IVRUS BSN, RN

Vascular Access

Member

  • Content

    1,049

  • Visitors

    24,021

  • Followers

    0

  • Likes

    104

All Content by IVRUS

  1. IVRUS

    Interview for an IV team - Any advice?

    IVRUS replied to AnnieOaklyRN's topic in Infusion, Intravenous

    Are you interviewing for a Hospital IV team, Home Infusion, or what? Many ER nurses may have tons of experience with peripherals and ML/PICC's, but have you been doing it the right way? Have you been...
  2. IVRUS

    How to Become IV certified.

    IVRUS replied to Jgun359's topic in General Nursing

    Wow... getting appropriate education on IVT isn't going to help someone start IV's, huh... When you teach IV therapy, hands on activities are naturally a part of the process, but 30 hours adequately...
  3. IVRUS

    How to Become IV certified.

    IVRUS replied to Jgun359's topic in General Nursing

    Sorry, again, but I disagree... 30 hours of didactic/lecture can cover everything that you need to know, but No competent program will only give you a half day of information. But hey, we can all...
  4. IVRUS

    How to Become IV certified.

    IVRUS replied to Jgun359's topic in General Nursing

    But that is the problem... It is not the mechanics of the insertion that ONE should be looking at here... IV therapy, what type of catheter, which is the best for the patient and the why's and...
  5. IVRUS

    How to Become IV certified.

    IVRUS replied to Jgun359's topic in General Nursing

    The fact that you see Infusion Therapy as just a simplistic skill, and not something that is a specialty, gives me great insight into your thought process. I never replied to this topic to be...
  6. IVRUS

    How to Become IV certified.

    IVRUS replied to Jgun359's topic in General Nursing

    I wasn't directing my comment to the student... But to an individual responding to the original post. As a student, I pray she or he, gets formally trained by an infusion nurse at some point. Just...
  7. IVRUS

    Missing Cap on PICC line

    IVRUS replied to janeybirdRN's topic in Infusion, Intravenous

    Remove the line??? I wouldn't have done that either. If someone erroneously removed the injection cap while disconnecting the syringe, well that is a problem, especially if the line wasn't clamped at...
  8. IVRUS

    How to Become IV certified.

    IVRUS replied to Jgun359's topic in General Nursing

    Wow... It is a skill that even a "monkey" can do... I do NOT agree Akulahawk. Starting/Placing an IV catheter is so much more than "just sticking someone!" Not being aware of that, may mean that...
  9. IVRUS

    Picc Line Question

    IVRUS replied to sophtheorn's topic in General Nursing

    It is never a good idea to leave a Central line in, "just in case" but the protocal for flushing it, should be in your agency's policy. Frequency depends on the type of line too.... A valved PICC,...
  10. IVRUS

    Picc Line Question

    IVRUS replied to sophtheorn's topic in General Nursing

    I know someone who was d/c'd from hospital with a double-lumen PICC. Hospice nurse comes once per week to change the dressing. I've never been there when this was done, but I can see the date changed...
  11. IVRUS

    Picc Line Question

    IVRUS replied to sophtheorn's topic in General Nursing

    As Lima RN stated, I too advocate for the "mixing" method. This method works great as long as the syringe that you are using DOES NOT become detached at any time while the method is underway. That...
  12. IVRUS

    IV site rotation

    IVRUS replied to BriGuyRN's topic in Infusion, Intravenous

    My company too has a 96 hour rotate policy, and we too find that depending on the medication and site, we may be rotating q 48 or it may last 4 days. Recently, however, we had MD's orders for a prn...
  13. IVRUS

    I need some help on a math problems!! involving units, Pepcid and Flow rate.

    IVRUS replied to nursingstudent92's topic in General Students

    2. A patient's order for Pepcid states that she should reveive an IV bolus of 20mg Pepcid diluted in NS to a total volume of 10ml, which is to be injected over 2 minutes. The supply is Pepcid 10mg/ml....
  14. IVRUS

    To clamp or not to clamp

    IVRUS replied to FLGAZRN's topic in Critical Care

    Whether to clamp before removing your syringe, or clamp after the syringe is removed really depends on what type of injection cap is at the end of your IV catheter. There are NOT caps which are...
  15. IVRUS

    Running PRBC concurrently with NS?!

    IVRUS replied to nurseap's topic in General Nursing

    I am so sorry that you spend your ride home berating yourself for any, and all mistakes made. You are a NEW nurse, and confidence will come, and the tears will stop in time. Interpreting this order...
  16. IVRUS

    Different Piggyback Antibiotics, Same IV Tubing??

    IVRUS replied to Pinky89's topic in Medical-Surgical

    Hence, the use of backpriming cannot be claimed to be evidence based, therefore, how can it be best practice? Best practice includes data in which the goal is to decrease hub manipulation. As long as...
  17. IVRUS

    Fluids to help a vomiting patient?

    IVRUS replied to nurs1ng's topic in Patient Medications

    An isotonic IVF will provide volume lost from the vomiting episodes. NS or LR is appropriate. However, your getting your hyper, hypo mixed up. A hypotonic IV fluid will leave the blood vessel and...
  18. IVRUS

    IV removal etiquette?

    IVRUS replied to pa715's topic in General Nursing

    Always hold a 2x2 or a 4x4 gauze over the insertion site, but do NOT apply any pressure to the site until the IV catheter has been removed. Do not use Alcohol to d/c the line as it burns and promotes...
  19. IVRUS

    Difficulty removing PICC line

    IVRUS replied to aging1's topic in Infusion, Intravenous

    As Iluvivt said, "You did good!" I too would have halted any further attempts at removal if the steps that Iluvivt didn't work. You truly do NOT want an embolized IV catheter. Most of the time I...
  20. IVRUS

    PICC line dislodgement

    IVRUS replied to Blackcat99's topic in Infusion, Intravenous

    Well, it all depends on how much has been pulled out. If the entire thing is "out", You must measure it to see if it was the same length as what was placed, or in the case of a Groshong, look for the...
  21. IVRUS

    central lines

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

    Well, first of all i would not just "wing-it". Without an adequate knowledge base of care of this Central line, you put yourself and your patient at risk. Whenever you get a pt in with a treatment,...
  22. IVRUS

    PICC line dislodgement

    IVRUS replied to Blackcat99's topic in Infusion, Intravenous

    What do you mean "Out of placement?" Are you asking what the signs and symptoms are when a PICC line migrates into a tributary vein, or migrates out of the SVC and into the Jugular vein? Or, are you...
  23. IVRUS

    Just got a per diem home infusion job... help!

    IVRUS replied to HaylyAmber's topic in Infusion, Intravenous

    If you dated the entire dressing for 1/6/12, which was yesterday, it would be assumed that the Biopatch was also changed on this date. I get that he only has till the 9th and therapy is done, but...
  24. IVRUS

    clogged picc line

    IVRUS replied to bellcollector's topic in General Nursing

    Remember, ALL PICC's aren't flushed with Saline and Heparin flush... In most places, anyway. Those PICC's which are valved, like Groshong PICC's are NOT flushed with Heparin, nor should they be. If...
  25. IVRUS

    clogged picc line

    IVRUS replied to bellcollector's topic in General Nursing

    As far as the PICC line is concerned... One SHOULD NOT be using excessive force when they meet an occlusion. Doing so puts undue pressure on the catheter and could either rupture it, and send a...