IVRUS BSN, RN

Vascular Access

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All Content by IVRUS

  1. IVRUS

    WHATS THAT SMELL???

    IVRUS replied to lumbarpain's topic in Geriatric, LTC

    Hey guys, Please note that Cdiff can become airborne Study confirms C. diff can travel through the air - www.strategiesfornursemanagers.com ©
  2. IVRUS

    Needleless connectors

    IVRUS replied to AWellborn's topic in Infusion, Intravenous

    If the IV catheter has a clamp on it, or has an extension set attached to the hub of the IV catheter then clamping can be done, but please remember that if you are using a positive displacement...
  3. IVRUS

    Central Line Access Kit

    IVRUS replied to PedsRNCVICU's topic in PICU, Pediatric

    So, your stopcocks are single use? You use them once and discard them? If not, they are notorious for being a piece of IV equipment which transfers bacteria into the vascular system. INS discourages...
  4. IVRUS

    1 minute scrub the hub

    IVRUS replied to sistrmoon's topic in General Nursing

    If the nurses choose not to even scrub 15 seconds, because they think the recommendation of 60 seconds is too long, then these are nurses which need disciplinary action. You say that the...
  5. IVRUS

    Dropping Dilaudid Carpuject on Sterile Field

    IVRUS replied to poodlemaster's topic in Patient Medications

    The only thing sterile in a carpuject is the medication inside the glass vial. The outside of the vial is not sterile. Therefore, it should NOT be dropped onto a sterile
  6. IVRUS

    Peak Levels of Vancomycin

    IVRUS replied to edge24bri's topic in Patient Medications

    And please know too that Vancomycin Peaks are rarely done any longer. Troughs are what most ID docs are concerned about. What is that level in the body when it's at its lowest? And troughs have...
  7. IVRUS

    iv and blood question on job application

    IVRUS replied to lasclvn's topic in LPN, LVN Corner

    Phlebotomy certification means that you have taken a test and passed a curriculum intended for a phlebotomist. Most nurses haven't received this "certification" but rather received training on drawing...
  8. IVRUS

    Ultrasound guide peripheral IV insertion

    IVRUS replied to fangguixiao's topic in Infusion, Intravenous

    Forgive me, But you say you're a PICC nurse and you don't know which medications are safe to go peripherally? A prerequisite to being "PICC certified" is having the knowledge base which will result...
  9. IVRUS

    Ultrasound guide peripheral IV insertion

    IVRUS replied to fangguixiao's topic in Infusion, Intravenous

    Why oh, why would anyone attempt 6 times on a patient????... Not only is this against standards, but your frustration, and that of the patient's were probably through the roof... TWO attempts is all...
  10. IVRUS

    Prevent CLABSIs / where is the data?

    IVRUS replied to nightnurse93's topic in Activism, Healthcare

    Well, doing a goggle search for "Central line associated blood stream infections" is much different than doing a search for removal of central lines by patients. What would be your cost? I'd say you...
  11. IVRUS

    Best evidence-based practices

    IVRUS replied to AWellborn's topic in Infusion, Intravenous

    Who in the heck does this "bard educator' think they are? I would put NO credence in their opinion. This statement is nonsensical and should be stricken from your memory banks. Personally, I would...
  12. IVRUS

    Picc line resistance and bleeding

    IVRUS replied to katfish67lpn's topic in General Nursing

    Great Post Asystole... Couldn't have said it better
  13. IVRUS

    Tool For Un-Occluding IV's?

    IVRUS replied to blondy2061h's topic in General Nursing

    Well for a peripheral IV catheter which doesn't flush despite all clamps being open, one should try gentle aspiration first (using a 3 cc syringe) Gently aspirating for two to three minutes will...
  14. IVRUS

    Tool For Un-Occluding IV's?

    IVRUS replied to blondy2061h's topic in General Nursing

    I agree with Asystole... Cathflo (Alteplase) will clear an occluded line if it is occluded due to fibrin buildup. It will NOT clear it if the line is occluded because of a precipitate. And the cost...
  15. IVRUS

    I.V Tubing Change

    IVRUS replied to NGYSUN's topic in Medical-Surgical

    This really depends.. If your patient has a primary fluid and then a secondary is needed for IVAB and compatibility has been assessed, then the secondary can be used for the same duration as the...
  16. IVRUS

    Indications for IV fluids.

    IVRUS replied to Khaan's topic in Infusion, Intravenous

    Well, First of all, the goal in DKA is to restore ECF volume with NS solution. (usually 20ms/kg/hr) When a person is in DKA they suffer from both fluid and sodium deficits. All of that sugar in...
  17. IVRUS

    LPN certifications

    IVRUS replied to ShortFuse_LPN's topic in LPN, LVN Corner

    Well, Illinois does NOT have a true LPN IV Certification Course, like its "sister state" of MO, but if you have received education and have proven your competence, then the state's practice act...
  18. IVRUS

    Nursing student, hopeful CRNI post-graduation

    IVRUS replied to littlemango's topic in Infusion, Intravenous

    Infusion Nursing can be down the road for you, but know that it is recommended that you have 1600 hours of IV therapy experience in the previous two years and a proficiency in CVC management and care...
  19. IVRUS

    IVIG saline lock question

    IVRUS replied to carriemendo's topic in General Nursing

    So, you finished up the IVIG infusion and then disconnected for the final time, but then failed to flush the IV catheter s/p infusion? Well, I hope you didn't end up with a clotted IV catheter, but...
  20. IVRUS

    Dopamine infiltration, how long the site will be necrotic?

    IVRUS replied to treeye's topic in General Nursing

    Please remember that Dopamine is a Vesicant, and therefore if the vessel broke down and allowed this medication to go into the tissues, you have an EXTRAVASATION, not an infiltration. Extravasations...
  21. IVRUS

    Forgetting to prime peripheral IV line...

    IVRUS replied to lpnmommy86's topic in Emergency

    I am confused now too! So, if you did NOT have a primary bag of NSS, but rather just had an IVAB with a primary set you wouldn't follow the above
  22. IVRUS

    Failed a course

    IVRUS replied to catnessk's topic in General Students

    Please remember that failing one class does not mean that your life is over... Sometimes we fail and it is our responsibility to assess where we went wrong, and then putting one foot in front of the...
  23. IVRUS

    I failed out of Nursing School... Appealed and WON!!

    IVRUS replied to ToBeBornANurseJB's topic in General Students

    Remember, The quote was... Never gave or took any excuse. An EXCUSE is what many people do to rationalize behavior. usually wrong thinking or behavior at that.. but you persevered. Good for
  24. IVRUS

    In the old days, 10 patients on med/surg?

    IVRUS replied to dudette10's topic in Medical-Surgical

    Back in the 80's I worked nights and had 10-15 patients too on night shift, but we had team leading. That meant that one RN had his/her own CNA and you worked as a team taking care of each one. It...
  25. IVRUS

    PICC Care- cap change

    IVRUS replied to layla-13's topic in General Nursing

    As Muno appropriately stated, the IV catheters without an intregal clamp on the catheter itself, are usually Valved. Valved IV catheters will remain closed, in most cases, as long as negative pressure...