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 Discuss care and removal

Introduction

What is EZ IO Advantages - time

- risk - efficacy - patient friendly - evidence based - endorsed by professional associations

Needle Sets

15mm (3 -39kg) – pink 25mm (40 and greater) – blue 45mm ( excessive tissue) - yellow

Indications For Use

Adults - proximal humerous

- proximal tibia

- distal tibia

Pediatrics - proximal tibia

- distal tibia

Contraindications For Use

Fracture Excessive tissue Infection Previous orthopedic procedure

Insertion Steps 1- 3

1. BSI/PPE

2. Aseptic technique

3. Locate insertion site (Figure 2)

Insertion Step 4

4. Prepare insertion site (Figure3)

- tibial site shown for clarity

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)

Insertion Step 8

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

Insertion Step 8

Penetrate bony cortex Release trigger - note: gentle steady pressure, do not force

Insertion Step 9 - 10

9. Remove driver and stylet (Figure 8)

10. Confirm catheter stability

Insertion Step 11

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

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

Removing EZ-IO

Remove catheter from patient (Figure 10) Dress appropriately

Acceptable Medications and Fluids

Medications Fluids

EZ-IO Pearls: Power Driver

EZ-IO Pearls: Needle Sets

EZ-IO Pearls: Usage Tips

EZ-IO Pears: Removal

EZ-IO Pearls: Aftercare and Laboratory Considerations

References

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