IVRUS BSN, RN

Vascular Access

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All Content by IVRUS

  1. IVRUS

    Port and TPN use

    IVRUS replied to bethchpn's topic in Infusion, Intravenous

    Well, Research points to the importance of decreasing manipulation of the line. So, it should be something that we all are taking seriously and we should not be dismissing its importance....
  2. IVRUS

    Port and TPN use

    IVRUS replied to bethchpn's topic in Infusion, Intravenous

    Soldier, I disagree with the advice of flushing BID. Namely because the times you increase your manipulation of the line, introduces a greater chance of microbial introduction. The goal, IMO, is to...
  3. IVRUS

    PICC Line: Flushes, But No Blood Return

    IVRUS replied to SleeepyRN's topic in General Nursing

    Bottom line is that you can pull back on a ten cc syringe and because of its surface area/suction power per se', collapse the IV catheter and not get your blood draw completed. So, when withdrawing,...
  4. IVRUS

    PICC Line: Flushes, But No Blood Return

    IVRUS replied to SleeepyRN's topic in General Nursing

    Yes, when one is infusing, use no less than a 10cc syringe barrel to ascertain patency. Then, once patency has been confirmed, use the appropriate size syringe to give the intended medication....
  5. IVRUS

    PICC Line: Flushes, But No Blood Return

    IVRUS replied to SleeepyRN's topic in General Nursing

    Flying Scott.... I must disagree totally with you here. RuthB is correct. When withdrawing from an IV catheter, smaller syringes exert less negative pressure and will often yield you a blood return,...
  6. IVRUS

    Advice on chemo teaching points

    IVRUS replied to babydeern's topic in Oncology

    Agree with your teaching points and I include others: For the pt with anemia: 1. Frequent rest periods 2. No strenuous activities 3. Pace themselves For the pt with Neutropenia: 1. Stay away, if...
  7. IVRUS

    IV Cather kinking when advancing

    IVRUS replied to sreynolds's topic in Emergency

    An important point to remember is that the needle (in all ONC's) always protrudes out further than the IV catheter as it is what allows you to gain entry into the vein. Therefore, just getting a flash...
  8. IVRUS

    disinfect Safety needle

    IVRUS replied to cginhh's topic in General Nursing

    If your organization doesn't carry CHG or chloraprep for skin cleansing, then what does it use??? Alcohol and betadine? This should be spelled out in your policies and procedures. Also, I really am...
  9. IVRUS

    Clinic infusions

    IVRUS replied to dmrodri's topic in Patient Safety Issues

    There absolutely MUST be policies and procedure information available to you. Now, whether that be in the form of a manual or a online printable resource is the choice of the organization. If you...
  10. IVRUS

    Y-site issue

    IVRUS replied to InfusionRN30's topic in General Nursing

    Please remember that 300cc an hour x 4 hours is 1,200 cc. That is 5 cups of fluid in a 4 hour period. Depending on the patient's age, and comorbidites, that may not pose a
  11. IVRUS

    Antibiotics: IV Push vs Infusion

    IVRUS replied to BonnieSc's topic in Infusion, Intravenous

    Though Red man syndrome "acts" like an allergic reaction with the histamine release, it is NOT a true allergy, and should not be labeled as such. To say that the patient is now allergic to Vancomycin...
  12. IVRUS

    9/11.....We will never forget

    IVRUS replied to iluvivt's topic in General Nursing

    Whether it is the anniversery of 9/11 or, really, any 'other' day, no one wakes up and says, " I will breathe my last breath today," And, on the fateful morning of 9/11 many did not know what they...
  13. IVRUS

    Port-a-cath needle removal

    IVRUS replied to tiffy723's topic in Oncology

    Everyone should be using safety equipment... Whether that be phlebotomy, IV start or port access needles... ALL must have a safety design, either passive or active. There really isn't any excuse not...
  14. IVRUS

    Banana Bag vs TPN vs PPN

    IVRUS replied to Brimurph2009's topic in Medical-Surgical

    Since there is very little Thiamine stored in the body, patients, especially CA patients may see deficiencies and supplemental Thiamine may be necessary. However, some suggest Folate (another...
  15. IVRUS

    CRNI Study

    IVRUS replied to HMarie13's topic in Infusion, Intravenous

    Agree with Asystole... Get the INS teaching DVD's. DO you have study partners that are also taking the test? The CRNI exam is a comprehensive examination and you need to be fully prepared to sit for...
  16. IVRUS

    Troubleshooting the IV line

    IVRUS replied to czarinariego201993's topic in Infusion, Intravenous

    Yes, Blood backing up in the tubing can be a problem as it can potentially clot off your line. The fluid not dripping in the drip chamber can be caused by a variety of reasons: 1. Bag empty- DUH...
  17. IVRUS

    Antibiotics: IV Push vs Infusion

    IVRUS replied to BonnieSc's topic in Infusion, Intravenous

    Though some IVAB's can be given IV push, many cannot. Medications like Vancomycin and Levaquin are medications which require a timed delivery of at LEAST one hour, and in the case where the Vanc mg...
  18. IVRUS

    IVAB QUESTION

    IVRUS replied to alipeachi's topic in General Students

    Not all medications can be given IV Push. Some must be given slower over 20 or 30 minutes, or in some cases, it may be a 2 hour infusion. Work closely with your pharmacist. In addition, your...
  19. IVRUS

    How to become a line nurse

    IVRUS replied to chewkelsey's topic in Infusion, Intravenous

    Are you speaking to your desire to become a vascular access nurse? There is no such thing as a "line" nurse. Vascular access is a specialty, and it isn't for everyone. You should be proficient in...
  20. IVRUS

    Anticoagulant Preventing CVC Insert?

    IVRUS replied to betterinthesun's topic in MICU, SICU

    If you are giving ANY medication into the peripheral vasculature, you want the smallest gauge IV catheter possible to decrease damage to the vein and allow for the best hemodilution of that drug, or...
  21. IVRUS

    port accessing tips.

    IVRUS replied to busybee04's topic in Oncology

    As stated, not all implanted ports have "bumps" surrounding the septum. Only Bard's power injectable ports have them that I know of. So, don't freak out when you're accessing port, and can't find the...
  22. IVRUS

    Anticoagulant Preventing CVC Insert?

    IVRUS replied to betterinthesun's topic in MICU, SICU

    Totally diagree.... Vasopressors should go centrally, we agree on that.. But If given into the peripheral vasculature, then why are you choosing a large bore IV catheter??? That makes NO SENSE! The...
  23. IVRUS

    That one random nugget of information from nursing school that you've never forgotten..

    IVRUS replied to blah_blah_blah's topic in General Nursing

    Red neck, or redman syndrome is a syndrome unique to Vancomycin. It is NOT an allergic reaction, but rather a direct result from that nurse giving this medication too quickly. Yes, histamine is...
  24. IVRUS

    Anticoagulant Preventing CVC Insert?

    IVRUS replied to betterinthesun's topic in MICU, SICU

  25. IVRUS

    PICC LINE REMOVAL

    IVRUS replied to HawaiiRN18's topic in General Nursing

    Post removal, if the insertion site is covered with an occlusive substance and an occlusive dressing, why would it be necessary to remain supine s/p CVC removal? Many times an air embolism is caused...