

It does not have to point in any direction - it is not in a vein or artery where blood flow impacts infusion. Gravity will pull the fluid down, no matter the direction you point the needle :)

👍👍

@NurseMinder

Жыл бұрын

😊