Flushing IV Question

Nursing Students Student Assist

Published

Hi!

I have a question regarding flushing IV's. Today was my second day of clinical on a surgical floor. I was assisting an RN with temporarily disconnecting an IV. She drew up 2.5 cc's of saline to flush it because she said you have to flush it when you disconnect it. I asked if I could flush it (first time) and she said yes. So we went into the room together and she handed me the syringe and she told me just to push the saline into the IV site, the only thing is that there was a pocket of air in the syringe (not too big) and I didnt realize it before it was too late. I told the nurse after we had left the room and she told me not to worry and that occasionally small amounts of air will get into the IV tubing, as long as its not too much it isnt a problem. The client was fine for the rest of the shift, he had some tachypnea near the end of the shift but this was something that started yestaurday. She just handed me the syringe, since she drew it up I assumed she got all the air out.

I am king of worried. Is this going to be harmful for the client? I will ALWAYS double check to make sure from now on!

Thanks

ic.... As far as I know this patient didnt have a PFO, but in doing reading on them I just thought back about this incident and got scared that what if the patient had it and just didnt know it? if so the air would be harmful? The patient was in their 50's and as far as i know was relatively healthy.

Thanks

Specializes in Clinic, formerly ED, ICU, PACU, ortho.

I work in the PACU and we had a preop pt. come down with a triple lumen central line in which the sutures were out and the line only had a loose piece of gauze over it with one piece of tape. The pt. said it had been like this for two days. I told the nurse who had him that we should put tegaderm over the line and tape it down and to call the doc. She could not understand how the pt. could get an air bolus ft the line got pulled out . She has worked in the PACU for 32 years and acted like that was the most ludicrous thing she had ever heard. Go figure.

Just a note: Yes the patient will be fine, but never administer a medication (yes, Saline is a medication if it breaks the skin) unless YOU draw it up. That way you will never go wrong. In my state, I am not sure about others, it is illegal to give or administer a med drawn up or "popped" by someone else. You need to review the order against the original label yourself. Best Safe Practice will keep your license safe, too. Good Luck in your nursing Career.

Specializes in midwifery, NICU.

.just make sure that you have expelled any air from your syrynge, your fluid is at the tip, and you fill the port of the line with your flush before connecting. also knock any air bubbles out of the port..bubbles rise to the top of anything, so are easy to get rid of, once you have the experience of doing it. I remember being so petrified of bubbles in the tubing etc, the other staff called me Aero! (its a UK choc bar, filled with bubbles!):lol2:

You will get there, watch other people and with experience it gets to be second nature..a bit like driving!:lol2: Good Luck!

+ Add a Comment