The document provides instructions for nurses to collect a peritoneal dialysis (PD) fluid specimen from a patient using a CAPD Freeline Solo Exchange in a sterile manner to minimize external contamination. Key steps include warming the PD fluid, preparing sterile equipment on a clean trolley, draining the patient's peritoneal cavity into a drain bag, disconnecting the patient using a non-touch technique, weighing and labeling the drain bag for pathology testing, and documenting the procedure. The aim is to obtain an uncontaminated PD fluid sample to test for markers of peritoneal membrane status and cell count.
This presentation contains :-
1.Bowel washing
2. Defination of bowel washing
3. Purpose of bowel washing
4. Solution used for bowel washing
5. Temperature of solution while during bowel washing
6. Articles use for bowel washing
7. Procedure of bowel washing
8. Insertion of flatus tube
9. Insertion of flatus tube
IV Cannulation Introducing a single dose of concentrated medication directly...ssuser3155141
Introducing a single dose of concentrated medication directly into the systemic circulation
“Or”
The introduction of a large amount of fluid & electrolytes and other nutrients into the body via veins.
Learn the essential skill of intravenous cannulation. Check out the latest in our series about surviving the early days of your medical internship.
We know from experience how difficult the first days can be, and we're here to share the benefit of our own experiences.
Dr. Somendra shukla is a one of the best Pediatrician & neonatologist in Gurgaon. He has vast expierence of 9 yrs in neonatology & pediatrics. He has cleared the prestigious Diplomate of National Board (DNB) and royal college of pediatrics, ondon (MRCPCH) examinations in pediatrics. He has worked and honed up her skills with some of the top corporates institutes of India such as Fortis hospital, moolchand medcity and paras hospital. He has also done his Fellowship in neonatology awarded by prestigious National neonatology forum of India.
He is a member of IAP and NNF and has attended various seminars and workshops and has presented several papers in various national conferences and conducted CMEs.
He is an expert in newborn intensive care including care of ventilated and extremely low birth weight babies (<1000g><750g). He has also been trained in cranial Ultrasonography and Echo studies in neonates.
Dr. Somendra shukla is a one of the best Pediatrician & neonatologist at Gurgaon.
He has vast expierence of 9 yrs in neonatology & pediatrics. He has cleared the prestigious Diplomate of National Board (DNB) and royal college of pediatrics, london (MRCPCH) examinations in pediatrics. He has worked and honed up her skills with some of the top corporates institutes of India such as Fortis hospital, moolchand medcity and paras hospital. He has also done his Fellowship in neonatology awarded by prestigious National neonatology forum of India.He is a member of IAP and NNF and has attended various seminars and workshops and has presented several papers in various national conferences and conducted CMEs. He is an expert in newborn intensive care including care of ventilated and extremely low birth weight babies (<1000g><750g). His area of interest are childhood vaccination, growth and development and childhood asthma.
This presentation contains :-
1.Bowel washing
2. Defination of bowel washing
3. Purpose of bowel washing
4. Solution used for bowel washing
5. Temperature of solution while during bowel washing
6. Articles use for bowel washing
7. Procedure of bowel washing
8. Insertion of flatus tube
9. Insertion of flatus tube
IV Cannulation Introducing a single dose of concentrated medication directly...ssuser3155141
Introducing a single dose of concentrated medication directly into the systemic circulation
“Or”
The introduction of a large amount of fluid & electrolytes and other nutrients into the body via veins.
Learn the essential skill of intravenous cannulation. Check out the latest in our series about surviving the early days of your medical internship.
We know from experience how difficult the first days can be, and we're here to share the benefit of our own experiences.
Dr. Somendra shukla is a one of the best Pediatrician & neonatologist in Gurgaon. He has vast expierence of 9 yrs in neonatology & pediatrics. He has cleared the prestigious Diplomate of National Board (DNB) and royal college of pediatrics, ondon (MRCPCH) examinations in pediatrics. He has worked and honed up her skills with some of the top corporates institutes of India such as Fortis hospital, moolchand medcity and paras hospital. He has also done his Fellowship in neonatology awarded by prestigious National neonatology forum of India.
He is a member of IAP and NNF and has attended various seminars and workshops and has presented several papers in various national conferences and conducted CMEs.
He is an expert in newborn intensive care including care of ventilated and extremely low birth weight babies (<1000g><750g). He has also been trained in cranial Ultrasonography and Echo studies in neonates.
Dr. Somendra shukla is a one of the best Pediatrician & neonatologist at Gurgaon.
He has vast expierence of 9 yrs in neonatology & pediatrics. He has cleared the prestigious Diplomate of National Board (DNB) and royal college of pediatrics, london (MRCPCH) examinations in pediatrics. He has worked and honed up her skills with some of the top corporates institutes of India such as Fortis hospital, moolchand medcity and paras hospital. He has also done his Fellowship in neonatology awarded by prestigious National neonatology forum of India.He is a member of IAP and NNF and has attended various seminars and workshops and has presented several papers in various national conferences and conducted CMEs. He is an expert in newborn intensive care including care of ventilated and extremely low birth weight babies (<1000g><750g). His area of interest are childhood vaccination, growth and development and childhood asthma.
Pediatric IV cannulation is insertion of cannula into the vein for the purpose of administering medications / Infusion therapy / Transfusion of blood and its products /Nutrition to childrens
This is a checklist with the criteria the learners needed to demonstrate to verify competency in accessing, using, and de accessing central venous access devices with implanted ports.
This is a checklist with the criteria the learners needed to demonstrate to verify competency in accessing, using, and de accessing central venous access devices with external ports.
Philosophical debates have arisen over the use of technology
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1. St George Hospital Renal Department: INTERNAL ONLY
_________________________________________________
Renal Department Dec 2011
Collection of Peritoneal Dialysis (PD) fluid specimen
via CAPD Freeline Solo Exchange
Limitations for Practice
• Registered Nurse
Aim
• To obtain a specimen of PD fluid from a patient that is as free as
possible from external contamination.
Equipment
Minicap
Trolley
Blue clamps x 2
Portable IV pole
Patient labels
Antiseptic cleaning solution
Pathology form indicating test/s
required (PD fluid for MCS and
cell count)
Antibacterial soap
2 Litre Peritoneal dialysis fluid
(1.5%)
Procedure
1. Explain procedure to patient.
2. Check with patient or their relatives if patient’s peritoneal cavity is
empty.
3. Warm the peritoneal dialysis fluid on the warmer
Note: the PD fluid takes 30 minutes to warm. If urgent PD fluid culture
is required, check with PD unit during business hours or 4 South for
warmed PD fluid.
4. Collect all necessary equipment.
5. Clean the trolley surface with antiseptic solution
6. Wash the blue clamp and dry thoroughly
7. Perform a short hand wash
2. St George Hospital Renal Department: INTERNAL ONLY
_________________________________________________
Renal Department Dec 2011
8. Place the necessary equipment on top of the trolley- clean blue clamp
and new minicap
9. Remove outer pouch of the bag using the sharp edge of the blue
clamp away from the clean trolley. DO NOT USE SCISSORS OR
KNIVES
10. Place the opened bag on top of the trolley and ensure the lines are
facing up
11. Check the bag strength, volume, expiry, colour and for leakage
12. Expose catheter and keep away from clothing
13. Perform 1 minute hand wash
Note: Use sterile gloves for infectious patients
14. Separate the lines
15. Remove the coloured cap from the patient line connection and remove
the minicap from the catheter. Use non-touch connection
technique to connect catheter to the patient line
16. Hang the full PD fluid bag on an IV pole and place the drain bag on
the floor. Ensure the lines are not kinked or not pulling from the exit
site and the catheter dressing remains intact
17. Break the green stick to flush and prime the lines for 5 seconds then
clamp the inflow line with 2 x blue clamps
18. Twist open the white catheter valve to commence drain
(Drain time is approximately 15 – 20 minutes if patient is full)
19. Ensure the drain volume is comparable or more than the previous fill
volume
*If drain volume is approximately 500 mls-this can be sent to
pathology for MCS so proceed to step 25 to disconnect patient.
**If drain volume is less than 500 mls- continue with step 20.
20. When the drain line is cool, close the blue clamp on the outflow line
then remove the 2 x blue clamps on the inflow line to run the PD fluid
into the patient (Fill).
21. Once the PD fluid bag is empty, twists close the white catheter valve
until it clicks.
3. St George Hospital Renal Department: INTERNAL ONLY
_________________________________________________
Renal Department Dec 2011
Note: Use gloves for infectious patients
22. Place the 2 x blue clamps on the inflow line and note the time as the
PD fluid must dwell for 30 minutes.
23. After 30 minutes, open the blue clamp on the outflow line and twists
open the white catheter valve to commence drain again.
(Drain time is approximately 15 – 20 minutes)
24. Ensure the drain volume is comparable or more than the previous fill
volume.
25. When the drain line is cool, close the blue clamp on the outflow line.
26. Twists close the white catheter valve.
27. Open a new minicap
28. Perform another 1 minute handwash
Note: Use sterile gloves for infectious patients
29. Disconnect patient using non-touch disconnection technique
30. Apply a new minicap on catheter using non-touch technique
31. Secure the catheter in place with a tape
32. WEAR PPE. Weigh the drain bag, record the volume and PD effluent
quality (i.e. colour, clarity and fibrin status)
33. Clearly write “PD fluid” on the patient label and stick on to the drain
bag then send to pathology with the appropriate pathology request
form.
34. Document the procedure
35. Inform the peritoneal dialysis nurses or leave a message after hours
(Tel no. 91133770).
36. Handover to the next shift