Starting a new IV line

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Specializes in Critical Care/Intensive Care.

Help needed! 
How can I prime a line without getting air bubbles in it or without wasting half of the bag when priming? 
I have tried pinching off the end after the chamber but fluid still gets through. 
I normally always clamp my line before spiking it, is this causing my issues? 
step by step on how you prime your new lines would be so helpful. 
xoxo

Specializes in Research & Critical Care.

I clamp, spike, squeeze the drip chamber to about halfway, unclamp to prime, and clamp again when the fluid reaches the luer connector. 30 seconds tops. Make sure your bag is already hanging before starting.

There's always going to be some air in the tubing which is probably what you're referring to. My nursing school had us fixate on getting every single air bubble out of tubing and syringes but they're psychos that get off on unnecessary emotional distress.

You're never going to get all the tiny air bubbles out and they don't matter anyway unless there is an intracardiac right to left defect that is significant enough for someone to want to put an air trap in line for. Not common. Don't worry about it. 

Specializes in Critical Care.

I'm not so much concerned about the little air bubbles in the line as I am with the infernal beeping that will commence 2 minutes after I leave the room if I didn't get every last bit of air out of the secondary port (uppermost port).

What I would suggest is to make sure you invert and aggressively tap the ports as it's priming, but most important is the cursing.

Make sure the ports know what sort of unspeakable acts await them if they do not completely purge themselves of air during the priming process.

Family members and/or A&O patients might find your verbal aggression to be concerning, I always make a point of educating them about how this aligns with our mission/vision/and values, and that really no matter what they will eventually share my views on the beeping cacophony that continually surrounds them. 

Specializes in ER.

True, Muno. 

I just tell families ahead of time that I start cussing at midnight, and most are OK with it if forwarned.

Specializes in oncology.

I was told that 50 ml of air, instilled under pressure may kill someone. Not that I am ever suggesting someone do this.  However one or two bubbles will not. 

What brand of pump are you using?

Should I say that while pumps are a pain this 'oldie' here only used pumps for blood or TPN.  When set the IV with a roller clamp for drops/minute, check the totally position of the line was okay and, swear the rate was correct....come in 1- 2 hours later with the 1000 ml bag totally infused. A runaway IV....I so would rather the pumps stopped, beeped instead of flooding the patient with fluids vascularly. (I had 12 patients then) 

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