IVRUS BSN, RN

Vascular Access

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All Content by IVRUS

  1. IVRUS

    No blood return from PICC...is it a problem??

    IVRUS replied to xoNurseRNxo's topic in Infusion, Intravenous

    Anytime... It is so good to know that you are okay. PM me
  2. IVRUS

    No blood return from PICC...is it a problem??

    IVRUS replied to xoNurseRNxo's topic in Infusion, Intravenous

    OH MY GOSH... I have MISSED YOU GIRL.... So good to see you
  3. IVRUS

    No blood return from PICC...is it a problem??

    IVRUS replied to xoNurseRNxo's topic in Infusion, Intravenous

    Well, I don't agree here. Pinch off syndrome is unusual with a PICC, and more prevalent with those percutaneously placed lines which start in the subclavian and thread to the SVC. Also pinch off...
  4. IVRUS

    Fear of nerve damage during blood draws

    IVRUS replied to tmb79's topic in General Nursing

    It can be a HUGE deal. Nurses performing IV therapy worry about this constantly as nerve damage can occur anywhere while performing therapy, or doing a phlebotomy. Some areas like the underside of...
  5. IVRUS

    Wiping off IV ports

    IVRUS replied to blondy2061h's topic in General Nursing

    But.. You just removed the cap off of the syringe, set the cap down, then flushed your line, and now you're picking it back up and reusing it... It was only meant to cover the syringe, as that was its...
  6. IVRUS

    Wiping off IV ports

    IVRUS replied to blondy2061h's topic in General Nursing

    Well Logically Speaking, The white cap that you are referring to should be coming out of a single unit package and one which is in a sterile package. The top to a cap "was" sterile, until you took it...
  7. IVRUS

    Wiping off IV ports

    IVRUS replied to blondy2061h's topic in General Nursing

    In response to the post regarding your instructor who told you to use the cap from the syringe...Your instructor is telling you this in error. The caps from the flush, just like any caps are for...
  8. IVRUS

    Marker on syringes

    IVRUS replied to kiwigirl123's topic in Patient Medications

    (1.) Judy Hankins et al, eds, Policies and Procedures for Infusion Nursing, second ed (Orlando, Fla: WB Saunders, 2002) This is one referrance, but my question to you is: Do you have evidence that...
  9. IVRUS

    Picc lines

    IVRUS replied to Rosie57's topic in General Nursing

    One of the nursing interventions in obtaining a blood return could be attempts at flushing, however, my first intervention would be to attempt to aspirate first when I hook up a syringe, if I don't...
  10. IVRUS

    What happens if IV med does not finish on time?

    IVRUS replied to umharhar's topic in Infusion, Intravenous

    Well, remember that with a PICC, you have a 40-60cm in length catheter and it works much better with a Pump because of the added resistance. Your pharmacy has set the infusion time of one hour, I...
  11. IVRUS

    What happens if IV med does not finish on time?

    IVRUS replied to umharhar's topic in Infusion, Intravenous

    Okay, My first thought after reviewing your answers is this: If the patient is up and down several times throughout the 2 hour infusion your rate will slow as he moves namely because you are utilizing...
  12. IVRUS

    What happens if IV med does not finish on time?

    IVRUS replied to umharhar's topic in Infusion, Intravenous

    Well before anything can be assessed in this situation, I'd like to know a couple of things: 1. Are they infusing via pump, or via gravity or an on-line-regulator like a dial-a-flow? 2. What type of...
  13. IVRUS

    I work in ltc and...

    IVRUS replied to RpeNa's topic in Infusion, Intravenous

    You may be able to take a course on line that will review care and maintenace of all central catheters including PICC's... However, you will not be able to take a course online and then be deemed,...
  14. IVRUS

    anyone noticing a massive increase in angiedema in patients on lisinopril?

    IVRUS replied to Sirapples's topic in Patient Medications

    Lol... That's the problem... he ate a "stake".. but should have eaten a
  15. IVRUS

    Thinking of Making a move to St. Louis Missouri

    IVRUS replied to saraaileen76's topic in General Nursing

    Well, first and foremost are you an LPN/LVN or a RN? RN's may have better abilities securing employment in a hospital setting, vs a LTC setting, however, there are usually homehealth jobs available...
  16. IVRUS

    Flushing PICC lines

    IVRUS replied to jaltwerger's topic in General Nursing

    Your first objective is to look at your facilities P&P manual as it should be delineated in a policy. Heparin flush is the ONLY locking solution currently used in the US. Therefore, any...
  17. IVRUS

    PICC Ports that won't Flush

    IVRUS replied to *4!#6's topic in General Nursing

    First try gentle aspiration.... gently aspirate, then try to flush, gently aspirate and then try to flush... 9 times out of 10, I'll pull back a small fibrin strand and then I can discard that syringe...
  18. IVRUS

    Fixing occluded peripheral IVs

    IVRUS replied to Cuddleswithpuddles's topic in General Nursing

    TRUE, but only on aspiration.. If you are instilling or flushing an IV catheter, the smaller syringes exert MORE pressure. But to answer the OP question, I would try hooking on a 5 cc syringe with...
  19. IVRUS

    IV Insertion Problems..............Help!!

    IVRUS replied to dreamrider_212's topic in Infusion, Intravenous

    If you did NOT get a backflow of blood in your flashback chamber, you were NOT in the vein. The catheter moved when you made attempts to "move the vein" because the catheter was still under the skin....
  20. IVRUS

    PICC line dressing change: am I in trouble?

    IVRUS replied to Wheretogo's topic in Home Health

    Well, The Statlock SHOULD be covered if indeed it is close enough to the site of insertion, as you should have a large area covered to prevent infections. The statlock "people" say it can or cannot...
  21. IVRUS

    PICC line dressing change: am I in trouble?

    IVRUS replied to Wheretogo's topic in Home Health

    First of all, MANY Home Health Agencies (HHA) will NOT hire new grads because of the need for that nurse to be autonomous/independant and this isn't usually the case with many new grads. Now, a...
  22. IVRUS

    How to draw blood cultures from a PICC line.

    IVRUS replied to mibbycat's topic in Infusion, Intravenous

    You are correct. Draw from the PICC, no waste, and no discard. Also remember, however, that you should NOT draw through the INJECTION cap. Do a direct connection or change caps before culture....
  23. IVRUS

    IV therapy calculation question

    IVRUS replied to amandac218's topic in LPN, LVN Students

    Amanda,a search of the threads on this wonderful website will bring you numerous "hits" to answer this question, however, I'll copy and paste a previous reply which should help you: Your best bet is...
  24. IVRUS

    Questions about IV Meds

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

    If the patient had a second lumen, I'd use that port for my IVP medication. Also, IF using the same lumen as the Heparin, the Heparin does not need to be turned off for 10 minutes. ONE minute is...
  25. IVRUS

    How quickly can a blood clot travel?

    IVRUS replied to SN22RN's topic in Nursing Student Assistance

    Well, Like another poster said, a small thrombus from a peripheral IV catheter usually won't cause the person harm. Small micro-emboli may develop for various reasons, but your body has a naturally...