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Search Results Type: Posts; User: IVRUS

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Date
  1. Interview for an IV team - Any advice?
    Are you interviewing for a Hospital IV team, Home Infusion, or what? Many ER nurses may have tons of experience with peripherals and ML/PICC's, but have you been doing it the right way? Have you...
    May 14
    Forum: Infusion Nursing / Intravenous Nursing
  2. How to Become IV certified.
    Wow... getting appropriate education on IVT isn't going to help someone start IV's, huh... When you teach IV therapy, hands on activities are naturally a part of the process, but 30 hours adequately...
    May 6
    Forum: General Nursing Discussion
  3. How to Become IV certified.
    Sorry, again, but I disagree... 30 hours of didactic/lecture can cover everything that you need to know, but No competent program will only give you a half day of information. But hey, we can all...
    May 6
    Forum: General Nursing Discussion
  4. How to Become IV certified.
    But that is the problem... It is not the mechanics of the insertion that ONE should be looking at here... IV therapy, what type of catheter, which is the best for the patient and the why's and...
    May 6
    Forum: General Nursing Discussion
  5. How to Become IV certified.
    The fact that you see Infusion Therapy as just a simplistic skill, and not something that is a specialty, gives me great insight into your thought process. I never replied to this topic to be...
    May 6
    Forum: General Nursing Discussion
  6. How to Become IV certified.
    I wasn't directing my comment to the student... But to an individual responding to the original post. As a student, I pray she or he, gets formally trained by an infusion nurse at some point. ...
    May 6
    Forum: General Nursing Discussion
  7. Missing Cap on PICC line
    Remove the line??? I wouldn't have done that either. If someone erroneously removed the injection cap while disconnecting the syringe, well that is a problem, especially if the line wasn't clamped...
    May 6
    Forum: Infusion Nursing / Intravenous Nursing
  8. How to Become IV certified.
    Wow... It is a skill that even a "monkey" can do... I do NOT agree Akulahawk. Starting/Placing an IV catheter is so much more than "just sticking someone!" Not being aware of that, may mean that...
    May 2
    Forum: General Nursing Discussion
  9. Picc line question
    It is never a good idea to leave a Central line in, "just in case" but the protocal for flushing it, should be in your agency's policy. Frequency depends on the type of line too.... A valved PICC,...
    Apr 26
    Forum: General Nursing Discussion
  10. Picc line question
    I know someone who was d/c'd from hospital with a double-lumen PICC. Hospice nurse comes once per week to change the dressing. I've never been there when this was done, but I can see the date changed...
    Apr 25
    Forum: General Nursing Discussion
  11. Picc line question
    As Lima RN stated, I too advocate for the "mixing" method. This method works great as long as the syringe that you are using DOES NOT become detached at any time while the method is underway. That...
    Apr 24
    Forum: General Nursing Discussion
  12. IV site rotation
    My company too has a 96 hour rotate policy, and we too find that depending on the medication and site, we may be rotating q 48 or it may last 4 days. Recently, however, we had MD's orders for a prn...
    Apr 10
    Forum: Infusion Nursing / Intravenous Nursing
  13. I need some help on a math problems!! involving units, Pepcid and Flow rate.
    2. A patient's order for Pepcid states that she should reveive an IV bolus of 20mg Pepcid diluted in NS to a total volume of 10ml, which is to be injected over 2 minutes. The supply is Pepcid...
    Apr 8
    Forum: General Nursing Student
  14. To clamp or not to clamp
    Whether to clamp before removing your syringe, or clamp after the syringe is removed really depends on what type of injection cap is at the end of your IV catheter. There are NOT caps which are...
    Mar 27
    Forum: Critical Care Nursing
  15. Running PRBC concurrently with NS?!
    I am so sorry that you spend your ride home berating yourself for any, and all mistakes made. You are a NEW nurse, and confidence will come, and the tears will stop in time. Interpreting this order...
    Feb 21
    Forum: General Nursing Discussion
  16. Different Piggyback Antibiotics, Same IV Tubing??
    Hence, the use of backpriming cannot be claimed to be evidence based, therefore, how can it be best practice? Best practice includes data in which the goal is to decrease hub manipulation. As...
    Feb 13
    Forum: Medical-Surgical Nursing
  17. Fluids to help a vomiting patient?
    An isotonic IVF will provide volume lost from the vomiting episodes. NS or LR is appropriate. However, your getting your hyper, hypo mixed up. A hypotonic IV fluid will leave the blood vessel and...
    Feb 12
    Forum: Nursing and Patient Medications
  18. IV removal etiquette?
    Always hold a 2x2 or a 4x4 gauze over the insertion site, but do NOT apply any pressure to the site until the IV catheter has been removed. Do not use Alcohol to d/c the line as it burns and...
    Feb 4
    Forum: General Nursing Discussion
  19. Difficulty removing PICC line
    As Iluvivt said, "You did good!" I too would have halted any further attempts at removal if the steps that Iluvivt didn't work. You truly do NOT want an embolized IV catheter. Most of the time I...
    Jan 30
    Forum: Infusion Nursing / Intravenous Nursing
  20. PICC line dislodgement
    Well, it all depends on how much has been pulled out. If the entire thing is "out", You must measure it to see if it was the same length as what was placed, or in the case of a Groshong, look for...
    Jan 15
    Forum: Infusion Nursing / Intravenous Nursing
  21. central lines
    Well, first of all i would not just "wing-it". Without an adequate knowledge base of care of this Central line, you put yourself and your patient at risk. Whenever you get a pt in with a treatment,...
    Jan 15
    Forum: CCU Nursing / Coronary / Cardiac
  22. PICC line dislodgement
    What do you mean "Out of placement?" Are you asking what the signs and symptoms are when a PICC line migrates into a tributary vein, or migrates out of the SVC and into the Jugular vein? Or, are you...
    Jan 15
    Forum: Infusion Nursing / Intravenous Nursing
  23. Just got a per diem home infusion job... help!
    If you dated the entire dressing for 1/6/12, which was yesterday, it would be assumed that the Biopatch was also changed on this date. I get that he only has till the 9th and therapy is done, but...
    Jan 7
    Forum: Infusion Nursing / Intravenous Nursing
  24. clogged picc line
    Remember, ALL PICC's aren't flushed with Saline and Heparin flush... In most places, anyway. Those PICC's which are valved, like Groshong PICC's are NOT flushed with Heparin, nor should they be. ...
    Jan 7
    Forum: General Nursing Discussion
  25. clogged picc line
    As far as the PICC line is concerned... One SHOULD NOT be using excessive force when they meet an occlusion. Doing so puts undue pressure on the catheter and could either rupture it, and send a...
    Jan 7
    Forum: General Nursing Discussion