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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

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EZ IO Nursing Competency

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  1. EZ IO Nursing Competency Presented by: Jonna Bobeck BSN, RN, CEN

  2. 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

  3. Introduction • What is EZ IO • Advantages - time - risk - efficacy - patient friendly - evidence based - endorsed by professional associations

  4. Needle Sets • 15mm (3 -39kg) – pink • 25mm (40 and greater) – blue • 45mm ( excessive tissue) - yellow

  5. Indications For Use • Adults - proximal humerous - proximal tibia - distal tibia • Pediatrics - proximal tibia - distal tibia

  6. Contraindications For Use • Fracture • Excessive tissue • Infection • Previous orthopedic procedure

  7. Insertion Steps 1- 3 1. BSI/PPE 2. Aseptic technique 3. Locate insertion site (Figure 2)

  8. Insertion Step 4 4. Prepare insertion site (Figure3) - tibial site shown for clarity

  9. 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)

  10. Insertion Step 8 8. Insert EZ-IO needle set • Handle set by the hub • Control patient movement • Position at 90 degrees (Figure 6)

  11. Insertion Step 8 • Penetrate bony cortex • Release trigger - note: gentle steady pressure, do not force

  12. Insertion Step 9 - 10 • Remove driver and stylet (Figure 8) • Confirm catheter stability

  13. Insertion Step 11 11. Attach EZ-Connect extension set (Figure 9)

  14. 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

  15. Removing EZ-IO • Remove catheter from patient (Figure 10) • Dress appropriately

  16. Acceptable Medications and Fluids • Medications • Fluids

  17. EZ-IO Pearls: Power Driver

  18. EZ-IO Pearls: Needle Sets

  19. EZ-IO Pearls: Usage Tips

  20. EZ-IO Pears: Removal

  21. EZ-IO Pearls: Aftercare and Laboratory Considerations

  22. References • Vidacare, . "Vidacare." Vidacare ez-io. Vidacare, 2010. Web. 21 Dec 2010. <http://www.vidacare.com/ez-io/index.html>.

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