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When two or more lines are in use, you are to label each line nearest the point of connection to the patient with the name of solution infusing. This can be done in most cases by using the pre-programmed drug library. If both nurses had not only performed the “double-check” but also independently traced the lines, the error in line placement in the pumps might have been caught before the infusion was begun.Ĥ Preventing Medication Errors from Tubing MisconnectionsĬlinical Services Policy reminds staff to: Label each pump with the solution infusing.
#Itrace nursing verification#
Figure 2: An iTrace image showing the wavefront verification display with retinal spot diagram (left bottom) and a uniform horizontal and vertical point. It helps to objectively document the visual symptoms reported by the patient (Figure 6). The “double-check” did not include tracing the lines as it should have. The iTrace system estimates how the patient sees the snellen letter E in different sizes. However, the lines were reversed and the insulin infusion was placed on the pump programmed for the primary infusion. A second nurse “double-checked” the insulin label for correctness and saw a pump correctly programmed.
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The nurse programs the pumps and then places the insulin infusion into one pumpp the primary infusion on the second pump. all the way from the bag to the patient this error might have been caught before the infusion was started.Ī nurse in the ED received an order for an insulin infusion. Had she “traced” her lines.which includes a review of the pump settings. But she mistakenly programmed the pitocin infusion pump for the rate of the primary IV and the primary IV for the rate of the pitocin causing the patient to recieve an excessive infusion of the pitocin. Module 10 IV Tubing and Tubing Labeling: Trace the Lines!! Karen Bottom RN, MSN, CNM, WHNP Cindy Anderson RN, MSN, CNS, CCRN Safety Summit 2014Ī nurse hung an infusion of pitocin as well as a primary IV on a post-partum patient. All rights reserved.Presentation on theme: "IV Tubing and Tubing Labeling: Trace the Lines!!"- Presentation transcript:ġ IV Tubing and Tubing Labeling: Trace the Lines!!
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#Itrace nursing professional#
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