Binkey BSN

Binkey is a BSN and specializes in Clinical Infusion Educator.

Latest Activity

1. Guess the mispronounced medical term

   Binkey replied to EricJRN's topic in General Nursing

   Working for home care, I once had a woman asking for a refill of her son's IV meds..."He is out of Gancy-clover" "Can you send some more? She meant Ganciclovir. DD

2. Dumb question

   Binkey replied to Schmoo1022's topic in Infusion

   Yes.. You would flush both lumens and many protocols delinelate a q 12 hour flush. So, If it is a open ended IV catheter, both lumens would be flushed q 12 with saline and heparin. However if it is a groshong, the lumen that you will use for IVAB wi...

3. IV Infiltration Treatment

   Binkey replied to John's topic in Infusion

   As an educator for infusion therapy, I encourage the use of warmth for an infiltrated IV site, but only if you have an isotonic solution or you have had an extravasation of a vinca-alkaloid. Everything else should have ice as you want to decrease th...

4. Blood transfusion via midlines?

   Binkey replied to cannulation's topic in Infusion

   INS discourages the use of midclavicular IV catheters.. Not midlines. In years past, midclavicular IV catheters (ones that terminate in the subclavian vein, or midway below the clavicle) were placed in large numbers especially in homecare, however, t...

5. Withdrawal of blood from piccs

   Binkey replied to cannulation's topic in Infusion

   While it is true that blood can be drawn from A PICC, it is important to remember that some will give you a better blood returns than others. A 3 FR PICC is usually unreliable in yielding a return due to its smaller size. 4 or 5 Fr PICC"S will do b...

6. On call PICC nurse? Does such a thing exist?

   Binkey replied to KEVIN88GT's topic in Infusion

   Kevin, One way is to contact your local pharmacies and ask them if they hire RN's who have good IV skills (because they will want you to have that as a prereq). Omnicare is one company that services LTC facilities and they have nurses who are on call...

7. Blood sampling from midlines

   Binkey replied to VASACCESSMAN's topic in Infusion

   A midline IV catheter should terminate before the axillary vein in the upper aspect of the upper arm. Therefore, though it is in a bigger vein than that which is in your forarms, it still doesn't have the blood flow that will yield a good return, in...

8. transfusion ??'s and other iv ??'s

   Binkey replied to dayshiftnurse's topic in Med-Surg

   Dayshiftnurse, #1- As long as your not needing to infuse that blood in a short time frame, you can infuse it via a 22g 1" IV catheter over a three to four hour time frame. Then, that same line can be used to administer plts or albumin after line flus...

9. Port care question

   Binkey replied to AtlantaRN's topic in Med-Surg

   I too wonder why they weren't accessing the Port in the hospital, and then I'd wonder why she didn't demand it be done in that setting. Another question is "how long has it been since it had been flushed?" My concern is that if it has been a while, ...

10. PASV PICC line care

    Binkey replied to IngyRN's topic in Infusion

    My first thought is: Is this a pt who is immunocomprimised? If so, he or she may be more prone to infections, however, that doesn't necessarily correlate to an increased frequency of drsg changes to the PICC catheter. Each time you do a sterile drsg ...

11. ideal syringe size for saline locks.

    Binkey replied to dsgrandmarn's topic in Infusion

    We teach our students that if the catheter is over 3" in length, use no less than a 10cc syringe to ascertain patency. DD

12. KVO rate

    Binkey replied to kathys76's topic in Infusion

    Kathy76, Like many abbreviations, KVO can be problematic. KVO can be 0.2cc/hr or up to 50cc/hr. Normally, unless the facility that you work for has a set flow rate for what KVO is for that institution, you shouldn't accept that abbreviation as an ord...

13. IV certification

    Binkey replied to anna c's topic in Infusion

    Redhotnurse, The guidleines that you need are spelled out by Infusion Nurses Society - They are a national society which many in the legal profession use as a "benchmark" as to standards of practice for infusion therapy. You may find them at ins1.or...

14. On The Other Side Of The Bed

    Binkey replied to RNKC25's topic in Infusion

    Dear RNKC25, If your brother had TPN infusing via one lumen and continuous Lasix gtt via a peripheral line, then they were probably using the second lumen of the PICC for all the ancillary meds (IVP meds and IVAB). In the hospital did he have two si...

15. what is your policy when central line won't allow blood aspiration?

    Binkey replied to shelq56's topic in CCU

    Any catheter that is centrally placed (tip in SVC) should yield a blood return upon gentle aspiration of the syringe. However, if it is a PICC, that catheter should be a 4 French or greater as the 3 French's inner lumen is such that it doesn't yield...