IVRUS BSN, RN

Vascular Access

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All Content by IVRUS

  1. IVRUS

    swabbing off iv ports or saline locks before hooking up fluids

    IVRUS replied to tjnurse67's topic in General Nursing

    Not true... Alcohol (70%) has bactericidal and mycobactericidal activity. It will disinfect, and is cheaper than chloraprep. CDC lists alcohol as an acceptable cleansing agent. If all it did was to...
  2. IVRUS

    swabbing off iv ports or saline locks before hooking up fluids

    IVRUS replied to tjnurse67's topic in General Nursing

    These caps are nifty, and hopefully will reduce CRBSI's, however, they don't completely negate the use of alcohol pads. If I am getting ready to hang a 2pm IV Ancef into a peripheral IV catheter,...
  3. IVRUS

    little clamps on peripheral IVs and PICC lines. . .

    IVRUS replied to ArtsyCraftsy's topic in General Nursing

    "It drove me nuts when they kept calling an implanted port (portacath) a 'Hickman.' Yes, I would really question the expertise of an IV nurse in this case. Hickman catheters are named after the MD...
  4. IVRUS

    labeling peripheral IV lines

    IVRUS replied to thatchergirl's topic in General Students

    So, are you saying that if a patient does NOT have a mainline, like a liter bag hanging, and all they have ordered is an antibiotic, like Ancef 1 gm IV q 8 hours, that they use new IV tubing every...
  5. IVRUS

    Changing PICC Dressings

    IVRUS replied to imanedrn's topic in Medical-Surgical

    A stat lock is a catheter securement device. Suturing isn't done much anymore. So, should another Statlock or another catheter securement device be replaced with each dressing change? Yes. And that...
  6. IVRUS

    Clinical Nurse Specialist degree in Vascular Access

    IVRUS replied to sgbpiccrn's topic in Infusion, Intravenous

    Well, they (INS) used to require proof from your employer, however, that has changed. Go to www.INS1.org to find out if a testing site is near you. I'd advise you to buy the CD's and "pour" over...
  7. IVRUS

    Picc Line Flushing

    IVRUS replied to arms's topic in Medical-Surgical

    4 times a day of the final heparin flush is 12 cc total for the day... And what is the concentration of the Heparin flush? It should be the lowest concentration, so 10 unit per ml would be 120 UNITS...
  8. IVRUS

    IV Team in Dallas?

    IVRUS replied to pjsleepy's topic in Infusion, Intravenous

  9. IVRUS

    IV therapy-any good guessers here?

    IVRUS replied to Blackcat99's topic in Infusion, Intravenous

    But there WAS a Trousseau sign... Pt had thumb spasms when a BP cuff was placed. So the next check would be the Chvostek's sign, and assessing CA+
  10. IVRUS

    Clinical Nurse Specialist degree in Vascular Access

    IVRUS replied to sgbpiccrn's topic in Infusion, Intravenous

    Well, CRNI stand for Certified Registered Nurse Infusion. It is a certification which denotes that the holder has excellance in infusion therapy. It's recommended that the person wishing to become...
  11. IVRUS

    Blood return on Picc Line

    IVRUS replied to billydunwoody's topic in Infusion, Intravenous

    When this occurred, was your father up walking around? Also, is this being run in the PICC via a pump? If it is a gravity infusion, and your father is walking around, make sure he is doing so with...
  12. IVRUS

    IV therapy/certification/teaching in Texas

    IVRUS replied to nursedj09's topic in Texas Nursing

    Wow... Is that 1000.00 charge for 10 people? Or is it per person... I can't imagine that it is a individualized charge. There are pharmacies in Texas which will charge, but contractual obligations...
  13. IVRUS

    IV therapy-any good guessers here?

    IVRUS replied to Blackcat99's topic in Infusion, Intravenous

    For question number one: C. Always mold the new dressing around the catheter/securement device. For question number two: The pt usually has tachycardia with hypotension. For question number three: In...
  14. IVRUS

    TPN question

    IVRUS replied to birdie22's topic in General Nursing

    Don't mean to be harsh on you, but rather being harsh on policies which are accepting something different than standards put forth by experts in the field of Infusion and Parenteral Nutrition. This...
  15. IVRUS

    Question on size gauge needle and rate of IV flow?

    IVRUS replied to Jakobsnurse1281's topic in Infusion, Intravenous

    Infusion Nurses Society(INS) states that you always want the smallest IV catheter possible for the prescribed therapy. Since, a 22 gauge IV catheter can accomadate a flow rate of approx....
  16. IVRUS

    TPN question

    IVRUS replied to birdie22's topic in General Nursing

    Stopping for 15 minutes is NOT necessary. With a blood flow of around 2000cc/min in the SVC, all you need is a full minute then draw your specimen. Standards also say that all catheters should have...
  17. IVRUS

    TPN question

    IVRUS replied to birdie22's topic in General Nursing

    WOW, TPN lines need to be dedicated to nothing but the TPN... putting anything else into the same tubing should be a very RARE exception, and not the norm. Your organization needs to check into ASPEN...
  18. IVRUS

    TPN question

    IVRUS replied to birdie22's topic in General Nursing

    But saying it can, when it really can't may be a matter of semantics. Therefore, I wouldn't say it could run together if it can't. LOL... I just think it's important not to disseminate the...
  19. IVRUS

    TPN question

    IVRUS replied to birdie22's topic in General Nursing

    But to answer your question, if a solution is compatible with TPN, it can be run together, but most facilities have policies regarding TPN administration. So I would check your facility's policy...
  20. IVRUS

    TPN question

    IVRUS replied to birdie22's topic in General Nursing

    You are correct... NS should not be piggybacked into TPN tubing. Nor should anything except for
  21. IVRUS

    Anxiety about Clincals

    IVRUS replied to Katniss88's topic in General Students

    25 years ago when I came out of nursing school, I thought back to my humble beginnings and my feelings which echoed yours. My realization was that my fear of "the unknown" and the fear of so much...
  22. IVRUS

    Port-a-Cath question

    IVRUS replied to maelstrom143's topic in Infusion, Intravenous

    Question I would seek answers too include: 1. What is the patient's plt count? 2. Are their signs and symptoms of a local or systemic infection in the pt? 3. Does the patient have sub Q swelling, say...
  23. IVRUS

    femoral tunneled Hohn catheter

    IVRUS replied to Loui's topic in Infusion, Intravenous

    Well, first and foremost, you must get nurses employed who understand IVT in a home setting, and do it BEFORE you accept any patients with this type of therapy/Rx. IV Therapy in home care requires...
  24. IVRUS

    How do you pick your vein for an IV?

    IVRUS replied to Chandra Lancaster's topic in General Nursing

    Yes Fancy Pants, but you're working ER... If I were working emergency services and "pouring" in copious amounts of colloids and crystaloids I too would want a larger bore IV catheter... But that isn't...
  25. IVRUS

    IV antibiotics compatible with D5W ?

    IVRUS replied to Mithime's topic in General Nursing

    Are you talking about Imipenem/Cilastatin or Primaxin? If so, it is compatabile with either NS or D5W, but as others have stated, check with your pharmacist, drug comaptibility charts, drug