IVRUS BSN, RN

Vascular Access

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All Content by IVRUS

  1. IVRUS

    Made a mistake

    IVRUS replied to smartnurse1982's topic in Infusion, Intravenous

    First of all, this pt should have at least a double lumen, as TPN should have its own dedicated line. No other medications, or blood draws should be done in the lumen which gets the TPN. Secondly,...
  2. IVRUS

    Questions about IV Meds

    IVRUS replied to RN/Mom's topic in Patient Medications

    If you have ascertained that the line is open, patent after flushing with a 10cc syringe BARREL or larger, than any syringe can be used for precise dosing. That is immediately s/p
  3. IVRUS

    Pretty bad at starting IV's

    IVRUS replied to NurseJessie2's topic in First Year After Licensure

    1.IV catheters in the foot or leg veins are never a good idea... However, if it is necessary, and it rarely is, Get a MD order. The patient must be non-ambulatory as well.. Remember the occurance of...
  4. IVRUS

    Pretty bad at starting IV's

    IVRUS replied to NurseJessie2's topic in First Year After Licensure

    The problem with this approach is that at this "Y" you will have a VALVE. You are damaging that valve when you puncture it with a needle. This is NOT a good approach. Valves keep the blood flowing...
  5. IVRUS

    line flushes, patient safety, infection control

    IVRUS replied to LillyFish's topic in Infectious Disease

    There are studies which show that CRBSI's are r/t inappropriate hub cleaning and maintenance. Therefore, ask any IV expert and they echo the fact that the more you scrub, the decrease in infection...
  6. IVRUS

    line flushes, patient safety, infection control

    IVRUS replied to LillyFish's topic in Infectious Disease

    Prefilled syringes are designed for single use only. Therefore, once the line is flushed and the syringe is put down, a SEPERATE syringe should be used with its saline in it to do the final flush...
  7. IVRUS

    Infusion nurse

    IVRUS replied to aphmac's topic in Infusion, Intravenous

    In a "Perfect World" all Infusion Nurses would be RN's with their CRNI (Certified Registered Nurse Infusion) certification. However, in the late 90's some LPN's went to obtain their CLNI...
  8. IVRUS

    Trouble with starting IV's

    IVRUS replied to Katniss88's topic in General Students

    Wow... Ya think I am overinflating the importance of IV therapy because of my expertise in it??? Do you have the same view of your Infection control practitioners or your wound specialists? Your...
  9. IVRUS

    Trouble with starting IV's

    IVRUS replied to Katniss88's topic in General Students

    Nope... Not true. I have been an educator for IV therapy for 20 plus years, and can emphatically tell you that you do NOT get what is needed in nursing school. This is true for RN's and LPN's. You...
  10. IVRUS

    Trouble with starting IV's

    IVRUS replied to Katniss88's topic in General Students

    You can teach someone off of the street to put an NG down, but would you want them doing it to you? Knowing the why's and why-nots of a procedure results in better outcomes. Nurses who seek to...
  11. IVRUS

    Trouble with starting IV's

    IVRUS replied to Katniss88's topic in General Students

    This nurse manager is WRONG!. IV placement is a BIG deal, especially with an immunosuppressed person getting chemo. Getting a catheter in someone is NOT just a matter of "sticking that person." She,...
  12. IVRUS

    First shift of preceptorship: told that my IV priming is wrong

    IVRUS replied to seks's topic in General Nursing

    If the manufacturer states that they are "single use" item, then using them on anything else is an off-label use and the manufacturer will NOT stand behind it. The ease in which an removed cap can...
  13. IVRUS

    First shift of preceptorship: told that my IV priming is wrong

    IVRUS replied to seks's topic in General Nursing

    But after removing a cap, you shouldn't recap with the same cap as caps are single use only. Once removed it should be pitched. There are reasons educators like to see things done in a certain way...
  14. IVRUS

    Portacath/Ports. Which companies/types are the best?

    IVRUS replied to just_thispage's topic in Infusion, Intravenous

    Personnally, If I were getting one I would ask for a Bard Groshong Inplanted Port. For these reasons: 1. The have been around for a long time. 2. They require flushing with only Normal Saline, thus...
  15. IVRUS

    First shift of preceptorship: told that my IV priming is wrong

    IVRUS replied to seks's topic in General Nursing

    As an Infusion Educator, I can tell you that I agree with the instructor in that there is usually know reason to loosen the tip off of the IV set when priming. And... Doing so can create a...
  16. IVRUS

    Normal Saline Question

    IVRUS replied to DLStango's topic in Home Health

    Are you taking about saline for irrigation, or saline in a single or multidose vial for injection into IV
  17. IVRUS

    Nursing instructor blues

    IVRUS replied to zephyr9's topic in General Students

    Okay, So you say that the "seed" has been planted... Well my friend, you have the ability to water it and increase your stress, or cause it to "die from dehydration!" Nursing school is definetly...
  18. IVRUS

    Vented tubing for lipids?

    IVRUS replied to KaeliF's topic in General Nursing

    Yes, as ILUVIVT said... If the lipids are coming in a bottle, then you needed vented IV tubing in order for the infusion flow to work properly. Lipids, or a 3 in 1 TPN (TPN with the three main...
  19. IVRUS

    Iv certification tx

    IVRUS replied to Country fried's topic in General Nursing

    Well, What does your state say that you can or should not do as a LPN/LVN? If you are allowed to perform certain IV procedures after education, seek that education and have a RN supervise you and...
  20. IVRUS

    New grad in HH $20/visit no mileage.... is this right?

    IVRUS replied to vn-rn's topic in Home Health

    Seriously as a new LPN, or RN, I do NOT think that you should have accepted this position, despite your need to be employed. First of all, you need a good backing of med-surg nursing under your belt...
  21. IVRUS

    heparin 5000unit/ML

    IVRUS replied to pineau's topic in Infusion, Intravenous

    Dialysis catheters have a larger internal diameter (ID) than other catheters and require a higher concentration of Heparin flush solution to maintain
  22. IVRUS

    Type of catheter mainly used in Oncology

    IVRUS replied to pineau's topic in Oncology

    Are you thinking that LTC patients are safer with Valved IV catheters versus non-valved? I'm assuming that is your premise. Also, here in the USA, Heparin Lock solution (10u/ml, 100U/ml, etc), is...
  23. IVRUS

    Horrified: possible accidental arterial infusion

    IVRUS replied to Southgoing Zax's topic in Patient Medications

    Anything above D10 is hyperosmolar and in this case, has an osmolarity above 1000. D25 is a vesicant and can cause severe tissue necrosis and can cause the patient to lose their limb. Whenever a...
  24. IVRUS

    Veins vs. Arteries

    IVRUS replied to larniegrl's topic in Infusion, Intravenous

    Except, when one has an abberant artery... (and some sources stated that 1 out of 10 people have one) this is an artery which is superficially located, in an unusual spot. Also know that it is much...
  25. IVRUS

    Veins vs. Arteries

    IVRUS replied to larniegrl's topic in Infusion, Intravenous

    When Hgb is reduced, as it is in venous blood, the darker red color is prevelant. However, there are times when it will appear brighter like when venous blood is exposed to air, or when venous blood...