Secondary Medication Set (Nursing Skills)

Nurses routinely give medications to patients through a secondary medication IV set also known as a secondary IV Piggy Back or secondary IV set up.
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This video is about Secondary Line IV Medication Administration using an Alaris pump. Review the equipment needed to correctly prepare and label your medication bag and the process to reconstitute according to a parenteral manual.
Learn how to back prime your line to ensure all the medication is available to your patient (as opposed to using the medication to prime the line - we always lose some medication when we do it this way).
Labeling your lines is just as important as mixing your medication. It is a way to communicate to your team when the line expires and will require changing (per protocol). An unlabelled line is an expired line.
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Пікірлер: 62

  • @amieagain2
    @amieagain23 жыл бұрын

    Online nursing school is hard. Only having a voiceover on a powerpoint explaining piggy backs is even harder. Thank you for showing what was voiced-over during our lecture!!

  • @NurseMinder

    @NurseMinder

    3 жыл бұрын

    Ah! 😊. Thanks for that

  • @israelo.3911
    @israelo.39113 жыл бұрын

    Omg you are a life saver !!!!! Why did I not find these videos sooner !!! Thank you sooo much ! Wish my school had pre recorded videos.

  • @NurseMinder

    @NurseMinder

    3 жыл бұрын

    So happy this helped :)

  • @juliemanto3634
    @juliemanto36342 жыл бұрын

    Thank you so much, you go step by step and explain the instructions very clearly. It has helped me a great deal. Thank you again for doing these videos.

  • @NurseMinder

    @NurseMinder

    2 жыл бұрын

    😊

  • @mariecarmenmailvaganam7316
    @mariecarmenmailvaganam73163 жыл бұрын

    Hi there, great video! My onlu suggestion would be to make sure that all the clamps on the IV lines are open before pushing on the "Start" button of the pump. :)

  • @laurabridges9115
    @laurabridges91154 жыл бұрын

    Literally want to hug you. Steps are so simple I've memorised them ready for my clinical lab tomorrow

  • @NurseMinder

    @NurseMinder

    4 жыл бұрын

    Awesome! I hope that lab went as smooth as you hoped!

  • @viviane.4455
    @viviane.44552 жыл бұрын

    Thankyou for the video on setting up the secondary line. Very Straightforward. Thumbs up.

  • @NurseMinder

    @NurseMinder

    2 жыл бұрын

    Thank you for letting me know it was helpful ☺️

  • @kamaljamal890
    @kamaljamal890 Жыл бұрын

    you don't even know me, but i'm going to tell you something, you are an extraordinary person 🌺 thank you so much for every single video you've done

  • @NurseMinder

    @NurseMinder

    Жыл бұрын

    Hey Kamal! Thank you so much. That is a very special message to receive 💕

  • @roseteye6457
    @roseteye64574 жыл бұрын

    Thank you Tammy we are learning a lot from your channel. Keep doing the good job.

  • @NurseMinder

    @NurseMinder

    4 жыл бұрын

    Thank you Rose for sharing your thoughts

  • @D3ltaFreedom
    @D3ltaFreedom3 жыл бұрын

    Thank you. Great tutorial!

  • @NurseMinder

    @NurseMinder

    3 жыл бұрын

    Thanks for the feedback 😊

  • @ncp3077
    @ncp30772 жыл бұрын

    Thank you very much

  • @tamikajoy7259
    @tamikajoy72594 жыл бұрын

    This is so helpful. Thankyou so much.

  • @tamikajoy7259

    @tamikajoy7259

    4 жыл бұрын

    I have a clinical exam tomorrow and this was awesome. I had no idea that is was that easy.

  • @NurseMinder

    @NurseMinder

    4 жыл бұрын

    Oh my goodness! So happy it was helpful ❤️ the whole reason I teach online is to give students access to content when they need it, where they need it. This makes me happy

  • @dawansiewdorsyiemlieh4343
    @dawansiewdorsyiemlieh43432 жыл бұрын

    I learn a lot in this video

  • @NurseMinder

    @NurseMinder

    2 жыл бұрын

    Makes my heart happy

  • @emryszhan685
    @emryszhan6854 жыл бұрын

    You have all videos that i need 🥰🥰🥰

  • @NurseMinder

    @NurseMinder

    4 жыл бұрын

    Yeah!!! If you have any ideas, send them along. I don’t always have the equipment but you never know!

  • @emryszhan685

    @emryszhan685

    4 жыл бұрын

    I want to explore the intensive care unit equipment. if there is a chance you can have a vid of each of them.

  • @NurseMinder

    @NurseMinder

    4 жыл бұрын

    No. The specialty equipment is not something I have access to right now.

  • @Anne-tp7ny
    @Anne-tp7ny3 жыл бұрын

    Thank you

  • @NurseMinder

    @NurseMinder

    3 жыл бұрын

    You’re welcome 😊

  • @ediannareyesovalle9636
    @ediannareyesovalle96364 жыл бұрын

    So helpfullll

  • @NurseMinder

    @NurseMinder

    4 жыл бұрын

    Awesome!!!

  • @ncp3077
    @ncp30773 жыл бұрын

    Wonderful content new subbie

  • @NurseMinder

    @NurseMinder

    3 жыл бұрын

    ❤️

  • @SaNa-hv6uq
    @SaNa-hv6uq3 жыл бұрын

    Hello Thank you so much for your helpful videos. Could you make a video about the required nursing skills after the blood transfusion reaction ( for example what to do with the iv line step by step if the transfusion reaction happens)?

  • @NurseMinder

    @NurseMinder

    3 жыл бұрын

    Great idea. Here is a quick list. Stop transfusion. Initiate NS at the site closest to the patient. VS. Call the doc :). Save the line in case it is restarted or needs to be sent back to blood bank

  • @SaNa-hv6uq

    @SaNa-hv6uq

    3 жыл бұрын

    @@NurseMinder thank you ❤️

  • @chanthasem8152
    @chanthasem8152 Жыл бұрын

    Good morning

  • @NurseMinder

    @NurseMinder

    Жыл бұрын

    Good morning!

  • @blushy3001
    @blushy30015 жыл бұрын

    May 29, 2016

  • @Xamanda3lynnX
    @Xamanda3lynnX4 жыл бұрын

    Hello! Quick question. When you hang a very small IVPB (ex 50ml bag), how do you ensure the patient receives all of the medication including what’s in the secondary tubing??

  • @NurseMinder

    @NurseMinder

    4 жыл бұрын

    Use a primary line to flush the medication, program a flush of 30 ml

  • @CYTO365

    @CYTO365

    3 жыл бұрын

    NurseMinder I would like to clarify what I believe Amanda meant. There is a residual volume in the secondary line of about 2 inches. Sometimes I have seen a technique to lower the small IVPB and back flush from your primary bag and then re position your small IVPB again above the primary bag to run the remaining. Is this what you would recommend?

  • @sharonmathews582
    @sharonmathews5823 жыл бұрын

    Mostly it was very good, but there were a few spots where it went a little fast or the camera wasn't in the best place to see clearly.

  • @NurseMinder

    @NurseMinder

    3 жыл бұрын

    Thank you for the feedback

  • @caitlynnichols3632
    @caitlynnichols36323 жыл бұрын

    When do you pause the primary infusion?

  • @NurseMinder

    @NurseMinder

    2 жыл бұрын

    There are many reasons - and it depends on the infusion - some are so critical that I would not pause - perhaps the patient goes off the unit for a test, or to the shower - pausing an infusion may be ok in these circumstances

  • @NurseMinder

    @NurseMinder

    2 жыл бұрын

    I also wonder if you are asking “do you pause the primary to let the secondary line infuse” / the secondary line will run and automatically pause the primary as the secondary bag will be higher - and the gravity pull stronger

  • @johannesberg8649
    @johannesberg86494 жыл бұрын

    Please explain every little thing you are doing. Like when you had a 250 mL bag but only programmed 200 because you "like to give yourself a little time;" a little time for what? Please explain little things like this so we all know how to think like nurses.

  • @NurseMinder

    @NurseMinder

    4 жыл бұрын

    With a 250 ml bag, we have used 25 to 30 ml to prime the IV line. I never program a primary line for the full amount of an IV bag for that reason. It will run dry and end up with air in the line. Second thing to remember is when programming it for 200 ml, I am giving myself a buffer. When it beeps that the fluid has finished, there will be another 20 ml in the bag. I can program the IV to continue running for 20 ml while it gives me time to get a new bag. Hope that helps

  • @johannesberg8649

    @johannesberg8649

    4 жыл бұрын

    @@NurseMinder Yes, it does! Thank you, and include good tips like this into your videos!

  • @ncp3077

    @ncp3077

    3 жыл бұрын

    @@NurseMinder This makes sense but I thought you said the order was for 100 mls? Please explain.

  • @ianshelton6662
    @ianshelton66623 жыл бұрын

    Why do you have such a small primary? In an adult you'd want to have a 500cc at least, preferably 1 litre bag.

  • @NurseMinder

    @NurseMinder

    3 жыл бұрын

    It will depend on the needs. The primary bag, once spiked, has an expiration. If it is only used for med admin, a 500 or 1000 ml bag is excessive.

  • @ianshelton6662

    @ianshelton6662

    3 жыл бұрын

    @@NurseMinder I thought primary was maintenance fluids and your secondary was your med administration, at least that's how it is in dental surgery.

  • @NurseMinder

    @NurseMinder

    3 жыл бұрын

    Yes. If you have a maintenance fluid rate, ie 100 ml/hr, then it makes sense. If you are only needing the primary bag to flush your secondary med (and need 30 ml), then a smaller bag will do

  • @ianshelton6662

    @ianshelton6662

    3 жыл бұрын

    @@NurseMinder Good to know. Thanks for clearing that up, I just know that every patient having IV sedation in a Dental office has a primary maintenance rate. (usually 500cc of NS, D5, or LR) I really find your nursing videos helpful! They could be used to train dentists on IV concepts for anaesthesia and sedation licensure.

  • @NurseMinder

    @NurseMinder

    3 жыл бұрын

    Thank you for the feedback :)

  • @maviswilliams9848
    @maviswilliams98485 жыл бұрын

    U need gloves, instructor.

  • @NurseMinder

    @NurseMinder

    5 жыл бұрын

    Mavis Williams Hi Mavis. The use of gloves is important to protect us from coming into contact with bodily fluids. If you can share with me where you feel gloves are needed then I can provide you with a better response :)

  • @angelenepetitjeune572

    @angelenepetitjeune572

    4 жыл бұрын

    Any contaminants can go inside the bag therefore entering the pt's bloodstream via intravenous fluids. I think the use of gloves would minimize the chance of that happening. In school we were taught to wash hands and use gloves. Even during med pass.

  • @Niight0wl

    @Niight0wl

    4 жыл бұрын

    @@angelenepetitjeune572 Maintaining aseptic technique would prevent contamination of the IV meds & port so gloves aren't necessary.