IVRUS BSN, RN

Vascular Access

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All Content by IVRUS

  1. IVRUS

    Pausing IV, clotting?

    IVRUS replied to SilleLu's topic in Patient Medications

    But please remember that not ALL IV catheters should be flushed this way. How one flushes, depends on the Needleless connector on the end of the IV catheter. There are three different types of...
  2. IVRUS

    Extravasation protocols

    IVRUS replied to LPNfurever's topic in Patient Medications

    Not all vesicant medications have antidotes. If a medication extravasates into the tissue, the nurse must ALREADY have orders from the MD or LIP on what to do in the event that this should occur....
  3. IVRUS

    Infusion Pump - I feel stupid!

    IVRUS replied to skewlgurlRN's topic in Patient Medications

    Just remember the formula to figure out flow rate, or what you need to set your pump to. The formula is: Volume of solution that the drug is diluted in, divided by time in HOURS (not minutes) so, 150...
  4. IVRUS

    Chemo Disconnects

    IVRUS replied to LemonIndiscretion's topic in Home Health

    To me, that is not a large territory.. as a matter of fact, I would love it if my territory could be limited to to 200 miles. Sometimes, It takes us four hours one way to get to a patient, and then...
  5. IVRUS

    Pay rate for central lines

    IVRUS replied to Laurabell08's topic in Private Duty

    TPN Home Infusion is a complex therapy requiring much hand-holding and tons of education. It should NOT be treated like a wound case, or normal
  6. IVRUS

    central line changes

    IVRUS replied to Bgwalth's topic in NICU, Neonatal

    TPN tubing should be changed with each new bag, or at least q 24hours, with all populations. Many institutions will used Chloroprep to cleanse the IV site at periodic intervals, and some limit...
  7. IVRUS

    PICC line issues, blood draw tips.

    IVRUS replied to Nurse.NoFilter's topic in General Nursing

    Remember Heparin flush prevents fibrin build-up, it won't lyse it if it is already present. Also, I agree that changing your cap can work, but it too is not usually the culprit in your occlusion. A...
  8. IVRUS

    PICC LINES

    IVRUS replied to Birdy2's topic in Patient Safety Issues

    SallyRNRTT is correct... What needs to happen now, is placement of a new IV catheter, and yes, I'd advocate for a triple lumen central Line. The Blood flow dumping into the SVC, where all central...
  9. IVRUS

    Heparin flush

    IVRUS replied to Birdy2's topic in Patient Safety Issues

    Not only is this an IMPROPER way to flush the IV catheters, but Heparin Flush, with its various concentrations, should always be used after the second Saline flush to "lock" the IV catheter. Remember...
  10. IVRUS

    IV pushes

    IVRUS replied to #NurseB's topic in Patient Medications

    I agree with the post that says Adenosine is the only drug that needs to be "slammed", and that's because of its short half-life. However, All medications need to be assessed for the correct...
  11. IVRUS

    Pediatric Midline IVs?

    IVRUS replied to Vicki_RN's topic in Pediatric

    Midline Infusion catheters are used in our area often. They aren't just limited to a specific populi. They ARE, however, limited by what you are putting in it. Midline IV catheters are just really...
  12. IVRUS

    Accessing central lines/IV starts

    IVRUS replied to misselena's topic in Home Health

    As JustBeachy stated, DO NOT access an implanted port, if you do not have the education AND competency to perform this task appropriately. Never use Youtube as your education module. As others have...
  13. IVRUS

    PICC line blood draw

    IVRUS replied to greyL's topic in General Nursing

    I totally get that, and I am well versed in what INS states, but I was throwing out the possibility of one reason why this amount of waste might be put into
  14. IVRUS

    I never would have thought of that...

    IVRUS replied to OhioCCRN's topic in General Nursing

    Please figure out another way that works.. as it is NOT appropriate to bend the catheter, in any way or in any fashion. Short term, less than three inch IV catheters do not return to their original...
  15. IVRUS

    PICC line blood draw

    IVRUS replied to greyL's topic in General Nursing

    Muno, Have you read the study where the researchers found that if one was drawing coags from a heparinized catheter becuase you did not have the ability to draw via peripheral vein, that in order to...
  16. IVRUS

    Central lines and air embolism ?

    IVRUS replied to Cook23's topic in General Students

    "The patient is not going to get an air embolism through the positive pressure caps on the end of each lumen. Kids [COLOR=#1c7dff]play with the [COLOR=#1c7dff]clamps on the end of their lines all the...
  17. IVRUS

    Peak and Trough Levels

    IVRUS replied to ChooSoul's topic in General Students

    In actuality, Peak levels are drawn 30-60 minutes post Aminoglycoside administration and with the Antibacterial Vancomycin, Peaks are drawn 1-1.5 hours post infusion completion. Always follow your...
  18. IVRUS

    Port protectors and scrub the hub

    IVRUS replied to varc's topic in General Nursing

    Ahhh.... But since most experts agree that the majority of your CRBSI from catheters left in greater than a weeks time frame, are directly from inappropriate hub cleaning and manipulation of the hub,...
  19. IVRUS

    Central lines and air embolism ?

    IVRUS replied to Cook23's topic in General Students

    If you have a well fitting leur-locked needleless connector on the end of the lumen, the patient will NOT suffer an air embolism, unless that lumen is severed, or develops a hole in it where air can...
  20. IVRUS

    How did you decide your specialty?

    IVRUS replied to frequentFLyER's topic in General Students

    I chose Vascular Access because I've always been able to access my patient's veins with no problems, and because I hate Sputum (RT is not for me) I do not like to do wound dressings ( Wound care is...
  21. IVRUS

    Question about iv fluids

    IVRUS replied to Cook23's topic in General Students

    Never allow the medication infusing into the drip chamber, take the place of doing a complete site assessment. As others said, it could be dripping into the chamber just fine, but then a site...
  22. IVRUS

    bleeding from IV site with patient on blood thinners

    IVRUS replied to liltapper21's topic in Patient Safety Issues

    As ILUVIVT said, resite it if it is a short term peripheral catheter and investigate coags. However, if it was a type of central line, such as an implanted port, and the bleeding is occurring, then...
  23. IVRUS

    PICC line flushing question

    IVRUS replied to newgraduategal's topic in General Nursing

    You're right, not getting a brisk, freeflowing blood return may mean that the catheter has migrated, but that is a prime example of an IV catheter in which you must determine the cause, the best that...
  24. IVRUS

    PICC line flushing question

    IVRUS replied to newgraduategal's topic in General Nursing

    'It's not actually a legal standard of care' Totally disagree! I know that you yourself don't care for INS, but Their STANDARDS are brought into a court of LAW when an INFUSION issue is in question....
  25. IVRUS

    PICC line flushing question

    IVRUS replied to newgraduategal's topic in General Nursing

    Wow... You have a PICC team which needs education! Are the nurses, or is any nurse on the team CRNI's? The Central line which does NOT yield a blood return, but flushes well, is a catheter which...