Removing Air Bubbles from IV Lines (Nursing Skills)

Рет қаралды 619,934

Күн бұрын

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Nurses often prime IV lines with the hopes that there are no air bubbles. In this video, I will share a couple of tips to help reduce the risk or frequency of air bubbles during line priming. I will also talk about how to troubleshoot the air bubbles when they appear during an infusion
Providing patient care and influencing safe patient outcomes requires that registered nurses and licensed practice nurses maintain air free IV lines. Learn the strategies and tips to decrease the risk of air bubbles appearing in your primary or secondary medication line as well as troubleshooting tips to remove those alarming bubbles. Your patients will thank you!
Whether you are providing normal saline, a medication, or a combination, ensure that all fluids are compatible.
Supplies used in this video include the Alaris Primary Infusion line, alcohol swabs and a sterile 10 cc syringe ... and a nail in the wall :)
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Пікірлер: 415

@DiUnadulteratedTruth 3 жыл бұрын

The nail in the wall cracked me up. Nurses are very resourceful. We are very creative. I like it.

@mercyissifu2232 3 жыл бұрын

Very resourcful

@SADzMega 3 жыл бұрын

I'm a new grad and took a leap and began in CCU. I'm the first and only mew grad nurse there and this always happens. One more skill to help me feel more confident around all the more experienced nurses. Thank you!

@NurseMinder 3 жыл бұрын

Awesome and congrats on the new job!

@daveedaju3265 2 жыл бұрын

Thanks a lot Tammy.easy and simple demonstration for both new and seasoned nurses😊

@HurricaneQueen777 2 жыл бұрын

Thank you for sharing this wiseness & for adding some confidence to my soon to be off orienting being. ❤️❤️❤️❤️

@viviancolongarcia6942 3 жыл бұрын

Very informative and educational! Very easy to understand. As a brand new nurse this was VERY helpful. THANKS!

@NurseMinder 3 жыл бұрын

Awesome!! One of those things you learn on the job

@kendranieuwendorp5511 2 жыл бұрын

Aha! Clamp below! I got shown this trick in my preceptor but then didn't use my IV skills for over a year after I got my RN license so I forgot how to do it! I've been working in the hospital for 3 months now though and this will come in super handy. Thanks Tammy!

@odoemenastanley4723 4 жыл бұрын

Very timely video for me, had rough time yesterday trying to get rid of bubbles in my IV. Thank you Tammy.

@NurseMinder 4 жыл бұрын

We have all had those days!

@annaelagina5997 5 ай бұрын

So educational. Thank you. Had so much trouble with Vancomycin bubbles in line. Took a lot of time and frustration.

@kataang2895 Жыл бұрын

This is an EXCELLENT video! I'm a nursing student and you saved me so much time and frustration when dealing with air bubbles. Thank you for this!!!

@NurseMinder Жыл бұрын

Happy to help! 💕

@charlieclark3517 Жыл бұрын

As an undergrad nursing student working as a CNA, you are the BEST! Thank you!!!!!!!

@NurseMinder Жыл бұрын

Ahhhh! ☺️ thank you so much. I am delighted to hear the videos help

@oluwaremiomodan8803 3 жыл бұрын

This is very helpful. Thanks for sharing.

@natashak3387 2 жыл бұрын

Thank you so much for doing this! I have a lot of experience with my past port and current port care, but farely new to doing sodium chloride gravity bag infusions three times a week for my complicated health. Air bubbles sure can be the devil. I'm doing an infusion at home tomorrow morning and will use the tips you gave along with what I was taught. Thank you!

@natashak3387 2 жыл бұрын

I don't have a sterile and empty syringe so I have to manually get the bubbles to come out by unclamping which stinks because I waste some fluid.

@jennafrantz8219 8 ай бұрын

Thank you so much for this video. Extremely helpful! I’m watching as a medical student - sometimes, in places that are extremely short-staffed in nurses, us medical students/doctors are expected to do nursing duties, but we of course have zero training in nursing 😬 thank you so much for providing this great resource so we can learn how to do things properly for the well-being of our patients!

@NurseMinder 8 ай бұрын

Happy to help. Thanks for watching and being committed to patient care!

@jenanjuice2003 4 жыл бұрын

Thank you! No one ever showed me how to remove them:( I’ve had a couple of annoying days lol. This will help

@NurseMinder 4 жыл бұрын

Glad I could help!

@maytecanela1338 2 жыл бұрын

I’m having those days now too get me so nervous I don’t have time for those bubbles!

@jinri8456 2 жыл бұрын

@@maytecanela1338 What else is your problem with the Iv? maybe we can help.

@motionless_horizon 4 жыл бұрын

I'm starting at home saline infusions and my training nurse never explained how to remove the bubbles. Thank you! I feel much more confident now

@NurseMinder 4 жыл бұрын

Awesome!!

@natashak3387 2 жыл бұрын

How has it been going Motionless_Horizon with infusions? I have a lot of experience with my ports and thankfully already getting most of what I need to do for my infusions. Thankfully, I have a diagram that I can look at just incase.

@oObingOo 2 жыл бұрын

This is a very helpful video. Thank you so much! 😊

@anniebarkevich6008 2 жыл бұрын

This was helpful as I’m giving my husband iv meds at home. Thank you b

@NurseMinder 2 жыл бұрын

Happy to help!! I hope all is ok

@MarvzTalle 2 жыл бұрын

finally, I found this video. Very informative and very helpful. thank you.

@NurseMinder 2 жыл бұрын

Thanks for sharing!!

@heaterpistol6067 Жыл бұрын

I got bubbles in my IV line and my arm hurt. It was swollen. The nurse used saline flushes to pull bubbles out. As she did it my arm felt better. Nurses Rock !!

@spitfire1815 10 ай бұрын

Isn’t it life threatening if that bubble you removed enters the body?

@ryanfreeman7365 9 ай бұрын

I work as a nurse in a cardiothoracic icu and was bored one night and did some research on the topic. It’s interesting because the answer really depends on the circumstances but overall it takes ALOT of air for this to be dangerous, more than people think. Since we are talking IVs then we are talking veins and the research shows it takes 5ml/kg of air to have a noticeable air embolism which causes symptoms. 5ml/kg in someone who weighs 180 lbs is about 400 ml of air, that’s 40x 10 cc flushes worth of air or approximately 25 entire IV lines worth of air. This is virtually impossible to achieve by accident it would have to be purposeful to introduce that much air. However they did say in some cases they saw as little as 20 ml of air start to cause symptoms which would be about 1 and a half entire IV lines worth of air or 2 entire empty 10 cc syringes worth of air. In my practice this amount of air would also be virtually impossible to administer accidentally. I have never pushed an entire 10 cc syringe of air into a patient, let alone 2 whole syringes. Furthermore remember that air exists in your blood just in dissolved form. The majority of air is Nitrogen gas which would quickly dissolve into the blood in your veins. Same with gaseous oxygen which would be gobbled up by the hemoglobin in your blood. So to put it shortly, this issue is not as much as a problem as patients might think. Now if we aren’t talking IVs and instead talking about arterial lines, that’s a lot more dangerous. As little as 2 mls of air showed in studies to be able to cause an air embolism in the brain (think stroke) which would be quite serious. But again in all my time in the ICU I’ve never even come close to accidentally administering 2 whole mls of air into an arterial line as we use closed systems for managing art lines at our hospital.

@dragonwolf9435 4 ай бұрын

Well, perhaps things have changed since my training. Can small air bubble 1-2" in line cause seizures? Arterial or Venus line make a difference?

@dragonwolf9435 4 ай бұрын

I have never seen swelling or pain because of small air bubble in line or pain and swelling dissipated because air bubble pulled out of line. All I can say is that they told us it would take far more air to actually go in because a two Inch bubble would be miniscule. Having said that there is something to be said about patient comfort. If they believe they can be harmed by the bubble there mental state can have adverse impact. And don't forget about the pesky alarm continuously beeping when it senses that small bubble!

@dragonwolf9435 4 ай бұрын

8:41

@noranur-art8130 2 жыл бұрын

Thank you for your videos it is very helpful.

@nancasa1 3 жыл бұрын

This was great! I graduate with my BSN in 6 months and I', still learning stuff I feel they should have taught early on.

@NurseMinder 3 жыл бұрын

Yes. Lots to learn in the job :)

@Ruffles729 2 жыл бұрын

Did you graduate? Literally me! I relate!

@ThePinkdivaprincess 3 жыл бұрын

Thank you so much for this my Dad is starting infusion therapy at home and I am So Worried about these Bubbles!! U are now saved in my phone!! ❤❤❤

@NurseMinder 3 жыл бұрын

I hope all goes well with you dad ❤️

@khadijajulkanain8588 3 жыл бұрын

Thank you very much! I truly appreciate your effort in making this video. I am a novice nurse and this is such a big help 😄.

@kennethlademora1414 3 жыл бұрын

Simple steps to follow....thank you for sharing

@NurseMinder 3 жыл бұрын

Thanks for writing! 🙂

@lamyaalothman410 3 жыл бұрын

Thanks a lot very helpful👍🏻❤️

@fatemaal-saeed2246 3 жыл бұрын

This is really helpful. THANK YOU!

@NurseMinder 3 жыл бұрын

You are welcome

@rahulmalviya1197 4 жыл бұрын

Very well explained.

@tktk7024 2 жыл бұрын

Thank you so much❤️❤️❤️

@AH-le3py 4 жыл бұрын

Excellent.. Dr Hussain

@rianariana446 2 жыл бұрын

Thank you very much!! Very helpful and so much appreciated!!

@NurseMinder 2 жыл бұрын

You are welcome!

@Scalaruby 2 жыл бұрын

Thank you! I am having a bad days with bubbles and no one showed me how to remove. This is a big help.

@NurseMinder 2 жыл бұрын

Awesome. Happy to help and may you have fewer bad bubble days

@lindaosagiede9683 3 жыл бұрын

Thank you so much

@luzmaldonado5951 2 жыл бұрын

I loved your pump! Thank you.

@NurseMinder 2 жыл бұрын

You're so welcome!

@maricris1940 2 ай бұрын

Thank you very much! This is a very big help for me!

@NurseMinder 2 ай бұрын

You are welcome

@milkyways13343 3 жыл бұрын

This was so helpful, thank you!

@NurseMinder 3 жыл бұрын

So happy

@elmieeltagonde9438 Жыл бұрын

so very helpful. Thank you for creating this video. God Bless 😇

@NurseMinder Жыл бұрын

Thanks for letting me know it was helpful

@bibichelema6907 3 жыл бұрын

Thx very much is really helpful

@teeaye_ 3 жыл бұрын

Great tips!!

@DhanaLakshmi-ob5ey 4 жыл бұрын

Thank you for your video and explanations🙂

@NurseMinder 3 жыл бұрын

You are welcome!

@ZAHR274 Жыл бұрын

Thank you

@lamyaalothman410 3 жыл бұрын

I love your videos thanks

@shalizwilliams-pierre2694 Жыл бұрын

Absolutely AWESOME

@NurseMinder Жыл бұрын

Thank you

@SaifulIslam-wm9kq 3 жыл бұрын

Very helpful for me, thanks!

@NurseMinder 3 жыл бұрын

Awesome!!😊

@lisaulloa6858 3 жыл бұрын

Thanks Tammy!!!!

@NurseMinder 3 жыл бұрын

You’re welcome!😊

@sublimesamoyed 2 жыл бұрын

Thank you SO much!

@thetrilingualnursernbsn3458 2 жыл бұрын

kzfaq.info/get/bejne/m8ddmr2WsdTSioU.html

@sherrystutts2132 Жыл бұрын

Thank y’all for the video it helps me a lot

@NurseMinder Жыл бұрын

Thanks 😊 for sharing

@nonorefaat2136 3 жыл бұрын

thanks

@MrEWinHK Жыл бұрын

Great video! What if the IV line does not have the 2way Y-port, but just I port connected to patient? Thanks!

@NurseMinder Жыл бұрын

You will need to add a needless connector or, depending on your resources, a blunt end connector to the IV catheter so you can disconnect without the patient bleeding. Then let the fluid run through the line until bubbles are gone. If it medication, try to time the bubble removal to when the bubble is closer to hub to prevent loss of medication

@pizzagirl9908 3 жыл бұрын

thank you so much! This was super helpful!

@NurseMinder 3 жыл бұрын

Happy to help!!!

@makella3149 3 жыл бұрын

Thanks so much for this tips. It takes me some good minutes to get air bubbles out of iv lines by disconnecting line from PT, taking the whole line out of the pump and run it out, then reinsert and connect it back to PT.🤣😅😭. I wish I have found this video sooner. Thanks so much.

@NurseMinder 3 жыл бұрын

The struggles are real! We have all had this happen to us

@Mi0006 3 жыл бұрын

right mind blown

@mariavioletamaquiling6146 Жыл бұрын

thank you!

@NurseMinder Жыл бұрын

You are welcome!

@pshtiwanhassan8398 Жыл бұрын

Thanks for lesson

@NurseMinder Жыл бұрын

Thanks for watching ☺️

@ecwest923 2 жыл бұрын

😊 This will be helpful as a new nurss.

@almilaadaaryoruk3400 2 жыл бұрын

Thank you so much! That was really helpful 🌸

@NurseMinder 2 жыл бұрын

Happy to hear that :)

@margaretprawl313 Жыл бұрын

I was about to ask about what if it a small bag of critical med. that you don't want to lose; however you answered that question! Great video. I am a new RN so I love to watch these videos.

@NurseMinder Жыл бұрын

Yeah! Thanks for watching

@attackofthewindmills 8 ай бұрын

Thank you!

@NurseMinder 8 ай бұрын

Happy to help

@helenmurage 3 жыл бұрын

Thanks so much Tammy. May God bless you mightily. This is very helpful.

@NurseMinder 3 жыл бұрын

Thanks Helen :)

@scubatravel7846 4 жыл бұрын

Great tips! I'm a baby nurse (as in New nurse lol not OB) And your videos have been a lot of help

@NurseMinder 4 жыл бұрын

You got this!

@mohommeddahir876 3 жыл бұрын

Me too

@Ruffles729 Жыл бұрын

Same helpful as a new grad!

@arizzayanto3209 Жыл бұрын

veryyy informative as a student nurse :-))) thanks !

@NurseMinder Жыл бұрын

😊

@luisarashirovideo Жыл бұрын

thank you

@NurseMinder Жыл бұрын

You’re welcome

@icencoolj4869 Жыл бұрын

Thank you so much. Nice tips.

@NurseMinder Жыл бұрын

🥳

@adamrj7286 Жыл бұрын

great to the point easy explanation video on this thank you

@NurseMinder Жыл бұрын

You are welcome 🤗

@bellaV_1989 3 жыл бұрын

Very helpful.. thanks

@NurseMinder 2 жыл бұрын

great to hear

@mariacullati2371 2 жыл бұрын

Thank you.

@NurseMinder 2 жыл бұрын

You are welcome

@thaingamliurongmei1984 10 ай бұрын

It was great thank you

@NurseMinder 10 ай бұрын

Thank you for watching

@chrisgurl3043 Жыл бұрын

Thanks

@NurseMinder Жыл бұрын

😊

@FarhanAli-cq5mo 3 жыл бұрын

Thank you mem

@nursesdiary4256 3 жыл бұрын

Useful 😊👍

@EllenParaguya-pk9bv 11 ай бұрын

thank you so much it is very helpful,I am a new grad RN

@NurseMinder 11 ай бұрын

Congrats on your new career 🤩

@chaucerflanders7918 2 жыл бұрын

Thank you , you are so lovely x

@NurseMinder 2 жыл бұрын

Thank you

@VernessaBloom 3 жыл бұрын

Awesome!!

@bandanakhatri8586 2 жыл бұрын

Very useful ❤️Thank you

@NurseMinder 2 жыл бұрын

Glad it was helpful!

@signolineumuraza3192 29 күн бұрын

Thank u so much

@NurseMinder 28 күн бұрын

You are welcome

@irisys7905 2 жыл бұрын

this is very helpful!

@thetrilingualnursernbsn3458 2 жыл бұрын

kzfaq.info/get/bejne/m8ddmr2WsdTSioU.html

@cezdizon1229 2 жыл бұрын

Good job

@dalaisand8440 3 жыл бұрын

You are amazing!!

@NurseMinder 3 жыл бұрын

So are you!

@godschild7393 Жыл бұрын

Thanks a lot.

@NurseMinder Жыл бұрын

You are welcome

@aminainnocentnacy3536 3 жыл бұрын

U are just perfect weldone 👌💖

@NurseMinder 2 жыл бұрын

thank you

@ttanner140 2 жыл бұрын

You don’t need to bend the tubing at the top chamber when priming line, roller clamp should be closed so there will be no fluid movement until unclamped. Also when removing bubbles/ medication, you can just push med back into port, bubbles will rise to top, just be sure not to push the whole syringe back in.

@seraphine7677 2 жыл бұрын

👍🏻

@NurseMinder 2 жыл бұрын

Yes you are right bubbles will rise to the top - most of the time - and then they sit in the port until the next time the hub is accessed and they are potentially pushed back into the IV line. Best practice is to remove them If you have a line with the backflow stopper, fluids cannot be pushed back up to the IV bag as the retrograde movement is blocked at the stopper - unless you have a secondary line, in which case the fluid will move backwards Not knowing exactly what your process is - I also want to take a moment to talk about IV push - med admin via this route should never be used to backprime. Iv push is to be controlled and if you back prime, it may change the rate of med admin as you no longer control the portion backprimed (and then there is compatibility to look at as well)

@facecharm1465 Ай бұрын

Great video ❤

@NurseMinder Ай бұрын

Thank you!!

@izae.2144 9 ай бұрын

Thank you! :)

@NurseMinder 9 ай бұрын

You are welcome

@senaitnegash6113 3 жыл бұрын

Wow that is smart I always worry when it it is medicine

@ceciliawaigwe3185 2 жыл бұрын

Very helpful also Could you do a video showing the drop rate inside the chamber given an order with drops/min tks

@NurseMinder 2 жыл бұрын

I will add it to my list

@chahrazedzioui1217 Жыл бұрын

Thank youuu so much

@NurseMinder Жыл бұрын

💕

@alaahussain9677 3 жыл бұрын

you saved livess sis

@NurseMinder 3 жыл бұрын

Awesome!!!

@bawizamential6713 3 жыл бұрын

I have subscribed 😍😍 Thankyou Tammy😇😊

@NurseMinder 3 жыл бұрын

Thank you!!

@diksha3267 Жыл бұрын

Thanks mam ❣️😊

@NurseMinder Жыл бұрын

You are welcome!

@gracemuthama5941 Жыл бұрын

very useful information

@NurseMinder Жыл бұрын

Thanks!

@jessicanewman6727 3 жыл бұрын

Also wanted to ask if the extension with the negative pressure clave is absolutely needed or can i attach the tubing directly to the catheters hub?

@NurseMinder 3 жыл бұрын

It can be attached directly to the hub

@misslildutch 3 жыл бұрын

Very helpful I gotta say! I’m scared of air embolism.

@dannibble 3 жыл бұрын

Don't be. Go follow anesthesia for a day and pay attention to their lines. They never prime and always have air. Unless you're pushing 30+cc of air its not gonna kill anyone.

@tanakanicekill9744 3 жыл бұрын

If you have a gravity drip how would you places? I have POTS and im about to start home infusions, mine will probably last longer than 2 hours so since I don't know if I will have a pump or a drip...what would happen if I had to go somewhere? can we put it inside a book bag with a clip the same way you can if you had a pump?

@NurseMinder 3 жыл бұрын

The gravity bags need elevation- gravity is the forces that causes the fluid to flow. If you have a gravity IV, and the bag is on your desk, for example, then your blood will travel up the line because the pressure inside your vessel will be higher than that pull in the bag from gravity

@sv2253 4 жыл бұрын

This is so helpful! My father is on antibiotics and I'm so paranoid I'm giving him his IV incorrectly. ❤❤ thank you very much!!!

@NurseMinder 4 жыл бұрын

Awesome :). I hope your father is okay

@sv2253 4 жыл бұрын

@@NurseMinder thank you!! I hope you stay safe during these times 🌻⚘

@jovelleasuncion2952 2 жыл бұрын

thank you mam🥰🥰🥰

@thetrilingualnursernbsn3458 2 жыл бұрын

kzfaq.info/get/bejne/m8ddmr2WsdTSioU.html

@aminainnocentnacy3536 2 жыл бұрын

You are so lovely and amazing nurse keep it up sis in teamwork ❤️👌

@NurseMinder 2 жыл бұрын

😊 thank you

@thetrilingualnursernbsn3458 2 жыл бұрын

kzfaq.info/get/bejne/m8ddmr2WsdTSioU.html

@lezelladroma9203 2 жыл бұрын

Great! Thank you again Tammy I once watched your other video very informative...Question: so if you take out the line nearest to the patient to get the bubbles and place it back, the same thing 15secs disinfecting is it both ports end?

@NurseMinder 2 жыл бұрын

No you don't want to use alcohol swab on the open end of the IV - keep it sterile when you detach it - let the fluid flush through and then reattach. If the business end of the IV line touches anything - it is contaminated.

@lezelladroma9203 2 жыл бұрын

@@NurseMinder thank you for the info.

@andrewsebastian3412 Жыл бұрын

Hi. This very helpful. One more thing, what should i do when the iv is not dripping?

@NurseMinder Жыл бұрын

If the IV is not dripping it may be that the bag needs to be higher (if using gravity and no pump)

@Tamara07 3 жыл бұрын

This is great! Thank you so much!

@NurseMinder 3 жыл бұрын

Thanks for watching ❤️

@stephly17 3 жыл бұрын

can you pls do one for the curlin pump?

@NurseMinder 3 жыл бұрын

I don’t know that one!

@alexgalindev6513 3 жыл бұрын

Just a quick question: so before you withdraw the air, you have to make sure all the clamps (roller clamp) are open correct?

@NurseMinder 3 жыл бұрын

Yes. The roller clamp needs to be open to draw fluid down. If you lock it, you will to pulling blood back into the line

@kjones5569 3 жыл бұрын

This only applies to the port below the roller clamp-correct?? For the port above the roller clamp-it looked as if the roller clamp was closed while with drawing the bubbles....