Primary Infusion: IV set up for Nurses (Spike and Prime)

Nurses routinely prepare and provide patient care that involves the skills of priming an IV set for fluid and medication administration.

This video is about Flushing Primary IV Line for Infusion and goes over the elements of an infusion set, tips to priming and assessing the line for correct infusion (use of label and tracing from patient to pump to bag). Removing air bubbles from smart sites (aka Y connector sites) is covered.

It is important to remember that while the fluid path is sterile, the line itself is not sterile and does not go on your sterile field. If using the needle-free valves (as seen in this demo), do not access them with a needle as it will damage the valve and cause leaking.

Once your line is primed, the clock is ticking. It is important to note the time of initiation on your label and check with your agency policy as to how frequently the line is changed. A continuous infusion has a longer duration than an intermittent.

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[chirpatwelve]

The instructions for use indicate that the drip chamber should be filled 2/3 full. This is to reduce the likelihood of air bubbles getting into the line. One example of how this can happen is if the drip gets tilted or swings such as when the patient is being transported.

[marciagomesdefarias]

Hi nurseminder... Love your videos. I studied nursing one here in Brazil. ..here I can understand better..I'm glad I found you ...i subscribed your channel...thank you so much..

[sungwonmedi]

Thank you so much for great video sir!

[kennethtan]

Thank you and Much Love from the Philippines.

[Elizabeth-xgcv]

Thank you very much! Enjoyed and learnt a lot from your video!

[umefwce]

Thanks so much for this, so thorough!!!

[adelinefenelus]

Would love to see you demonstrate how to calculate a drip factor during the video. Awesome video 👍🏾

[nataliesimon]

Thanks. I went to like it and I must have done it before!

[nikhil]

Informative video and love from India 🇮🇳

[reardelt]

If you miss the median cubital vein, should you try sticking the same vein again? Or try the cephalic vein?

[aireenberog]

Hi, can you please make a video for multiple infusions. I'm having a hard time to identify which one is/where for patients having like multiple infusion. Tubings are tangled, there's no label. I'm lucky if they will add label.Most nurses just put the meds that easy.

[richardmanu]

So many years learning this but don’t know to do it anymore....Am a Nurse

[paintingsforsoulwithadrian]

How do you connect the infusion to the branula?

[rowenamendoza]

What will I do if the drip chamber is full or has excessive fluid?

[itszahidsaeed]

this saline should not be pricked from above for making it fast flowing right? or iit can't be used multiple times. answer with reference please.

[CommanderNoCrystal]

How can I stop the blood from going up???

[karanwalia]

Is taking iv drip quite painful as i have never taken it

[tanakanicekill]

so im gonna start home infusions and don't know if ill get a pump or a gravity drip...if I were to get a gravity drip, are you able to go out with it? because with a pump you can put it in a bag and go off somewhere but can you do that with a gravity drip as well? im just curious because my infusions might last longer than 2 hours and if I suddenly need to go somewhere I don't know if you can with a drip like u can with a portable pump.

[reardelt]

Is it OK to have a few small bubbles in the line? Its difficult to remove them all

[rayw]

You should have taken the blue sheath off the fluid bag before removing the protective cap of the spiker. Now you're exposing the spiker in the air, and it risks being contaminated.