Objectives
Objectives for Section 1: Peripheral IV Therapy
Upon completion of this curriculum, the nurse will be able to:
- List specific measures that will protect against malpractice.
- Identify infusion related complications, causes and appropriate treatment.
- Demonstrate the correct calculation of an IV flow rate.
- Identify methods of infection control related to IV therapy.
- List the components of accurate and complete documentation of IV procedures and complications.
- Demonstrate IV and Infusion related procedures.
Objectives for Section 2: Central Venous Access Devices (CVAD)
Upon completion of this curriculum, the nurse will be able to:
- Describe protective measures to guard against malpractice suits.
- List 3 reasons for use and advantages of central lines.
- List 4 veins used for central venous device placement and proper tip position.
- Identify the various types of central lines.
- Identify symptoms and prevention of complications.
- Describe assessment criteria and documentation required for patients with central venous catheters.
Objectives for Section 4: Hypodermoclysis (Clysis)
Upon completion of this curriculum, the nurse will be able to:
- Identify at least three negative effects of central line related bloodstream infections.
- Identify at least two methods by which central lines become colonized.
- Identify at least three strategies to reduce the risk of CRBSI at the time of catheter insertion.
- Recognize the proper time intervals and procedures for dressing change, injection port change, and site observation.
- State the recommended methods for obtaining blood cultures for CRBSI diagnosis.
- State the recommended methods for treating CRBSI.
Objectives for Section 4: Hypodermoclysis (Clysis)
Upon completion of this curriculum, the nurse will be able to:
- Identify at least 3 factors that contribute to dehydration in the elderly.
- Define hypodermoclysis.
- Describe the advantages, disadvantages, indications, and contraindications of hypodermoclysis.
- Describe the appropriate sites, solutions, volumes and rates for hypodermoclysis.
- Describe the procedure for hypodermoclysis administration.
- State at least 3 potential complications of hypodermoclysis.
Objectives for Section 5: Total Parenteral Nutrition (TPN)
Upon completion of this curriculum, the nurse will be able to:
- Identify at least three medical conditions that indicate the use of TPN.
- Identify at least three components of TPN.
- Demonstrate understanding of TPN administration by recognizing the steps involved in TPN preparation and infusion.
- Recognize at least two potential complications of TPN.
- State at least four TPN monitoring measurements.
Objectives for Section 6: Transfusion Therapies
Upon completion of this curriculum, the nurse will be able to:
- Explain the blood grouping systems and their importance in transfusion therapy.
- List available blood components and indications for each.
- Describe the activities required in preparation for a transfusion.
- Identify equipment used to administer a transfusion and it’s proper usage.
- Describe the nursing management of a blood component infusion.
- Describe signs and symptoms of transfusion reactions, and appropriate interventions for each.
- Explain appropriate patient education related to transfusion therapy.
- Identify the required documentation for a blood transfusion.
Objectives for Section 7: Chemotherapy
Upon completion of this curriculum, the nurse will be able to:
- Define how chemotherapy is used in cancer management.
- List the major chemotherapy drug classifications and their general mechanisms of action.
- Identify the major side effects/toxicities of chemotherapeutic agents.
- Describe safe chemotherapy handling techniques.
- Describe appropriate chemotherapy administration.
- Recognize common psychological effects in patients receiving chemotherapy.
Objectives for Section 8: Gamma Globulin (IgG)
Upon completion of this curriculum, the nurse will be able to:
- Name at least three conditions for which gamma globulin is indicated.
- Demonstrate understanding of gamma globulin administration by recognizing the steps involved in its preparation and infusion.
- Recognize at least two side effects of gamma globulin infusion.
Curriculum
Chapter 1: Legal Issues
- Regulatory Agencies and Governing Bodies
- Components of a Complete Physicians Order
- Legal Terms and Applications in Nursing
- Protective Measures for Guarding against Malpractice Lawsuits
Chapter 2: Anatomy and Physiology
- The Vascular System: Veins, Arteries and Bone Marrow
- The Three Layers of the Vessels and Their Function
- Differentiating Arteries from Veins
- Veins used in Peripheral Intravenous Therapy for Pediatrics and Adults
- Intraosseous
- Skin: Anatomy and Physiology
Chapter 3: Psychological Needs
- Age Specific Needs of Children
- Elderly Patient Needs
- Cultural Aspects
- Patients with Sensory Deficits
- Methods of Reducing Patient Anxiety
- Patient Teaching/Education
Chapter 4: Fluid and Electrolyte Balance
- Water: The Primary Fluid of the Body
- Hypovolemia—Dehydration: Assessment, Causes, Treatments
- Hypervolemia—Fluid Overload: Assessment, Causes, Treatments
- Fluid Compartments
- Electrolyte Imbalances: Assessment, Causes, Treatments
Chapter 5: pH, Tonicity, Compatibility
- pH of Intravenous Solutions and Medications
- Tonicity: Isotonic solutions, Hypotonic solutions and Hypertonic Solutions Incompatibilities
Chapter 6: Fluid Regulation
- Methods of Fluid Regulation
- Patient Considerations in Fluid Regulation
- External Factors that Affect the Rate of Flow
- Calculation of IV flow rates
Chapter 7: Infection Prevention and Safety Compliance
- Hand Hygiene
- Sharps Management
- Medical Waste Disposal
- Durable Medical Equipment Disinfection
- Standard Precautions
- Transmission-Based Precautions
Chapter 8: Vascular Visualization
- Trans-illuminator Technology
- Near Infrared Technology
- Ultrasound
Chapter 9: Peripheral IV Site Selection and Placement
- Criteria For Peripheral Devices
- 3 Types Of Peripheral Access And Criteria For Placement
- Special Considerations Of The Specific Age Groups
- General Considerations Of Short Peripheral Access
- Veins To Avoid
Chapter 10: Peripheral VAD Management
- Needleless Connectors
- Filtration
- Add-on Devices
- VAD Stabilization
- Joint Stabilization
- Site Protection
- Flushing and Locking
- Assessment, Care, and Dressing Changes
- Administration Set Changes
Chapter 11: Peripheral IV Guides and Videos
- Pre-insertion Procedures
- Peripheral IV Insertion
- Primary and Secondary Administration set-up
- IV Push Administration
- Catheter Discontinuation
Chapter 12: Peripheral IV Assessment and Documentation
- Catheter Insertion Documentation
- Catheter Removal Documentation
- Assessment, Monitoring and Documentation by Therapy
Chapter 13: Central Venous Access Device Review
- Definition of a Central Line
- Reasons for use of a central line
- Advantages of a central line
- Overview of Central Venous Access Devices
- Lumens
- Non‐valved and valved catheters
- Non‐tunneled catheters
- Tunneled catheters
- Implanted ports
- PICC or Peripherally Inserted Central Catheter
Chapter 14: CVAD Anatomy
- Veins used for placement of central venous access devices
- Catheter tip placement
Chapter 15: CVAD Assessment and Preparations
- Considerations for selection of the device
- Preparations for central venous catheterization
Chapter 16: CVAD Management
- Needleless Connectors
- Filtration
- Add-On Devices
- CVAD Stabilization
- Site Protection
- Flushing and Locking
- Assessment, Care, and Dressing Changes
- Administration Set Changes
- Blood Sampling from a CVAD
Chapter 17: CVAD Guides and Videos
- Central venous catheter dressing change
- Needleless access device change
- Central venous catheter flushing
- Blood Sampling from a CVAD
Chapter 18: Peripheral and CVAD Complications
- Catheter related complications
- Systemic complications
- Insertion related complications
Chapter 19: CVAD Discontinuation of Therapy
- Removal of devices
- Central venous access device removal procedure
Chapter 20: CVAD Documentation and Patient Education
- Documentation of insertions, removal, infiltration or extravasations
- Assessment, monitoring, documentation by type of therapy
Chapter 21: CRBSI - Scope of Problem
- Morbidity / Mortality
- Cost
- Surveillance
Chapter 22: CRBSI - Catheter Insertion
- Site Selection
- Sterile Technique
- Antimicrobial Impregnated Catheters
Chapter 23: Catheter Site Maintenance
- Dressing
- Needleless Connector
- Observation
Chapter 24: CRBSI - Medication Administration
- Infusate
- Administration Set
- Flushing
Chapter 25: CRBSI - Diagnosis and Treatment
- Clinical Findings
- Cultures
- Treatment
Chapter 26: Dehydration
- Scope of Problem
- Contributing Factors
- Signs and Symptoms
- Assessment
Chapter 27: Hypodermoclysis Introduction
- Advantages
- Disadvantage
- Indications
- Contraindications
- Use in Terminally Ill Patients
Chapter 28: Clysis Infusion Parameters
- Sites
- Solutions
- Volume and Rate
- Hyaluronidase
Chapter 29: Clysis Administration
Chapter 30: Clysis Complications
- Systemic Complications
- Local Complications
Chapter 31: Clysis Communication and Documentation
Chapter 32: Indications for Parenteral Nutrition
- Altered Absorption Capacity
- GI Disorders Requiring Complete Bowel Rest
- Intractable Vomiting or Diarrhea
- Hypermetabolic States
- Anorexia Nervosa
Chapter 33: TPN Goals
- Maintenance of Normal Body Weight and Protein Status
- Restoration of Normal Body Weight and Protein Status
- Maintenance or Restoration of Normal Micronutritional Status
Chapter 34: Normal Nutritional Requirements
- Protein
- Carbohydrate
- Lipid
- Vitamins
- Minerals
- Trace elements
Chapter 35: Nutritional Assessment
- Anthropometrics
- Biochemical
- Clinical
- Dietary
Chapter 36: Composition of Parenteral Nutrition
- Dextrose
- Amino Acids
- Lipids
- Water
- Electrolytes
- Vitamins
- Trace Elements
- Other Additives
Chapter 37: TPN Administration
- Central Venous Access Devices
- Electronic Infusion Devices
- TPN and Lipids
- Preparing the TPN for Infusion
- Initiating the Infusion
Chapter 38: TPN Complications
- Metabolic Complications
- Vascular Access Device-Related Complications
Chapter 39: TPN Monitoring and Documentation
- Vital Signs
- Glucose
- Weight
- Intake and Output
- Laboratory Values
- TPN Administration
- IV Catheter Care
Chapter 40: Introduction to Transfusion Therapy
- Blood Components
- ABO Blood Group System
- Rh Blood Group System
- Other Blood Group Antigens
- HLA System
Chapter 41: Whole Blood
Chapter 42: Packed Red Blood Cells
- Description
- Indications
- Donation and Testing
- Red Blood Cell Subsets
Chapter 43: Platelets
- Description
- Indications
- Donation and Testing
- Platelet Subsets
Chapter 44: Plasma
- Description
- Indications
- Donation and Testing
Chapter 45: Granulocytes
- Description
- Indications
- Donation and Testing
Chapter 46: Clotting Factors
- Cryoprecipitate
- Factor Concentrates
Chapter 47: Pre-transfusion Activities
- Licensed Independent Prescriber Order
- Patient Consent
- Type and Crossmatch
- Vascular Access
- Baseline Vital Signs
Chapter 48: Transfusion Administration
- Component Transport and Storage
- Equipment
- Pre-medication
- Identification
- Administration
- Monitoring
- Patient Education
- Documentation
Chapter 49: Transfusion Complications
- Immune Complications
- Hemolytic Reactions
- Non-Hemolytic Reactions
- Non-immune Complications
- Infectious Complications
- Transfusion Associated Fluid Overload (TACO)
- Complications of Massive Transfusion
Chapter 50: Introduction to Chemotherapy
- Definition
- Goals of Chemotherapy
- Cell Cycle
- Chemotherapy Approaches
Chapter 51: Chemotherapy Drug Classifications
- Cell-cycle Specificity
- Mechanism of Action
- Alkylating Agents
- Antimetabolites
- Antitumor Antibiotics
- Mitotic Inhibitors
- Topoisomerase Inhibitors
- Miscellaneous
- Cytoprotective Agents
Chapter 52: Chemotherapy Side Effects
- Myelosuppression
- Gastrointestinal
- Integumentary
- Cardiovascular
- Respiratory
- Renal
- Neurologic
- Reproductive
Chapter 53: Safe Handling of Chemotherapeutics
- Preparation
- Administration
- Disposal
- Bodily Discharges
Chapter 54: Chemotherapy Administration
- Pre-administration Activities
- Routes of Administration
Chapter 55: Psychological Effects of Chemotherapy
- Grief
- Loss of Status
- Desirability
- Long-term Concerns
Chapter 56: Introduction to Gamma Globulin
- Definition
- Indications
- Products
Chapter 57: IgG Administration
Chapter 58: Possible Adverse Events of IgG
- Common Side Effects
- Uncommon Side Effects
- Anaphylaxis
Chapter 59: IgG - Patient Education
- Nurse Administration
- Patient Administration
Chapter 60: IgG - Assessment and Documentation
Chapter 61: Resources and Skill Check-Off Lists
- Skill Check-Off Lists:
- Peripheral IV Insertion
- Medication Administration
- Large Volume Electronic Infusion Device Peripheral IV Catheter Insertion
- IV Push
- Accessing a Port
- Administration of Infusate via an Ambulatory Infusion Pump
- Blood specimen collection from a CVAD
- De-accessing an Implanted Port
- IV Push
- Large Volume Electronic Infusion Device
- Medication Administration
- Midline or Central Line Dressing Change
- Needleless Connector Device Change