WEEK 8 SALINE LOCKS

Question 1

Which kind of patients should always have an IV for emergency use?

Answer 1

Epileptic patients

Question 2

Why is converting to saline lock desirable for patient safety?

Answer 2

Decreases risk of fluid overload

Question 3

What are 2 purposes for flushing an IV?

Answer 3

1. Removes blood (cleaning)
2. Preserves patency

Question 4

What is the name of the saline lock adaptor used in hospitals?

Answer 4

Max plus/zero

Question 5

Name 6 steps in flushing a saline lock

Answer 5

1. Swab with alcohol and let dry
2. Attack the saline filled syringe
3. Undo the clamp
4. Inject NS using turbulent start-stop technique, ensuring not to bottom out
5. Remove the syringe
6. Re-clamp

Question 6

What are 3 times to flush an IV?

Answer 6

1. Once per shift if not being used
2. Before and after access
3. If blood is noted in tubing

Question 7

What is the name of the part used to maintain sterility of IV tubing when not being used?

Answer 7

Dead ender

Question 8

What are things to assess for at an IV site?

Answer 8

1. Signs of inflammation
2. Skin temperature compared to other limb
3. Dressing
4. Expiry date
5. Blood in tubing
6. Need for IV

Question 9

In what 3 circumstances would it be appropriate to discontinue an IV before its expiry?

Answer 9

1. Patient drinking well
2. No acute pain/nausea
3. Not receiving regular IV meds

Question 10

How long is a saline lock good for?

Answer 10

72 hrs (depends on policy)

Question 11

What are 2 steps to take after removing an IV?

Answer 11

1. Inspect the cannula for intactness
2. Apply firm pressure for 1-2 minutes

Question 12

What are important points to include in patient teaching regarding taking a shower or washing hands while having a saline lock?

Answer 12

1. Ask a nurse to wrap up IV site before taking a shower
2. After your shower pat the site dry
3. Avoid saturating the dressing with water