IVRUS BSN, RN

Vascular Access

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All Content by IVRUS

  1. IVRUS

    PICC LINE REMOVAL

    IVRUS replied to HawaiiRN18's topic in General Nursing

    [ We use Betaine tincture and Tegaderm. Indeed, The objective in this is to make sure that you have an gel of some sort to occlude the vessel track. And then cover with the TSM and the patient must...
  2. IVRUS

    Drawing labs from CVC locked with heparin

    IVRUS replied to JollyGreenGiant's topic in Dialysis, Renal, Urology

    If I meant FLUSH, that is what I would have said. I would not say Blood discard amounts if the research article stipulated that your flush should be 25 mls s/p withdraw of specimen. Why do you assume...
  3. IVRUS

    PICC LINE REMOVAL

    IVRUS replied to HawaiiRN18's topic in General Nursing

    My first question to you Hawaii is this: Should you be removing the IV catheter when you really aren't sure about the catheter itself, nor what you are looking for after its removal???? First of...
  4. IVRUS

    Drawing labs from CVC locked with heparin

    IVRUS replied to JollyGreenGiant's topic in Dialysis, Renal, Urology

    Muno, It was a NIH study from around 2005 which stated that accurate results were NOT seen unless that much was wasted. I am not advocating for this to be done, but rather am encouraging all coag...
  5. IVRUS

    Drawing labs from CVC locked with heparin

    IVRUS replied to JollyGreenGiant's topic in Dialysis, Renal, Urology

    The last research that I found on this subject was that in order to truly get accurate labs, one must withdraw and waste 25 mls. Also remember thta you should be flushing with a good 20 cc s/p lab...
  6. IVRUS

    Question about IVPB

    IVRUS replied to PVL_RN86's topic in Patient Medications

    Yes, seeing an IVAB with fluid in the vial, or even worse, when the drug and its diluent weren't mixed in the first place, frustrates me too, to no end. Also remember that a complete dose means that...
  7. IVRUS

    Pediatric IV infiltrate

    IVRUS replied to bronxgirl1's topic in General Nursing

    Iluvivt, you are always such a wealth of information. TY and you are so right on with this reply. May I also add to this info, that when one has an extravasation, it may not readily show the damaging...
  8. IVRUS

    HD catheters - dressing or no?

    IVRUS replied to kdunurse's topic in Dialysis, Renal, Urology

    When a "clinician" or anyone tells you something "outside" of the norm, make them prove it to you with the research/documentation. The burden of proof is on them to provide the information which they...
  9. IVRUS

    Anticoagulant Preventing CVC Insert?

    IVRUS replied to betterinthesun's topic in MICU, SICU

    Also remember that a PICC is one type of central line which is placed in a "compressable" area. Therefore, if bleeding should occur, pressure may be held to the site till hemostasis resumed. Not so...
  10. IVRUS

    Migraines and nursing?

    IVRUS replied to MeganStar's topic in Nurse Disabilities

    My 38 year old son suffers from abdominal migraines. They create severe vomiting and unforgiving abd pain. For him, a combo of Topamax and (OTC) Quercetin with Bromelain has helped keep them at bay...
  11. IVRUS

    Application question

    IVRUS replied to BatcampRN's topic in Infusion, Intravenous

    Being an infusion nurse is A LOT more than just knowing how to access and care for an implanted port, as you probably know. However, if I were you, I would put on my resume that you have a good...
  12. IVRUS

    a little help

    IVRUS replied to vuphan86's topic in General Students

    The limb with hemiparesis has diminished movement. In order to have appropriate venous return one needs the action of the muscle. If flaccid, that action is not occurring and edema results. Therefore,...
  13. IVRUS

    Do you disconnect lipids from TPN when complete

    IVRUS replied to sistrmoon's topic in General Nursing

    The bag of Lipids and its tubing should be removed and discarded. If I am understanding you correctly, the pt receives this once a day over a 10 hr period. Therefore, the tubing, nor the bag can be...
  14. IVRUS

    BSN, LVN Title

    IVRUS replied to csarah's topic in Nursing Career

    Yes, I see that... TY for
  15. IVRUS

    port accessing tips.

    IVRUS replied to busybee04's topic in Oncology

    Depending on your facility's policy, you can also do a heparin push (just as you would prior to de-accessing) and allow the heparin to "sit" in the line for a few minutes and then attempt to withdraw...
  16. IVRUS

    Made first big mistake at work :(

    IVRUS replied to Apple4159's topic in NICU, Neonatal

    Apple, Sometimes lines clot off even though they are flushed. Should you have flushed the line s/p transfusion... Yes, but worse case scenerio, the neonate required another venipuncture to gain...
  17. IVRUS

    What nursing task do you loathe???

    IVRUS replied to richardgecko's topic in General Nursing

    Question: Why are you changing the dressing on an accessed implanted port? Is it soiled or non-occlusive? Or, do you have a policy in place which changes TSM's greater than every 7 day intervals, as...
  18. IVRUS

    BSN, LVN Title

    IVRUS replied to csarah's topic in Nursing Career

    IF you HAVE NOT sat and successfully passed the NCLEX, then you are NOT a RN yet. SInce you are a LVN, that would be the only thing legally that you could put after your
  19. IVRUS

    A question??

    IVRUS replied to Salisburysteak's topic in Patient Medications

    Well, your first concern needs to be compatibility. If drug X is compatible with drug Y, and all you're doing is hanging another IVAB then use the same tubing, but if they aren't compatible, or if...
  20. IVRUS

    Pediatric sub-Q rehydration therapy (hypodermoclysis)

    IVRUS replied to freki's topic in Emergency

    A couple of things MUST be in place before this should be a consideration. #1. Your patient has to have enough SQ tissue that you can pinch an inch on. If the child is so thin, and pinching isn't...
  21. IVRUS

    I feel so incompetent and dumb

    IVRUS replied to canche's topic in Emergency

    I come from the day and time when nurses would be sitting down charting, and a doctor would walk in, and we would promptly get up to give them our seat... Oh, so many eons ago.. But through the years,...
  22. IVRUS

    Unethical?

    IVRUS replied to ahosoda's topic in Geriatric, LTC

    Wow... The nurse who is demanding that the resident take the pills, because that is when it is convenient for HER, should find herself being inconvenienced at the unemployment office...
  23. IVRUS

    Certified Registered Nurse Infusion (CRNI)

    IVRUS replied to susy67's topic in Infusion, Intravenous

    If you are asking about the CRNI certification, one can get it by going to this website and finding a testing area/time nearest to you.
  24. IVRUS

    Math Calculations Help!!

    IVRUS replied to MarySnov's topic in General Students

    If you can plug in the variables of the order into this dimensional analysis formula,then it becomes a simple matter of multplying and dividing. _____kg X ____mcg/kg/min X 60min/1 hr X 250ml/...
  25. IVRUS

    PICC in Burn p't

    IVRUS replied to cginhh's topic in General Nursing

    A burn patient may receive a PICC if the arm that is chosen is without burns usually within 6 inches either way of the intended VP site. Whether your organization chooses statlocks, or if the dressing...