Sue Miller Posted December 20, 2010 Share Posted December 20, 2010 We have had a rash of incidents where the nurse are puncturing the RBC unit with the infusion set as they spike the bag. Does anyone have any visual aid information that we could send out as an education tool to the nurses for the proper procedure to enter the bag? Link to comment Share on other sites More sharing options...
Liz Posted December 21, 2010 Share Posted December 21, 2010 Spike verically, always vertically hold the port and enter gently in semi-circular moveements. Link to comment Share on other sites More sharing options...
L106 Posted December 21, 2010 Share Posted December 21, 2010 Good description, Liz! Link to comment Share on other sites More sharing options...
Liz Posted December 22, 2010 Share Posted December 22, 2010 Thank you :bow: Donna that made me feel good about myself especially being a pond and a lake away. Link to comment Share on other sites More sharing options...
rravkin@aol.com Posted December 22, 2010 Share Posted December 22, 2010 Sue,Have you considered training a nurse manager and have that manager filter the information to the nursing staff? Liz's post is absolutely correct; they should be holding the port that they are trying to spike and not the bag itself if this is indeed the problem. Link to comment Share on other sites More sharing options...
Liz Posted December 22, 2010 Share Posted December 22, 2010 Rather: A pond and a puddle away.. Link to comment Share on other sites More sharing options...
Liz Posted December 22, 2010 Share Posted December 22, 2010 Oh look what I found on Google, I guess if it is on Google I can share it here:http://www.health.gov.nl.ca/health/publications/bloodservices/archives/buffy/spiking_procedure.ppt#368,7,Trouble Shooting Tips for Spikinghttp://www.pathology.med.umich.edu/bloodbank/PallBSBChart.pdf Cliff please remove IF I shouldn't post this, thanks. Liz Link to comment Share on other sites More sharing options...
Liz Posted December 22, 2010 Share Posted December 22, 2010 Sue, it is also very important to have the bag vertical, either hang it or hold it downwards, do not lie it on a table top, and as Ron said teach the coach. Link to comment Share on other sites More sharing options...
KarenJ Posted December 22, 2010 Share Posted December 22, 2010 We had an increase in punctured units and couldn't figure out what the problem was, this was experienced staff. It turned out the new filter sets nursing was using had longer spikes, and they were inserting at an angle. We did a flyer and reminded nursing not to lay it flat, end of problem. Link to comment Share on other sites More sharing options...
AMcCord Posted December 22, 2010 Share Posted December 22, 2010 Liz, thanks for sharing the websites. Link to comment Share on other sites More sharing options...
Liz Posted December 22, 2010 Share Posted December 22, 2010 Oh Welcome and Happy New Year!!!! Link to comment Share on other sites More sharing options...
Sue Miller Posted December 22, 2010 Author Share Posted December 22, 2010 Thank you Liz. That is exactly what I needed. Link to comment Share on other sites More sharing options...
khalidm3 Posted December 22, 2010 Share Posted December 22, 2010 Thanks Liz for publishing websites Link to comment Share on other sites More sharing options...
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