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Search Results Type: Posts; User: IVRUS

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  1. Pay rate for central lines
    TPN Home Infusion is a complex therapy requiring much hand-holding and tons of education. It should NOT be treated like a wound case, or normal visit.
    Dec 12
    Forum: Private Duty Nursing
  2. central line changes
    TPN tubing should be changed with each new bag, or at least q 24hours, with all populations. Many institutions will used Chloroprep to cleanse the IV site at periodic intervals, and some limit...
    Dec 12
    Forum: NICU Nursing / Neonatal
  3. PICC line issues, blood draw tips.
    Remember Heparin flush prevents fibrin build-up, it won't lyse it if it is already present. Also, I agree that changing your cap can work, but it too is not usually the culprit in your occlusion. A...
    Dec 12
    Forum: General Nursing Discussion
  4. PICC LINES
    SallyRNRTT is correct... What needs to happen now, is placement of a new IV catheter, and yes, I'd advocate for a triple lumen central Line. The Blood flow dumping into the SVC, where all central...
    Dec 12
    Forum: Nursing Issues On Patient Safety
  5. Heparin flush
    Not only is this an IMPROPER way to flush the IV catheters, but Heparin Flush, with its various concentrations, should always be used after the second Saline flush to "lock" the IV catheter. Remember...
    Dec 12
    Forum: Nursing Issues On Patient Safety
  6. IV pushes
    I agree with the post that says Adenosine is the only drug that needs to be "slammed", and that's because of its short half-life. However, All medications need to be assessed for the correct...
    Dec 10
    Forum: Nursing and Patient Medications
  7. Pediatric Midline IVs?
    Midline Infusion catheters are used in our area often. They aren't just limited to a specific populi. They ARE, however, limited by what you are putting in it. Midline IV catheters are just really...
    Nov 24
    Forum: Pediatric Nursing
  8. Accessing central lines/IV starts
    As JustBeachy stated, DO NOT access an implanted port, if you do not have the education AND competency to perform this task appropriately. Never use Youtube as your education module. As others have...
    Nov 24
    Forum: Home Health Nursing
  9. PICC line blood draw
    I totally get that, and I am well versed in what INS states, but I was throwing out the possibility of one reason why this amount of waste might be put into practice.
    Nov 20
    Forum: General Nursing Discussion
  10. I never would have thought of that...
    Please figure out another way that works.. as it is NOT appropriate to bend the catheter, in any way or in any fashion. Short term, less than three inch IV catheters do not return to their original...
    Nov 20
    Forum: General Nursing Discussion
  11. PICC line blood draw
    Muno, Have you read the study where the researchers found that if one was drawing coags from a heparinized catheter becuase you did not have the ability to draw via peripheral vein, that in order...
    Nov 20
    Forum: General Nursing Discussion
  12. Central lines and air embolism ?
    "The patient is not going to get an air embolism through the positive pressure caps on the end of each lumen. Kids play with the clamps on the end of their lines all the time with no air embolisms...
    Nov 19
    Forum: General Nursing Student
  13. Peak and Trough Levels
    In actuality, Peak levels are drawn 30-60 minutes post Aminoglycoside administration and with the Antibacterial Vancomycin, Peaks are drawn 1-1.5 hours post infusion completion. Always follow your...
    Nov 19
    Forum: General Nursing Student
  14. Port protectors and scrub the hub
    Ahhh.... But since most experts agree that the majority of your CRBSI from catheters left in greater than a weeks time frame, are directly from inappropriate hub cleaning and manipulation of the hub,...
    Nov 19
    Forum: General Nursing Discussion
  15. Central lines and air embolism ?
    If you have a well fitting leur-locked needleless connector on the end of the lumen, the patient will NOT suffer an air embolism, unless that lumen is severed, or develops a hole in it where air can...
    Nov 12
    Forum: General Nursing Student
  16. How did you decide your specialty?
    I chose Vascular Access because I've always been able to access my patient's veins with no problems, and because I hate Sputum (RT is not for me) I do not like to do wound dressings ( Wound care is...
    Nov 10
    Forum: General Nursing Student
  17. Question about iv fluids
    Never allow the medication infusing into the drip chamber, take the place of doing a complete site assessment. As others said, it could be dripping into the chamber just fine, but then a site...
    Nov 10
    Forum: General Nursing Student
  18. bleeding from IV site with patient on blood thinners
    As ILUVIVT said, resite it if it is a short term peripheral catheter and investigate coags. However, if it was a type of central line, such as an implanted port, and the bleeding is occurring, then...
    Nov 10
    Forum: Nursing Issues On Patient Safety
  19. PICC line flushing question
    You're right, not getting a brisk, freeflowing blood return may mean that the catheter has migrated, but that is a prime example of an IV catheter in which you must determine the cause, the best that...
    Nov 10
    Forum: General Nursing Discussion
  20. PICC line flushing question
    'It's not actually a legal standard of care' Totally disagree! I know that you yourself don't care for INS, but Their STANDARDS are brought into a court of LAW when an INFUSION issue is in...
    Nov 6
    Forum: General Nursing Discussion
  21. PICC line flushing question
    Wow... You have a PICC team which needs education! Are the nurses, or is any nurse on the team CRNI's? The Central line which does NOT yield a blood return, but flushes well, is a catheter which...
    Nov 6
    Forum: General Nursing Discussion
  22. PICC line flushing question
    But not aspirating a brisk, free flowing blood return may mean that the tip is covered with Fibrin. That fibrin is a precurser to Bacterial contamination and Thrombus. Not getting a blood return is...
    Nov 4
    Forum: General Nursing Discussion
  23. PICC line flushing question
    Yes, it is imperative that all central lines yeild a brisk, free flowing blood return. You should assess for this each time a medication is given. Not assessing is negligent and leads to bacterial...
    Nov 3
    Forum: General Nursing Discussion
  24. Fluid bolus by gravity or pump?
    But a peripheral IV catheter accepts flow rates according to its size, yes I get that, but if you have a central line, like my example of a triple lumen, percutaneously placed line, and it's tip is...
    Oct 31
    Forum: MICU / SICU Nursing
  25. Fluid bolus by gravity or pump?
    Totally disagree.... A central line dumps directly into the SVC where flow rates are ten times greater than that in the arm. So, a peripheral IV catheter will not get the medicine to someone's heart...
    Oct 30
    Forum: MICU / SICU Nursing


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