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Line tracing & line reconciliation

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ELINORE MATIGA
NCETD COORDINATOR
Madinah- KSA

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Line tracing & line reconciliation

  1. 1. ELINORE MATIGA NCETD COORDINATOR LINE TRACING and LINE RECONCILIATION
  2. 2. PURPOSE 1. To provide a safe environment for our patients attached to various types of medical tubing.
  3. 3. WHEN DOES ERRORS HAPPEN? Errors occurred with hanging the incorrect solution/medication
  4. 4. ERRORS OCCURRED DURING PUMP PROGRAMMING
  5. 5. ERROR OCCURRED IN CONNECTION OF THE LINE
  6. 6. TUBING OR CATHETER TYPES CAN BE, BUT ARE NOT LIMITED TO, THE FOLLOWING: Peripheral Intravenous Tubing Central Venous Catheters Blood Administration Tubing Tracheostomy Cuff Inflation Tubes Bladder (Foley) Catheters Nasogastric Tubes, Chest Tube Oral Gastric Feeding Tubes
  7. 7. Line / Tube Reconciliation is a process that requires: A. Placing your hand on each infusion and physically tracing the line from the solution, through the pump and into the patient.
  8. 8. B. Reconciling the accuracy of the solution and pump settings against a primary source (e.g. MAR, order). 1. Verify fluids, meds & blood and enteral products against order 2. Verify correct pump settings 3. Verify the connection is secured to the correct route
  9. 9. LINE AND TUBING TRACING Trace ALL tubes and lines from the patient to the point of origin: Before connecting or reconnecting any device or infusion At any transition, such as to a new setting or service As part of the hand-off process
  10. 10. Whenever possible, route tubes & catheters having different purposes in different standardized directions. a. IV lines routed toward the head b. Enteric lines toward the feet
  11. 11. Use oral medication syringes to deliver medication. “Do not use a standard luer syringe for oral medications or enteric feedings”.
  12. 12. HANDOFF / ENDORSEMENT, THE LINE RECONCILIATION PROCESS INCLUDE: Re-checking tubing and catheter connections Tracing all patient tubes and catheters to their sources for correct route Labeling all tubes and catheters at the point(s) of connection
  13. 13. Infusion Errors Examples include: • A DKA patient was bolused with D5 0.45 % NaCl instead of D5W. • A 20mEq KCl IVPB was infused wide-open because it was connected to a port below the pump rather than above it • A wrong dose of Dopamine was administered because an incorrect weight was entered on the patient • Regular Insulin was changed from single-strength to double-strength, but the Alaris pump was not reprogrammed accordingly, delivering twice the intended dose
  • IdrisAlnoor1

    Mar. 23, 2020

ELINORE MATIGA NCETD COORDINATOR Madinah- KSA

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