IV count? - page 2

by LCinTraining

Not asking you to do the homework, just asking for help clarifying what they are asking. It has a picture of an almost empty IV bag. The fluid is below the last marked line. It asks us to determine how much fluid is left in the... Read More


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    Back in the old days, , we had to "Estimate" "What was up" or left in the bag at shift change.

    You would look at the bag that was hanging grab and gently pull at the two vertical "side" seams of the IV bag and visually inspect how much was left. We used tape to "label" our bags so we could keep "track" of the rate. So if it was a q8 hour bag and hung at 0800....there would be times at where the bag "should be" at 0800; 1000; 1200; 1400; 1600....when the bag "should be complete".

    Not the most accurate but it was the best we had. We would "check" the rate of the IV with our watches and visually every 1-2 hours when we rounded. We would always prepare the next bag when the IV had about 200 cc left because you just never knew how fast they would go in at the change of a hand position.
    morte likes this.
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    Do you have any other information? Such as how long the bag has been hanging and the rate of the infusion? If its just a picture of a bag, it's a very strange question to ask.
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    Nope. We had no other information. I guestimated and got the answer right so I suppose I did something right.

    And Esme, we are learning time taping now too. We are expected to time tape any IVs we have hanging. Their theory is, in the case of a disaster, be it multiple ER victims and not enough pumps or a natural disaster wiping out all non essential electricity, we will have to know how to hang a bag via drop factor.
    morte likes this.
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    and NOT using pumps for simple hydration will save money.
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    Good point morte.
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    Quote from LCinTraining
    Nope. We had no other information. I guestimated and got the answer right so I suppose I did something right.

    And Esme, we are learning time taping now too. We are expected to time tape any IVs we have hanging. Their theory is, in the case of a disaster, be it multiple ER victims and not enough pumps or a natural disaster wiping out all non essential electricity, we will have to know how to hang a bag via drop factor.
    Well, 34 years ago, it's all we had.....You dated and timed the bag with your initials if the bag was to infuse in 12 hours you put a piece of cloth tape down the side of the bag and started with your start time and end time and the mid point in the middle. The you stood there with your second had and counted the drops.



    We were very excited to get the little dial regulators that fit on the IV line that you "dialed in the rate".
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    Quote from morte
    and NOT using pumps for simple hydration will save money.
    The hospitals will never give up the billable charge. That daily rental charge is great revenue
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    Esme, that sounds about right for what we have to do now LOL.
    Only, we count for 15 seconds instead of a full minute and the drop factor is on the bag.
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    Quote from Esme12
    Well, 34 years ago, it's all we had.....You dated and timed the bag with your initials if the bag was to infuse in 12 hours you put a piece of cloth tape down the side of the bag and started with your start time and end time and the mid point in the middle. The you stood there with your second had and counted the drops.



    We were very excited to get the little dial regulators that fit on the IV line that you "dialed in the rate".
    It's still a good skill to have. You can't just rely on having a pump. It's like learning how to do a manual BP. I have seen nursing students that didn't know how to do one of those.
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    Those dial-a-flow devices are OK... but the few times I've ever had to use them, they rarely worked as advertised. Most of the units I had to use either broke or leaked. I just ended up calculating the gtt rate and kept a very close eye on that. I like having the pumps, but when they're running, I still count the gtts so that I know they're running at the rate they're supposed to. "Trust but verify" is a good thing even outside of politics.


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