PROSEDUR KERJA PEMASANGAN INFUS 1.0

PROSEDUR KERJA PEMASANGAN INFUS





1.0 Tujuan pemasangan infus

1.Mengembalikan dan mempertahankan keseimbangan cairan dan elektrolit tubuh

2. Memberikan obat-obatan dan kemoterapi

3. Transfusi darah dan produk darah

4. Memberikan nutrisi parenteral dan suplemen nutrisi




2.0 Cakupan

Keadaan emergency (misal pada tindakan RJP), yang memungkinkan pemberian obat langsung ke dalam Intra Vena Untuk memberikan respon yang cepat terhadap pemberian obat (seperti furosemid, digoxin) Pasien yang mendapat terapi obat dalam dosis besar secara terus-menerus melalui Intra vena Pasien yang membutuhkan pencegahan gangguan cairan dan elektrolit Pasien yang mendapatkan tranfusi darah Upaya profilaksis (tindakan pencegahan) sebelum prosedur (misalnya pada operasi besar dengan risiko perdarahan, dipasang jalur infus intravena untuk persiapan jika terjadi syok, juga untuk memudahkan pemberian obat) Upaya profilaksis pada pasien-pasien yang tidak stabil, misalnya risiko dehidrasi (kekurangan cairan) dan syok (mengancam nyawa), sebelum pembuluh darah kolaps (tidak teraba), sehingga tidak dapat dipasang jalur infus. Untuk menurunkan ketidaknyamanan pasien dengan mengurangi kebutuhan dengan injeksi intramuskuler.




3.0 Tanggung jawab
Inflamasi (bengkak, nyeri, demam) dan infeksi di lokasi pemasangan infus. Daerah lengan bawah pada pasien gagal ginjal, karena lokasi ini akan digunakan untuk pemasangan fistula arteri-vena (A-V shunt) pada tindakan hemodialisis (cuci darah). Obat-obatan yang berpotensi iritan terhadap pembuluh vena kecil yang aliran darahnya lambat (misalnya pembuluh vena di tungkai dan kaki).

4.0 Persiapan Alat
4.1 bahan

- Standar infus
- Ciran infus dan infus set sesuai kebutuhan
- Jarum / wings needle / abocath sesuai dengan ukuran yang dibutuhkan
- Bidai / alas infus
- Perlak dan torniquet
- Plester dan gunting
- Bengkok
- Sarung tangan bersih
- Kassa seteril
- Kapas alkohol dalam tempatnya
- Bethadine dalam tempatnya

4.2 Prosedur kerja

- Perawat cuci tangan
- Memberitahu tindakan yang akan dilakukan dan pasang sampiran
- Mengisis selang infus
- Membuka plastik infus set dengan benar
- Tetap melindungi ujung selang seteril
- Menggantungkan infus set dengan cairan infus dengan posisi cairan infus mengarah keatas
- Menggantung cairan infus di standar cairan infus
- Mengisi kompartemen infus set dengan cara menekan ( tapi jangan sampai terendam )
- Mengisi selang infus dengan cairan yang benar
- Menutup ujung selang dan tutup dengan mempertahankan keseterilan
- Cek adanya udara dalam selang
- Pakai sarung tangan bersih bila perlu
- Memilih posisi yang tepat untuk memasang infus
- Meletakan perlak dan pengalas dibawah bagian yang akan dipungsi
- Memilih vena yang tepat dan benar
- Memasang torniquet
- Desinfeksi vena dengan tekhnik yang benar dengan alkohol dengan tekhnik sirkuler atau dari atas ke bawah sekali hapus
- Buka kateter ( abocath ) dan periksa apakah ada kerusakan
- Menusukan kateter / abocath pada vena yang telah dipilih dengan apa arah dari arah samping
- Memperhatikan adanya darah dalam kompartemen darah dalam kateter, bila ada maka mandrin sedikit demi sedikit ditarik keluar sambil kateter dimasukan perlahan-lahan
- Torniquet dicabut
- Menyambungkan dengan ujung selang yang telah terlebih dahulu dikeluarkan cairannya sedikit, dan sambil dibiarkan menetes sedikit
- Memberi plester pada ujung plastik kateter / abocath tapi tidak menyentuh area penusukan untuk fiksasi
- Membalut dengan kassa bethadine seteril dan menutupnya dengan kassa seteril kering
- Memberi plester dengan benar dan mempertahankan keamanan kateter / abocath agar tidak tercabut
- Mengatur tetasan infus sesuai dengan kebutuhan klien
- Alat-alat dibereskan dan perhatikan respon klien
- Perawat cuci tangan
- Catat tindakan yang dilakukan

5.0 DAFTAR PUSTAKA
http://aryawitl.blogspot.com/2009/02/prosedur-pemasangan-infus-intra-vena.html
http://enny-psik.blogspot.com/2010/01/teknik-pemasangan-infus.html
http://keperawatankita.wordpress.com/2009/04/25/prosedur-pemasangan-infus/
http://www.youtube.com/watch?v=U6-qgidQ34g&feature=related

Hasil (Inggris) 1:

THE WORKING PROCEDURE OF INSTALLATION OF INFUSION 1.0 purpose of the installation of infusion 1. Restoring and maintaining the body's electrolyte and fluid balance2. Provide drugs and chemotherapy3. blood transfusions and blood products4. parenteral nutrition and Providing nutritional supplements2.0 coverageState of emergency (e.g. on actions of CPR), which allows direct dispensing into Intra Venous to provide a fast response to the provision of medications (such as digoxin, furosemid) patients who received drug therapy in large doses on an ongoing basis through Intra venous patients who need fluids and electrolytes disorders prevention patients who get blood tranfusi efforts of prophylactic (preventive action) before the procedure (for example on a major surgery with the risk of bleedingintravenous lines, was installed for the preparation in case of shock, also for easier dispensing) prophylactic Efforts on patients who are not stable, for example the risk of dehydration (lack of fluids) and shock (life threatening), before collapsing veins (not palpated), so it can't be mounted the infusion. To lower the patient's discomfort by reducing the need of injection with intramuskuler.3.0 responsibilities Inflammation (swelling, pain, fever) and infections at the site of installation of the infusion. The forearm in patients of kidney failure, because this location is to be used for installation of the artery-vein fistula (A-V shunt) on the action of hemodialysis (washing the blood). Potential irritant drugs against venous vessels are small, slow blood flow (eg venous vessels in the legs and feet). 4.0 Preparation Tools 4.1 materials-Standard infusionCiran-infusion and infusion sets as needed-Needles/needle/abocath wings according to the size required-Splint/drip trays-Perlak and torniquet-Plaster and scissors-Bent-Clean gloves-Kassa seteril-Cotton alcohol in its place-Bethadine into place4.2 working procedures-Nurse hand-washing-Inform the actions that will be performed and plug the sampiran-Infusion hose Mengisis-Open the plastic infusion set correctly-Protect the tip of the hose seteril-Drape infusion set with fluid infusion fluid infusion leads to the position over the-Hang the infusion fluid in standard fluid infusion-Fill the compartment infusion set by pressing (but don't get submerged)-Fill the hose with the correct fluid infusion-Close the ends of the hose and close the retaining keseterilan-Check the presence of air in the hose-Wear clean gloves when necessary-Choosing the right position for attaching the infusion -Put the leaders and pengalas under section dipungsi shall-Choosing the right vein and right-Install the torniquet-Disinfection of the vein with the right engineering with alcohol with the dwarf in a circular or from top to bottom once delete-Open the catheter (abocath) and check for damage-Menusukan catheter/abocath on the chosen vein with what direction from the direction of the side-Having regard to the existence of the blood in the catheter in the blood compartment, if there is then the mandrin gradually pulled out while the catheter is inserted slowlyTorniquet-repealed-Connect the ends of the hoses which have been first issued for the patient, and while little is left dripping a little bit-Gives the plastic tip of the catheter on the plaster/abocath but do not touch the area for the staking of fixation-Wrap with bethadine kassa seteril and covering it with dried seteril kassa-Gives plaster correctly and maintain the security of the catheter/abocath so as not to cut out-Set the tetasan infusion in accordance with client needs-The tools are dealt with and notice the client response-Nurse hand-washing-Note the actions taken5.0 REFERENCEShttp://aryawitl.blogspot.com/2009/02/prosedur-pemasangan-infus-intra-vena.htmlhttp://enny-psik.blogspot.com/2010/01/teknik-pemasangan-infus.htmlhttp://keperawatankita.wordpress.com/2009/04/25/prosedur-pemasangan-infus/http://www.youtube.com/watch?v=U6-qgidQ34g&feature=related

Hasil (Inggris) 2:

INFUSION INSTALLATION PROCEDURE 1.0 Purpose infusion 1.Mengembalikan and maintaining fluid and electrolyte balance of the body 2. Giving drugs and chemotherapy 3. Transfusion of blood and blood products 4. Provide parenteral nutrition and nutritional supplements 2.0 Scope of emergency situation (eg the action CPR), which allow the administration of drugs directly into the Intra Venous To provide a rapid response to drug administration (such as furosemide, digoxin) Patients who received drug therapy in large doses are kept -menerus through Intra Venous patients requiring fluid and electrolyte disorders prevention Patients who received blood transfusions efforts prophylactic (preventive measures) before the procedure (eg in large operations with the risk of bleeding, fitted lines for the preparation of intravenous infusion in case of shock, as well as to facilitate the administration of drugs ) Efforts prophylaxis in patients who are unstable, for example, the risk of dehydration (lack of fluid) and shock (life-threatening), before the collapse of blood vessels (not palpable), so it can not be installed infusion lines. To decrease patient discomfort by reducing the need for intramuscular injection. 3.0 Responsibilities inflammation (swelling, pain, fever) and infection at the site of infusion. The area of the forearm in patients with renal failure, because this location will be used for the installation of arteriovenous fistula (AV shunt) in action hemodialysis (dialysis). Drugs that have the potential irritant to the small veins that slow blood flow (eg veins in the legs and feet). 4.0 Preparation Tool 4.1 material - Standard infusion - ciran infusion and infusion sets as needed - Needles / wings needle / abocath according to size needed - Bidai / ironing infusion - Perlak and torniquet - Plaster and scissors - Crooked - clean gloves - Kassa seteril - Cotton alcohol in its place - the place Bethadine 4.2 Working procedures - Nurses hand washing - Notifies the action to be performed and post sampiran - mengisis drip hose - plastic Opens infusion set correctly - Fixed protect hose end seteril - Drape infusion sets with fluid infusion with intravenous fluids position pointing upwards - Hanging IV fluids in standard intravenous fluids - Fill compartment infusion set by pressing (but not to be submerged ) - Filling the IV with the correct fluid - Closing the end of the hose and cap with retaining keseterilan - Check the air in the hose - Wear clean gloves when necessary - Choosing the proper position for an IV drip - Mounting perlak and pengalas under section which will dipungsi - Choosing the right vein and right - Installing torniquet - Disinfection vein with the correct technique with alcohol with circular techniques or from top to bottom completely remove - Open catheter (abocath) and check for damage - thrust catheter / abocath in veins have been with What direction from the side - Noting the presence of blood in the blood compartment into the catheter, if there is then Mandrin gradually pulled out while the catheter is inserted slowly - torniquet revoked - Connecting with the end of the hose that has been previously issued liquid a little, and she is left dripping little - Giving plaster on plastic tip catheter / abocath but not touching the stabbing area for fixation - Embraces with gauze bethadine seteril and close it with a dry gauze seteril - Giving plaster properly and maintain the security of the catheter / abocath order not uprooted - Set the infusion of hatchlings produced in accordance with the requirements client - Tools cleared and note the client response - Nurses hand washing - Record action taken 5.0 LIST