How to use a Carpu-Ject

How to use a Carpu-Ject

July 21, 2019 3 By William Morgan


Hello. I wanted to show you guys about
the Carpu-Jet
that I want you to practice using, and I know a lot of you have never
used these before
this is something that was really old
school actually and has been in the hospital a
long time nurses gotten out of the practice of
using them for the convenience of disposable
syringes
but that’s a huge waste. So
hospitals
Sharp in particular is insisting nurses use these.
You may not see it used every time, but that is the goal.
It is a lot less waste. So this is the Carpu-Jet,
these are the medications that
go in the Carpu-jet. Some meds that you’ll see
would be morphine, hydromorphone, ativan,
valium
for example. So you’re gonna get
them out of the Pyxis like this
You’re gonna verify your dosage and say this is
morphine one milligram per ml.
So this is the Carpu-Jet when it’s open.
see how the blue is…
this is how it’s closed, this is when it’s open.That’s how you
need it to be when you put it in.
So you put syringe in there
it clicks in at the top, you turn the blue
to lock in and then there’s a little
threaded grey thing in here
that you need to screw this white plunger into
to get it threaded.
just just a few maybe five, six turns and so
now
the plunger is threaded.You take off the cap
so you can’t see this but it’s really
it’s about half
fluid and half air so you have to push
out the air
of course before you can give the medication. So
you need to very slowly push it so you can
see the fluid line rising
there it is it’s really hard to see but
you gotta go really slow
so you don’t waste anything.So you’re gonna push all that air out
and the plunger should end up right about where my thumb is cuz that’s the 1mL
Mark. And
so there we have one milliliter so if
it’s morphine one milliliter per
milligram
this is one milligram of morphine. If that’s
what we’re giving,
great, we go in there, we clean the hub on
the patient’s IV,
plug this in, it’s luer-locked just like a
syringe. Plug it in, push slowly
flushing if you need to.
Unplug it and I’ll show you how to dispose
of this in a minute.But what if it’s not 1 mg? The order might be
half a milligram or 0.8 or 0.4 or anything. So that’s where you need to
waste.
So there’s little lines on this cartridge
the bigger one is 0.5
obviously so then there’s 9, 8, 7, 6 etc.
So what we’re gonna have to do is waste
this and because
if it’s morphine, it is a narcotic, so we need a
second witness.So we’re going to get a witness and waste
this into the proper
medication receptacle, Not the sink! We’re
gonna push
We don’t waste into the sink because
the fish don’t need
morphine, nor do we need it in our drinking water.
So let’s say, I’m just gonna squirt this in the air, but
we would put it in the proper receptacle
and we’re gonna give
0.6 so there we have 0.6.
So I’m gonna clean the hub, fifteen seconds with alcohol,
insert this in the patient’s IV, push it
over two minutes
then do the flush over two minutes and then
unscrew it, and now we need to remove this and get rid of it.
So the first thing is unlock the blue, unlock
unscrew the white. And then this just pops out
The plunger is still intact in there
we didn’t pull it out. If you had not unscrewed the
white,
and just pulled it out, you pull out the plunger
with it.
Then this goes in the medication waste
bin. So each hospital will have specific
colors for medication waste that’s where
you put your vials
tubing and that kind of stuff. So this gets cleaned
and goes back in your pocket or the
nurse’s pocket
Clean it with alcohol at a minimum
each time after use. You can also just
wash it when you wash your hands
at the sink or you can use Cav-wipes on it. But you do wanna
totally clean it before taking it to the
next
patient’s room. So that is it!
Practice, teach each other, and
get used to using these in the clinical site.Thanks.