IVRUS BSN, RN

Vascular Access

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All Content by IVRUS

  1. IVRUS

    Clinical Competencies

    IVRUS replied to jjasonsn1991's topic in Nursing Educators, Faculty

    Wow Hou... We definitely are on opposite sides of this issue... So, if a nurse has performed a procedure ten times in the last month, and has not had an adverse complication as a result.. She or he...
  2. IVRUS

    Triple Lumen Cath anatomy

    IVRUS replied to NurseCollins799's topic in CCU, Coronary, Cardiac

    Delphine, A lumen dedicated to TPN, needs to be just that, dedicated to TPN. Therefore, you really do NOT want to draw labs from that lumen. Instead, do a peripheral stick, or draw from another...
  3. IVRUS

    Clinical Competencies

    IVRUS replied to jjasonsn1991's topic in Nursing Educators, Faculty

    Are they reinserting them (ie. with a foley in the case of accidental dislodgement?) or is it the administration of medications via g-tube and care and maintenance. Reinsertion definitely, gets a...
  4. IVRUS

    Clinical Competencies

    IVRUS replied to jjasonsn1991's topic in Nursing Educators, Faculty

    Everything that is invasive definitely should be assessed yearly, but then other skills like performing EKG's should be assessed. A simulated lab can do accomplish this task for the initial...
  5. IVRUS

    Clinical Competencies

    IVRUS replied to jjasonsn1991's topic in Nursing Educators, Faculty

    Oh JJ, I really disagree with you. Assessing competencies yearly help nurses, LPN's and RN's alike, remain accountable and show that assessement is ongoing. Just by virtue of a nurse having an RN...
  6. IVRUS

    Portal cath

    IVRUS replied to Avu00's topic in General Nursing

    Avu00, It sounds like there may be a need for some serious education. Do you work for an organization where they have Policies and Procedures in place? If so, all of your questions should be answered...
  7. IVRUS

    Final Exam Anxiety

    IVRUS replied to xPoeticSoul's topic in General Students

    Well first and foremost, Welcome! And please note that you have come a LONG way to get to that final exam and since you've arrived, you must have been able to retain a lot of information OR you...
  8. IVRUS

    Portal cath

    IVRUS replied to Avu00's topic in General Nursing

    Also, Make sure that you are following your scope of practice for your profession. For instance, in my home state, LPN"s cannot access an implanted port, nor can they deaccess one, but once the RN...
  9. IVRUS

    How do you draw up meds for IVP?

    IVRUS replied to FineAgain's topic in Medical-Surgical

    The fluid inside a prefilled syringe is sterile, but if the syringe is only packagd in a dust cover then only the solution is sterile, and thus the reason that it can't be placed onto a sterile field....
  10. IVRUS

    Need help IV discontinue

    IVRUS replied to melcolbstorm's topic in Medical Assistant, CNA/MA

    First of all, You must refer to your organizations P&P and follow it step by step. And, as others have said, someone should be assessing your technique and verifying that you are competent in...
  11. IVRUS

    tpa in a small syringe

    IVRUS replied to sistrmoon's topic in Patient Medications

    Muno, She did NOT backtrack on her views... But rather stated that a blood return should still be assessed for, among other factors, such as the tourniquet test, before IVT should be continued. How...
  12. IVRUS

    tpa in a small syringe

    IVRUS replied to sistrmoon's topic in Patient Medications

    I don't understand oppositional defiant behavior! Why try to cause confusion? Once patency has been determined, then yes, one may use whatever syringe size that is needed to give the prescribe...
  13. IVRUS

    Vascular Access Algorithm

    IVRUS replied to HMarie13's topic in Infusion, Intravenous

    First you must assess your policy for your institution for catheter dwell times. If a short term, less than 3 inch IV catheter can stay in for 96hrs, then four days of IV therapy may well be able to...
  14. IVRUS

    tpa in a small syringe

    IVRUS replied to sistrmoon's topic in Patient Medications

    Agreed, BUT it is much harder to flush a larger diameter syringe if there is a clot at its end, then it is to flush aN IV catheter with a 3cc syringe. Using "normal" hand strength, you'll meet...
  15. IVRUS

    tpa in a small syringe

    IVRUS replied to sistrmoon's topic in Patient Medications

    If I were you, I would tell the pharmacy that they must supply you this medication in a 10cc syringe. You are risking contamination when transferring, and lost of medication. All catheters over...
  16. IVRUS

    back up of blood into picc line..

    IVRUS replied to psmithlove's topic in General Nursing

    What pump are you working with? Name brand
  17. IVRUS

    IV certification - help!

    IVRUS replied to mowebs's topic in LPN, LVN Corner

    Check out local pharmacies such as Omnicare. There is an Omnicare pharmacy in Pueblo, CO; Golden CO; and Grand Junction CO. Often, these pharmacies will have education on Infusion
  18. IVRUS

    back up of blood into picc line..

    IVRUS replied to psmithlove's topic in General Nursing

    Well, in 99.9% of the cases where I see this happening to nurses is when they do NOT thread the tubing into the pump appropriately. Take for instance the Flogard 6201 series pump, it will let you...
  19. IVRUS

    Preventing phlebitis with Amiodarone

    IVRUS replied to baylordave16's topic in CCU, Coronary, Cardiac

    Because of its low pH (3-8-4.0) it is a medication which ideally should go via Central Infusion Catheter, however, when real life happens.. and there isn't a central line in place, I would choose the...
  20. IVRUS

    Experienced nurse- Career Advice

    IVRUS replied to HealthyNurse's topic in General Nursing

    Well I can honestly say that I know where you are coming from! I too moved away from family once upon a time, and though 800 miles seperated us, I longed for home, my son, my parents and my sisters....
  21. IVRUS

    iv solutions

    IVRUS replied to AngelofSeduction's topic in CCU, Coronary, Cardiac

    Your body fluid compartments are NOT Intracellular, Extracellular and Vascular. They are: 1. Intracellular - or the fluid inside the cells. 2. Extracellular - which has subsets of Intravascular and...
  22. IVRUS

    When would you see D5 .45% NS w/ KCL used?

    IVRUS replied to jlevnajic's topic in Infusion, Intravenous

    No, It is a hypertonic IV fluid... It's osmolarity is > than 340. And, fluid will go from ICF to ECF
  23. IVRUS

    IV Therapy/ Blood Withdrawal in California to Florida

    IVRUS replied to molivares06's topic in Infusion, Intravenous

    Contact Florida's State Board of Professional Regulation to see if they will accept a certification course from CA, or do you need to take a course in Florida in order to practice IV therapy. Some...
  24. IVRUS

    computaion of IV

    IVRUS replied to vj2jam's topic in Patient Safety Issues

    I find that a there is a much simpler way of doing this... First: Get flow rate. Your flow rate is what you would be setting your pump to. You get this number by dividing the volume of your diluent...
  25. IVRUS

    IV infection rates?

    IVRUS replied to RealPrettyNurse's topic in Infusion, Intravenous

    Well I would first refer you to your organizational policy. If they change short term peripheral IV catheters every 72, or 96 hours, that is what you should follow... However, to answer your question,...