IVRUS BSN, RN

Vascular Access

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All Content by IVRUS

  1. IVRUS

    Peripheral IVs

    IVRUS replied to NurseyPoo7's topic in General Nursing

    Disagree... A PICC is inserted into a peripheral vessel in the arm, but IT IS NOT considered a peripheral IV catheter, but rather a CENTRAL CATHETER as its tip terminates in the central
  2. IVRUS

    IV compatibility question

    IVRUS replied to OreoCookie3's topic in Patient Medications

    It is difficult to answer the question without knowing what tubing you are using. Some IV tubings hold 27mls from drip chamber to tip, others only 16mls. Are you hooking to the upper "Y", and what...
  3. IVRUS

    IV ABX by pump...when can I change new bag??

    IVRUS replied to xoNurseRNxo's topic in Patient Medications

    Well, I would personally get your pharmacy to change that KVO rate. The reason I say this is because you have 3 hours of medication delivery taking up 500 cc total, or 250cc with each dose. Then, 21...
  4. IVRUS

    Infiltrate treatment question

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

    Well, This is frustrating for you and your employing institution, for sure... However, you can do some research and perhaps change your antidote. Some people are finding Terbutaline to work well...
  5. IVRUS

    Drawing blood from central lines

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

    Are you disconnecting the waste syringe from the line? If so, that us a very DANGEROUS practice. Also if you remain connected, but hesitate too long before returning the 5 mls of "waste" you run an...
  6. IVRUS

    Crackling sound when flushing port

    IVRUS replied to alzrn's topic in Infusion, Intravenous

    The port body, being sutured into a subQ pocket, should not provide you with ANY sounds if it is functioning okay, IMO. The pt can go in to the hospital and get a dye study done in
  7. IVRUS

    Crackling sound when flushing port

    IVRUS replied to alzrn's topic in Infusion, Intravenous

    Well, I am glad that you are getting a blood return, however, I am still concerned about the functionality of the port. Is the catheter completely intact to the port body? I would ask for a trip to...
  8. IVRUS

    Mask for changing bag of IV fluid?

    IVRUS replied to wooh's topic in Infusion, Intravenous

    Well, in many cases, one would have their mask on after a sterile central line dressing change, and then the caps are changed next, so yes, I can see that, but for a prn time of cap change. I know of...
  9. IVRUS

    i cant insert an iv catheter successfully :C help

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

    It is true that the more you practice "the art" of placing an IV catheter, the easier this skill will come for you. For the elderly populi, make sure that the tourniquet is NOT as snug, or tight as...
  10. IVRUS

    PICC

    IVRUS replied to emilysmom,RN's topic in Home Health

    Emily's mom, As the above poster stated, You should have a policy in place on how to care for PICC's and other IV catheters. Saline and Heparin is NOT used for ALL catheters. Catheters that are less...
  11. IVRUS

    How long can port-a-cath go without flushing

    IVRUS replied to fakemusician's topic in Oncology

    Well, I still would NOT flush it, but rather I'd aspirate first and if I could pull off 7cc or so of blood discard then I'd be okay with flushing. No blood return = No flush. And I'd watch the patient...
  12. IVRUS

    Best way to push 0.5 mL med into a central line?

    IVRUS replied to Neverbefore's topic in Patient Medications

    It is NOT a good idea, for various reasons,to use a Insulin syringe or TB, or really anything less than a 3cc syringe. However IF it had to be done, lets say once patency is there, you are needing to...
  13. IVRUS

    Best way to push 0.5 mL med into a central line?

    IVRUS replied to Neverbefore's topic in Patient Medications

    The students and new nurses should receive education on the Hows and the Whys, so they too can practice safely. A power PICC or port, still needs a 10 cc syringe to ascertain patency.. but as I...
  14. IVRUS

    Best way to push 0.5 mL med into a central line?

    IVRUS replied to Neverbefore's topic in Patient Medications

    "No offense to you, but this is not the best practice as the pressure generated by a 3ml syringe is too great to be considered safe for a central line. This is the policy at the hospital where I work....
  15. IVRUS

    Best way to push 0.5 mL med into a central line?

    IVRUS replied to Neverbefore's topic in Patient Medications

    No Offense taken, However, What I am telling you is BEST practice. Who determines best practices, Organizations like INFUSION NURSES SOCIETY (INS), ONS, AVA, NAVAN... If the Catheter is open, and YOU...
  16. IVRUS

    IV Question

    IVRUS replied to nycNurse2b's topic in Geriatric, LTC

    Flow rate is calculated initially. Flow rate is needed when you need to know what to program a pump to. It is also needed if you don't have a pump and need to calculate gtts per minute using the...
  17. IVRUS

    Drawing blood from central lines

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

    I do not like this method of drawing labs. It is a greatly "Modified" mixing method. In the mixing method, the clinician takes her syringe and withdraws 5-7 cc, and then IMMEDIATELY reinfuses it....
  18. IVRUS

    Best way to push 0.5 mL med into a central line?

    IVRUS replied to Neverbefore's topic in Patient Medications

    Okay, Here is the real skinny... One should NOT transfer the medication into another syringe, BUT if you want to dilute it further, draw it up using the appropriate syringe (3cc, ideally) to...
  19. IVRUS

    Best way to push 0.5 mL med into a central line?

    IVRUS replied to Neverbefore's topic in Patient Medications

    It IS dangerous to use a syringe smaller than a 10cc to ASCERTAIN patency... However, once the catheter has been determined to be free of occlusions, and it is patent with a free flowing blood return,...
  20. IVRUS

    Best way to push 0.5 mL med into a central line?

    IVRUS replied to Neverbefore's topic in Patient Medications

    The BEST way to give this is to FIRST ascertain patency of the line by flushing with a 10cc syringe with NS. Once you assess that the catheter is open and free of occlusions, then use that 3cc syringe...
  21. IVRUS

    Math Help for Returning Nurse

    IVRUS replied to RNrerun's topic in General Students

    For me this is a simple want/have times volume question: want = 5mcg times 60min in an hour which equals 300mcg per hour. have= 2000mcg and a volume of 500ml 300 divided by 2000 then times 500 =...
  22. IVRUS

    IV Boniva

    IVRUS replied to melissa_rn's topic in Infusion, Intravenous

    Sorry Melissa, But are you sure that you should be giving something/doing something that you are so unfamilar with? I would never administer a medication in which I wasn't aware of its indications,...
  23. IVRUS

    PICC Line Clarification

    IVRUS replied to JayMal's topic in General Nursing

    ...I am familiar with the broviac PICC lines commonly are available in sizes from 2 French to 7 French???????????? Sorry, but a broviac is a tunnelled, cuffed catheter that is smaller in diameter to...
  24. IVRUS

    PICC Line Clarification

    IVRUS replied to JayMal's topic in General Nursing

    Yes, Since the lumens may not be labeled like a TL Arrow Catheter, color identification will work. But to answer your question about the cutting of a PICC, yes, sometimes open ended, non-valved...
  25. IVRUS

    PICC Line Clarification

    IVRUS replied to JayMal's topic in General Nursing

    JayMal, Since PICC's can have one, two or three lumens, and each one could be a different color at the hub/innjection cap connection, I would allow a blank spot for this info, and let's say that it...