IVRUS BSN, RN

Vascular Access

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All Content by IVRUS

  1. IVRUS

    HIV needle stick

    If you are working for ANY company these days and that company is not investing in your safety, it would be a company that would long ago be in my rear view mirror! The company that does not provide...
  2. Exactly Annie... Give me blood anytime, any where. In our jobs, blood is a good
  3. IVRUS

    Patient Safety Question/Nurses Conduct

    C'mon Muno... saying: "I need you to be quiet and stop. If you do not stop I will paralyze you and intubate you. Trust me that will not be fun so you need to stop and be quiet." is threatening and...
  4. IVRUS

    Flo Valley Fall 2015

    No rudeness intended or implied... Merely stated a fact so that you could get better or even, one correct response. If no one understands what you're talking about, your question will get
  5. IVRUS

    Do RN's insert EJ's at your hospital

    How is what this poster said wrong? Most 18 gauge IV catheters do have better flow rates than 22 gauges, but a 22 g can handle approx. 2000mls/hr whereas an 18 g can handle over 6 liters an hour....
  6. IVRUS

    Flo Valley Fall 2015

    First of all, one must never assUme that other people or going to know what you are talking about! Is this Florrissant Valley Community College in MO, or something/somewhere else? How can someone...
  7. IVRUS

    Forgetting to prime peripheral IV line...

    As other posts have said, most IV tubing holds between 15-25 cc. Some more, some less... but your goal should NOT be to run 30cc through to ensure all bubbles are out. Think about it this way, you...
  8. IVRUS

    HIV needle stick

    Though I am sorry that this happened, my question to you is "Why wasn't the safety engaged upon removal of the
  9. IVRUS

    Patient Safety Question/Nurses Conduct

    Yes, The OP was overhearing a conversation, but the question was: Was this appropriate? And the answer clearly is NO. If it truly happened the way he/she described, it would be assault and battery if...
  10. IVRUS

    Took BP on IV site = IV bleeding?!

    It is quite acceptable to take a BP, or place a tourniquet BELOW an IV site to assess ones blood pressure or draw labs, but it should NOT be placed ABOVE the IV site. You are compressing the vein...
  11. I think the problem here is that I'm meaning the OP to mean that he/she gets a flashback, hooks the female catheter hub to an ext set, or to a needleless connector THEN checks for a blood return. I...
  12. Brownbook, When placing an IV catheter, one needs to be cognizant of a blood return. As to the situation explained by the OP, this is a rarity. Most of the time, blood return is had with a successful...
  13. IVRUS

    IV certification

    Not true in every case. The state I live in has such a comprehensive IV Therapy State Mandated program, that I haven't been able to give resiprocity to anyone coming into this state wanting to...
  14. First of all, what size IV catheter are you using? If you have a small 24 gauge into a small metacarpal vessel, blood return may be scant. You also need to pay attention to the size of your syringe...
  15. IVRUS

    Broviac Allergy

    Since he has a tunneled IV catheter which I presume has been in long enough to allow the cuff to have good tissue ingrowth, is a dressing mandatory? It sounds like he is sensitive to so many things,...
  16. IVRUS

    Central line dressing days

    If the patient is diaphoretic and the dressing becomes loose... your institution replaces the entire catheter????? Wow... How is the risk vs benefit justified
  17. IVRUS

    Question about a recent patient

    If it were a prefilled syringe, single use, in its dust cover, or sterile package, then it probably does NOT have preservatives in it. Those will be in your multidose, 30 cc vials of NSS. Normally,...
  18. IVRUS

    Becoming a Nurse

    Math and science courses are plentiful in the RN program and even moreso in the Bachelors programs, but if you're willing to be tutered, there are many nurses who will be more than happy to help. Just...
  19. IVRUS

    Patient Safety Question/Nurses Conduct

    What this "nurse" did is ASSAULT. She threatened the patient with bodily harm if he did not comply with her wishes. If she would have "made good" on her threats, she would be committing
  20. IVRUS

    Question about a recent patient

    At times, keep vein open rates (KVO) may be done with PICC's, however, please remember that this is an incomplete order. KVO can be anything from 0.2 cc/hr to 50cc/hr. Unless the facility you work...
  21. IVRUS

    accessing portacaths

    IMO, The first step is getting the terminology correct: Not all ports are Port-a-Caths. That is a name brand of one type of port. Implanted ports can be single or double, valved or non-valved,...
  22. IVRUS

    96 year old refuse treatment

    Yes, she can make her own decisions, as an A&O person. If she desires to merely remain comfortable, that is what your company should work to provide. This really shouldn't be an
  23. IVRUS

    Really dumb blood admin question

    Curious1, Your "other nurse" is just plain wrong.. and you were right, and you were even MORE conservative than needed, but still right on. Yes, education is in
  24. IVRUS

    Medication safety what if...

    Never put a syringe full of any medication in your pocket, much less PO meds of any kind. What happens when a drug is in a syringe (not matter what kind is in the syringe - with some being more...
  25. IVRUS

    Ultraound IV placement

    It takes awhile to become proficient at placing a catheter with US. What has always helped me was to ensure that once I get my flashback, I don't watch the site, but rather keep my eyes on the screen...