EZ IO Nursing Competency
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Transcript of EZ IO Nursing Competency
EZ IO Nursing Competency
Presented by:Jonna Bobeck BSN, RN, CEN
Objectives
Identify who benefits from IO Describe contraindications List indications Discuss acceptable drugs and fluids Discuss proper steps for insertion Discuss proper medication administration Discuss care and removal
Introduction
What is EZ IO Advantages - time
- risk - efficacy - patient friendly - evidence based - endorsed by professional associations
Needle Sets
15mm (3 -39kg) – pink 25mm (40 and greater) – blue 45mm ( excessive tissue) - yellow
Indications For Use
Adults - proximal humerous
- proximal tibia
- distal tibia
Pediatrics - proximal tibia
- distal tibia
Contraindications For Use
Fracture Excessive tissue Infection Previous orthopedic procedure
Insertion Steps 1- 3
1. BSI/PPE
2. Aseptic technique
3. Locate insertion site (Figure 2)
Insertion Step 4
4. Prepare insertion site (Figure3)
- tibial site shown for clarity
Insertion Step 5 - 7
5. Prepare infusion system
6. Ensure the driver and needle set are securely seated (Figure 4)
7. Remove and discard needle safety cap (Figure 5)
Insertion Step 8
8. Insert EZ-IO needle set Handle set by the hub Control patient movement Position at 90 degrees (Figure 6)
Insertion Step 8
Penetrate bony cortex Release trigger - note: gentle steady pressure, do not force
Insertion Step 9 - 10
9. Remove driver and stylet (Figure 8)
10. Confirm catheter stability
Insertion Step 11
11. Attach EZ-Connect extension set (Figure 9)
Insertion Step 12
12. Flush with 10mL of normal saline Important: aspirate
consider patient’s responsive to pain
anesthetics
NO FLUSHE = NO FLOW
frequent monitoring
Removing EZ-IO
Remove catheter from patient (Figure 10) Dress appropriately
Acceptable Medications and Fluids
Medications Fluids
EZ-IO Pearls: Power Driver
EZ-IO Pearls: Needle Sets
EZ-IO Pearls: Usage Tips
EZ-IO Pears: Removal
EZ-IO Pearls: Aftercare and Laboratory Considerations
References
Vidacare, . "Vidacare." Vidacare ez-io. Vidacare, 2010. Web. 21 Dec 2010. <http://www.vidacare.com/ez-io/index.html>.