PIPD Update Aug 2, 2024

 

CNE UPDATES:

EVD:  Our current EVD system is on backorder.  Please note that a new EVD system is now being used.  It is called the Integra AccuDrain.  All information is in the EVD binder in Unit 2.  Here is a video for your reference.  https://youtu.be/5eRKLgRQGps?si=ZI_r9WpKR8UepCmA

BLINA UPDATE:  

1.       This week we have started another infusion of BLINA.  Due to the many reports of air in the line, we have started a NEW process of circle priming our tubing.  This means that the bag will come with tubing that is “dry/not primed.”    To circle prime, please follow the instructions in the BLINA binder.  Always use proper PPE, including a face shield.   We have asked pharmacy to have the tubing un-attached, but you may see the bag spiked with unprimed tubing.   Please note that this tubing will NOT be primed with drug from pharmacy. 

2.       Circle Priming Video: https://www.youtube.com/watch?v=g7ovb1pwl_w

a.       Please note the Equashield connections and how to circle prime.  This video used a secondary set with roller lock, however we will be using a CADD pump prime function with CADD tubing.

3.       New to our unit is the infusion of BLINA into a single lumen port.  This is a change in practice for us and has some significant changes.  Patient will require a PIV for the first 4 days to ensure we have IV access if Port access is compromised.  Once the BLINA infusion has started, we will be assessing the port site to ensure patency and not be drawing back blood when doing daily bag changes – unless clinically needed for assessment of port by RN.  All blood will be done peripherally except during port needle changes.  Please refer to BLINA binder for new process and instructions. 

Upcoming Preceptors:

                If you have a 4^th year student in the fall, we will have a Preceptor handbook for you.  This includes all the information you need to pass to your student like common medications, diagnoses, ward standards, medication quiz,  a skills checklist for your student, and other helpful info.  Please talk to a CNE if you need one.  They will be ready for pick up over the next few weeks.  Thanks so much for sharing your wisdom, tips and patience with the students. 

 

Alteplase: Reminder to complete your CVAD learning, and sign the book by the managers office.  Also, ONLY IF you are an obs trained RN, attended 2023 ED days, and have completed your learning – you can now administer Alteplase.