IVRUS BSN, RN

Vascular Access

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All Content by IVRUS

  1. IVRUS

    Really dumb blood admin question

    Ideally, you should NOT be infusing any more than 30 cc in that first 15 minute period. The first 15 minutes is the time frame when the most deadly consequences to the administration of a blood...
  2. IVRUS

    Hypochondriac nurse

    Personally, I would see if the pump that I was using on him had locking capabilities which would lock him out and prevent him from turning the pump off, decreasing the rate etc. Also, when you were...
  3. IVRUS

    Protonix in GI bleed

    "I'm sure it's pharmacologically OK to run anything with .9, if the Pts medical condition warrants it (no CHF)." Coleeliza, Actually this quote is not correct. Some medications are incompatible...
  4. IVRUS

    IV INFUSIONS

    But klone, Do you have policies and procedures in place for the medication administration, and do you have emergency protocals in
  5. IVRUS

    IV INFUSIONS

    Every clinic, every facility, every hospital which serves patients must have policies and procedures in place, if for no other reason, liability issues, not to mention if the place receives any type...
  6. IVRUS

    Protonix IVP

    All medication that I know of, except Adenosine, must be given over certain time frames to prevent Speed Shock. If you aren't sure what the time frame is, call your infusion pharmacist, or check your...
  7. IVRUS

    IV INFUSIONS

    I truly believe that you want to have in place a crash cart, at the very least given the acuity that you are seeing in some of your patients. If you are there providing first dosing, much less...
  8. I truly think you answered your own question! Have you heard the old adage... "Do something that you love and then you'll never work a day in your life?" well, If I love the small hospital, the...
  9. IVRUS

    De-accessing a port woes?

    Also remember that EVEN if it does occlude, Cathflo will usually lyse the fibrin/clot and restore patency. This however, does not negate the responsibility of your employer to have assessed your...
  10. IVRUS

    IV Y-site question

    My question to you is: Why are you wanting to run them at the same time anyway? Can't you run one over 30-60 minutes, flush with saline or D5W (If the IVAB isn't compatible with NS) and then hang the...
  11. IVRUS

    fluid volume excess/deficit??

    Remember oncotic pressure is needed to "pull" the fluid back into intravascular space once it crosses into the tissues and cells. Proteins will become concentrated in the blood vessel once the fluid...
  12. Agree KelRN, Standards say to always use the lowest amount of Heparin Flush solution in a catheter, except, as you said in implanted ports, then 100 units/ml is used. But, some organizations do not...
  13. IVRUS

    RN - Crushing medications

    VIA ISMP (Institute for safe medication practices) states: Improper administration technique Most nurses rely primarily on their own experience and that of coworkers for information regarding the...
  14. IVRUS

    Question about new vascath

    It I not unusual for a newly placed central line to ooze blood from the site during the first 24 hours after placement. Now, if you are needing to change the dressing covering the site every two to...
  15. IVRUS

    Internal jugular IV

    I do believe that is because many hospitals have NO clue about INS, much less their
  16. IVRUS

    Internal jugular IV

    Sorry, but this is just not true. A catheter placed in the jugular vein is ONLY a central line if its tip terminates in the superior vena cava (SVC) !! A 3 inch 18 gauge IV catheter is a peripheral...
  17. IVRUS

    pacemakers and picc

    Yes, you have a problem here! My first question would be, "When was the pacer placed, and the defib placed?" Now, you say the pacer was old and non-functioning, "Why, oh why haven't they pulled it?"...
  18. IVRUS

    First clinical and I want to quit

    Has your instructor said that you've been performing inadequately? If not, then why are you beating yourself up? I believe you have to ask yourself, "Why did I go into nursing?" If it was to help...
  19. IVRUS

    PICC dressing change nurses notes

    Performed PICC dressing change per policy. Writing per policy, or Per protocol, can be problematic. Whose protocol did you follow? Was it the employing institution's protocol, or perhaps a...
  20. IVRUS

    Interview coming up...what to ask?

    Will this position be in a Hospital, or Home Health? In Home Health, or Home Infusion, I would first ask what type of orientation would you be given? Home Infusion requires you to work with such...
  21. IVRUS

    informed consent

    I believe that when you are talking about surgery to remove a body part, or surgery to fix an ailment and the MD is the one doing the procedure, then yes, the MD should be the only one explaining and...
  22. IVRUS

    TLC clotted over...

    A TLC is a Triple Lumen
  23. Obtaining your CRNI, will be a huge help as it gives you the credibility you need to be able to speak the language as an Infusion Expert. Now, are there some nurses out there who are incredibly...
  24. IVRUS

    TLC clotted over...

    My question to you is this: Once you removed the IV that was infusing into the line, was the lumen clamped off prior to removing the tubing? And once the needleless connector was applied, didn't you...
  25. IVRUS

    Flushing with Sterile Water

    Well, if the IV catheter is NOT flushed at intervals, you will see a lot of catheters which become clotted... And I'm sure that since you don't have NSS, you probably will find it harder still to get...