IVRUS BSN, RN

Vascular Access

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All Content by IVRUS

  1. IVRUS

    PICC line flushing question

    IVRUS replied to newgraduategal's topic in General Nursing

    But not aspirating a brisk, free flowing blood return may mean that the tip is covered with Fibrin. That fibrin is a precurser to Bacterial contamination and Thrombus. Not getting a blood return is...
  2. IVRUS

    PICC line flushing question

    IVRUS replied to newgraduategal's topic in General Nursing

    Yes, it is imperative that all central lines yeild a brisk, free flowing blood return. You should assess for this each time a medication is given. Not assessing is negligent and leads to bacterial...
  3. IVRUS

    Fluid bolus by gravity or pump?

    IVRUS replied to delphine22's topic in MICU, SICU

    But a peripheral IV catheter accepts flow rates according to its size, yes I get that, but if you have a central line, like my example of a triple lumen, percutaneously placed line, and it's tip is in...
  4. IVRUS

    Fluid bolus by gravity or pump?

    IVRUS replied to delphine22's topic in MICU, SICU

    Totally disagree.... A central line dumps directly into the SVC where flow rates are ten times greater than that in the arm. So, a peripheral IV catheter will not get the medicine to someone's heart...
  5. IVRUS

    Starter tpn

    IVRUS replied to nicumom's topic in NICU, Neonatal

    It should never be given cold of course, but rather set in a clean dry area of the med room where it can come to room temperature. Most guidelines state it should be removed from the refrig an hour...
  6. IVRUS

    PICC Insertion pointers

    IVRUS replied to AmyEkstrand's topic in Infusion, Intravenous

    Most likely you are blowing the vessel. Make sure your getting a brisk flashback in your stylet and that your angle is not too steep. Once the flashback occurs, drop that angle and advance a couple...
  7. IVRUS

    A short PICC line ?

    IVRUS replied to combinate's topic in Infusion, Intravenous

    But a MIDLINE SHOULD NEVER terminate or stop in the Subclavian. A midline IV catheter is 3-8 inches in length and should never pass the axillary vein, or the shoulder. Having any IV catheter stop...
  8. IVRUS

    Whistleblower, Briana Aguirre

    IVRUS replied to Lisa111980's topic in Disaster Preparation

    "For now, but like many poorly run anti-union Southern states, Texas is an At-Will state. This means that employers, not hard working Americans workers, are the political Dictators and economic Pay...
  9. IVRUS

    What is the correct procedure for flushing a PICC line that has TPN running?

    IVRUS replied to ccrunner72000's topic in Nursing Student Assistance

    "Never use smaller than a 10mL syringe as the pressure created by a smaller syringe can damage the catheter lumens. You did not state specifically what brand, but all manufacturers generally will list...
  10. IVRUS

    Removal of a PICC line in home

    IVRUS replied to nursepolly4's topic in Home Health

    Yes, PICC's are pulled by a qualified nurse in a home setting, as long as there are policies which delineate the steps and that the nurse doing the removal is competent and qualified to remove it. A...
  11. IVRUS

    My first emergent PICC insertion

    IVRUS replied to francoml's topic in MICU, SICU

    The reason, as you may know, why PICC's aren't emergent is that it is virtually impossible to place a PICC quickly without comprimising sterile technique. This is one reason why IV catheters which...
  12. IVRUS

    Nursing and the Ebola Virus

    IVRUS replied to 0.adamantite's topic in Disaster Preparation

    http://www.cdc.gov/hicpac/2007IP/2007ip_fig.html Gloves are the first thing you remove... Check out this CDC
  13. IVRUS

    Fluid bolus by gravity or pump?

    IVRUS replied to delphine22's topic in MICU, SICU

    Remember that a 22gauge can "handle" over 2000mls/hour, if it is a good, non-positional IV. A 24 gauge allows for over
  14. IVRUS

    IV tubing port selection for Y-site

    IVRUS replied to DatMurse's topic in General Nursing

    Not every piece of IV tubing has more than one port. For instance, my pharmacy has the choice of purchasing macro gtt tubing with one port, which would be above the pump housing, for a secondary set,...
  15. IVRUS

    More sterile questions!

    IVRUS replied to garciadiego's topic in Infusion, Intravenous

    Yes, you are correct. I left the "given" step-by-step's out of my directions. But I agree that masks should be put on before the old dressing is removed, and that hands should be cleansed with hand...
  16. IVRUS

    IVs and CVADS

    IVRUS replied to NUNS2016's topic in General Students

    The flow of blood into the SVC from the brachiocephalic vein is dependant on diameter, length, and resistance within the vessel. The rate of blood flow into the SVC is greater than 10x the flow in...
  17. IVRUS

    IVs and CVADS

    IVRUS replied to NUNS2016's topic in General Students

    No.. Not best practice. Stop for one minute. Then, draw labs after
  18. IVRUS

    IVs and CVADS

    IVRUS replied to NUNS2016's topic in General Students

    "Stop the infusion for 10-15 minutes prior to drawing back. If not, this can cause inaccurate results due to dilution of total blood." ???? Whoa... No need to stop an infusion for that long. You are...
  19. IVRUS

    IVs and CVADS

    IVRUS replied to NUNS2016's topic in General Students

    First of all, there are many different types of IV catheters.. The kind of catheters which LPN's in most states and most RN's are familiar inserting are your IV catheters which are less then 3 inches...
  20. IVRUS

    More sterile questions!

    IVRUS replied to garciadiego's topic in Infusion, Intravenous

    With a PICC dressing change, First.. Follow your agencies policy. And, If there isn't said policy, develop it! But, Here's how I do it: First, after I remove the TSM and any anchoring steristrips or...
  21. IVRUS

    How you do that?

    IVRUS replied to garciadiego's topic in Infusion, Intravenous

    You must have sterile syringes to drop onto your field. Now, if the saline vial isn't sterile, then perform a one handed approach to this. Don one sterile glove to grab your sterile syringe and then...
  22. IVRUS

    How to assess central lines?

    IVRUS replied to holdensjane1's topic in General Nursing

    What does your policy say as far as assessment of IV sites? Does it say, q 2hours, q 4 hours, q shift? Assessment means checking that site for induration by palpating the site while the dressing is...
  23. IVRUS

    What type of PICCs are you placing?

    IVRUS replied to amy1197's topic in Infusion, Intravenous

    Amy, For the last 24 years, we've been using Bard's Groshong Picc's. Not only because they are repairable, but they do not require Heparinization, thus we avoid HIT. They are good catheters and...
  24. IVRUS

    Anyone work for Coram as IV per diem nurse?

    IVRUS replied to RNfromSA's topic in Infusion, Intravenous

    Yes pm
  25. IVRUS

    Slamming in IVP meds and Running Incompatible Meds Together: Is it as bad as they say

    IVRUS replied to RNdynamic's topic in Patient Medications

    Every nurse should be concerned and assess whether or not compatibility exists between two drugs going into the same syringe, or going into the same IV tubing. As far as TPN is concerned, it is not...