IVRUS BSN, RN

Vascular Access

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All Content by IVRUS

  1. IVRUS

    Anyone work for Coram as IV per diem nurse?

    IVRUS replied to RNfromSA's topic in Infusion, Intravenous

    I am not currently working for this company, but have done so in the past. Can I help
  2. IVRUS

    Certified Infusion Nursing

    IVRUS replied to BluIsRN's topic in Infusion, Intravenous

    I'm sorry, but are you already a nurse? I ask this because you mentioned that you can't sign up for state boards. If you are not a nurse yet, and you are waiting to take state boards, I'd recommend...
  3. IVRUS

    Meropenem via PIV

    IVRUS replied to Groovydogg's topic in Infectious Disease

    Meropenem has an excellent pH (It is between 5-9) and an osmolarity of around 300 with a 5mg/ml concentration. So, no, there is no reason why it can't go into a peripheral IV catheter. Perhaps the...
  4. IVRUS

    PICC line or Port a Cath & Running Blood

    IVRUS replied to 0.adamantite's topic in Patient Safety Issues

    I too wouldn't worry about this flow rate for the PICC as it can handle that flow rate without difficulty, I would, however, worry about fluid overload. How old is the pt? Does he/she have a...
  5. IVRUS

    accessing a port for just one blood draw

    IVRUS replied to Ted D's topic in General Nursing

    INS does not say that! I've seen your post regarding this before.. And "we" really should be giving correct information to others. Practice standard 45/practice criteria P (page S61 in the latest...
  6. IVRUS

    accessing a port for just one blood draw

    IVRUS replied to Ted D's topic in General Nursing

    see below
  7. IVRUS

    Illinois License

    IVRUS replied to amefoley's topic in General Nursing

    Illinois is very slow... Sorry, but I've known others seeking endorsement who've waited 6 months to get it. Have you tried to get a temporary
  8. IVRUS

    Had a roach fall out of the cealing..

    IVRUS replied to pnkgirl25's topic in Home Health

    Ah, it may be expected, but unless you've truly lived it, you find out otherwise. Many have had water turned off for non-payment and that goes for electricity
  9. IVRUS

    Had a roach fall out of the cealing..

    IVRUS replied to pnkgirl25's topic in Home Health

    Welcome to Home Health Nursing! Yes, you will find situations where it is less than favorable, but as long as there is running water and light, and it is without gangbangers carrying their AK47's...
  10. IVRUS

    Silly question-spiking levaquin bag

    IVRUS replied to RNRapunzel1029's topic in Medical-Surgical

    It should NOT "leak" if you are performing this task appropriately. Number one, after removing the tubing from the package, and ascertaining that both of its ends are covered and that there are no...
  11. IVRUS

    Only partial mileage reimbursement??

    IVRUS replied to RNfromSA's topic in Infusion, Intravenous

    Communter miles are mileage it takes to set your foot on the gas peddle and drive from home to office and then back home. So, if I'm driving to a place which is 100 miles away, and it normally takes...
  12. IVRUS

    Best tips for blood draw on elderly

    IVRUS replied to Kitty Hawk's topic in Hospice, Palliative

    I seriously disagree that your infection rates were less than what is seen now. Some places have reduced their infection rates with the central line bundle to zero! I doubt you can beat
  13. IVRUS

    Only partial mileage reimbursement??

    IVRUS replied to RNfromSA's topic in Infusion, Intravenous

    RNfromSA, I too work for a company which does not pay what the government standard is, but as someone else said, you can write off the difference when you do your yearly taxes. Now, paying you only...
  14. IVRUS

    How does heparinizing ports work?

    IVRUS replied to Ted D's topic in Patient Medications

    This is NOT true. Heparin Flush solution is the only accepted locking solution that we have in the USA, or that the FDA has approved in the USA. For central lines, Heparin flush solution is still...
  15. IVRUS

    removing heparin from ports

    IVRUS replied to Mr. Murse's topic in Patient Medications

    As previous posters have said, including my favorite (ILUVIVT) the concentration used with an implanted port is usually 100unit per ml versus dialysis catheters which are locked with a much higher...
  16. IVRUS

    Best tips for blood draw on elderly

    IVRUS replied to Kitty Hawk's topic in Hospice, Palliative

    You're welcome
  17. IVRUS

    Best tips for blood draw on elderly

    IVRUS replied to Kitty Hawk's topic in Hospice, Palliative

    But you have resident bacteria, and skin cells which are constantly shedding, so just because you cleanse your finger, that does not give you the ability to retouch the site. Think about it.. you are...
  18. IVRUS

    Best tips for blood draw on elderly

    IVRUS replied to Kitty Hawk's topic in Hospice, Palliative

    Why would you cut of the tip of the glove? Are you doing it to repalpate the site.. If so, you are setting the patient up for infection. Once the area has been cleansed, you DO NOT go back and feel...
  19. IVRUS

    Best tips for blood draw on elderly

    IVRUS replied to Kitty Hawk's topic in Hospice, Palliative

    Your "preceptor" who is instructing you is WRONG to show you how to draw labs, and yet He/She won't, or doesn't wear protective gloves. That is a violation of every policy I've seen since PPE...
  20. IVRUS

    Concurrent IVS

    IVRUS replied to Kaltia's topic in Patient Medications

    If you have a pump which requires you to hang the primary lower, then you will not be able to run them concurrently. But some pumps don't require this, and they both can infuse at the same time. As...
  21. IVRUS

    Vanco: give or wait for vanco trough?

    IVRUS replied to rn.5245's topic in Patient Medications

    Yes, it is ideal that vancomycin, which has an average pH of 3, be administered in a central line, like a PICC, but it isn''t absolutely mandatory, as ILUVIVT stated. My other concerns regarding the...
  22. IVRUS

    Causes of sudden diaphoresis

    IVRUS replied to bruto's topic in MICU, SICU

    If you were performing venipuncture, he most likely had a Vasovagel response to the line placement. Yes, they can say they have no problems with IV placement, but their body says otherwise. The pt may...
  23. IVRUS

    Midline/picc line classes.

    IVRUS replied to june2009's topic in Infusion, Intravenous

    You may be able to save the company money, but should you be placing them? Placement of PICC is much more than merely a task. In addition, as ADON, I can't imagine that you'd have the time needed to...
  24. IVRUS

    Central Line competency checklist

    IVRUS replied to Bruno1968's topic in Infusion, Intravenous

    I don't know what your other skills assessments look like, but I would fashion it in a similar manner... That being said, After you develop the title for the assessment, then each step should be...
  25. IVRUS

    an oldie but goodie

    IVRUS replied to amoLucia's topic in General Nursing

    Esme... I guess I am older than you as I had a 1959 Patty Play Pal.. Till my Dad's German Shepard ate