Click Categories Below for Details

Nurse Training

The following agenda outlines the two-day on-site nurse training program at The DRIPBaR.

9-9:30am – Introductions and Overview

9:30-10:30am – Review of DRIPBaR Services

Vitamin and Mineral Information
Who can get an IV Flowsheet
Menu of Services
- Lifestyle Menu
- Health Support Menu
- Quickshot Menu
- Standalone Shot Menu
- Add On Menu
- Max Doses
Lifestyle Drips vs. Health Support Drips
Specialty Protocols
- High Dose Vitamin C
- NAD+
- ALA
- Vitamin D
- Semaglutide/Sermorelin
Additional Services
Fullscript
Labs offered at DRIPBaR
- Accureference Labs
  - Lab Draw kits from Accureference
  - A-Z Lab Directory on Accureference
  - Accureference Lab Draw Procedure

10:30am-12PM – Nursing Staff, Tour of Lab

Line of Demarcation- clean vs. dirty side of lab
- Why is this important?
Ensure vitamins are stored in cabinet/refrigerator properly and review proper vitamin storage (always defer to label instruction for storage)
Emergency Medication Location and Review
- Emergency Protocol
Supply shelves stocked- best process for organization
Nursing Binder Review
AED testing log
797 Binder Review
- Lab Conditions Log
- Lab and Adjacent Areas Task list and Cleaning Log
- Lot & Expiration Log
- Isolator Maintenance Log
- Hood Certification documentation
  - Initial Testing
  - Monthly surface testing
  - Q6 Month Certification
- Hood Cleaning Protocol
Nurse Competencies
- Hygiene and Garbing Competency (upon initial hire and every 6 months)
- Hood Training Sign-off
- Nurse Training Checklist
Nurse Testing Logs
- Finger Tip Testing- Lead Nurse (upon initial hire and every 6 months)
- Media Fill Testing- Lead Nurse (upon initial hire and annually)
RN Requirements
- Copy of BLS Card Copied and stored
- Log of RN licensure with date of expiration

1pm – 5pm – Nurse Hands on Training/Lab Organization/Documentation Review

Assess lab and organize lab as needed
- Utilize “Initial Lab Setup”
Hand Hygiene and Garbing Competency
- Discuss garbing as it pertains to The DRIPBaR
  - Verbalize that 797 guidelines require anyone who is mixing wear full garb (Hair net, mask, gown, gloves and booties)
- Staff members through protocols
Process for Opening the hood
- Review of how to turn on the hood
  - Hood should cycle for 10min prior to compounding.
- Monthly (3-step) Hood Cleaning Process
  - Protocols
  - Demonstrate Cleaning
- Setting up the hood for the day with necessary supplies
  - Process of wiping down all supplies needed with 70% IPA prior to placing in the antechamber.
  - Cleaning work surface/vials
- Proper IM injection placement
Charting Review
- Consents
- Medical History
- EMR Note

9am – 9:30am – Client Appointments

Client checks in with front desk- they ensure forms are completed
Good faith exam if first time client
RN reviews medical history
Medical history review by nurse
Client is brought back to the lounge and offered to choose a seat to place their belongings, offer beverage. Encourage IV start in phlebotomy chair.
Vital Signs taken- recommend doing this prior to mixing any drip. Can offer IM injection in the event a client’s blood pressure is too high for IV.
Nurse goes into the lab, performs hand hygiene, proper garbing and prepares IV
Drip/IM injection
Nurse starts IV and hooks patient to drip.
Walk client to selected seat.
Client is monitored periodically to ensure comfort through drip.
- Remind nurses that they should be asking if client feels okay, but IV site should be monitored as well.
IV is disconnected and catheter is removed upon completion of drip
Vital signs taken prior to patient leaving to ensure they are stable.
Review same process while demonstrating in EMR
- Consents
- Medical History
- Medication Details
- Infusion Details

9:30am – 12pm – Nurse Practices

Practice mixing drips
- Each nurse selects a Lifestyle drip to mix, start IV, and administers to one another
- Monitoring each nurse through this process and providing duidance as needed

1pm – Mix Drips for Friends and Family Event

Determine amount of people scheduled and divide the mixing up between each staff member for practice
- Ensure all bags are labeled properly with date and time and initials of the nurse who mixed the bag.
- Review protocol for storage of pre mixed bags
  - 12 hours at room temp
  - 24 hours refrigerated (Important to consider time of friends and family event,

Final Q&A