IVRUS BSN, RN

Vascular Access

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All Content by IVRUS

  1. IVRUS

    New to OR- Barnes vs Mercy in St Louis

    IVRUS replied to SoonerGirrl's topic in General Nursing

    Having worked at both hospitals, I prefer Barnes. Yes, it is huge, but it has so many experienced and knowledgeable team players, of which, you will be one should you make that
  2. IVRUS

    PICC Nurse in 2 months?

    IVRUS replied to LibraNurse27's topic in General Nursing

    PICC placement is ohhh, soooo much more than a task to be performed. Yes, it may be scary, but as ILUVIVT wrote, it takes a while before you are truly comfortable with the process. And since...
  3. IVRUS

    Needed: Tips to access a port a cath painlessly

    IVRUS replied to eyzsogreen's topic in General Nursing

    Hey ILUVIVT... Good to see you on! I just deplore those ones placed deep in a woman's breast tissue... Auughhh!! But I just wanted to say that along with the quick entry through the skin and into...
  4. IVRUS

    CRNI study material

    IVRUS replied to zoidberg's topic in Infusion, Intravenous

    That is the only resource I used for successful passage of this exam. But, back then, it was on VHS
  5. IVRUS

    Frequent Blood Draw Question

    IVRUS replied to classicalcat's topic in Neuro Intensive Care, ICU

    NEVER REINFUSE waste blood. The only time that can be done is when one is performing the MIXING method of blood withdraw. I do agree, however, with 1 cc waste from the IV catheter and then draw...
  6. IVRUS

    mixing pain medications with a flush

    IVRUS replied to painmeds's topic in General Nursing

    When initially flushing an IV catheter, one should use a 10cc syringe barrel or larger to ascertain patency... you are correct, but once you realize that the line is open, and that there isn't a...
  7. IVRUS

    mixing pain medications with a flush

    IVRUS replied to painmeds's topic in General Nursing

    If your pre-filled syringe is just in its dust cover, and not a syringe which is sterile (Outer and inner syringe) then pulling back to break the heat seal is a NO-NO. Never pull back, always push...
  8. IVRUS

    IV meds and dilution

    IVRUS replied to Dragonfly949697's topic in Medical-Surgical

    There is the KING'S GUIDE to compatibilities... you can buy one of their charts for a small fee. King Guide IV Drug Compatibility Wall
  9. IVRUS

    re-used IV needle

    IVRUS replied to LibraNurse27's topic in General Nursing

    Ah Libra, Anxiety happens... I've been a nurse over 30 years, and still have times when anxiety over a patient issue is prevalent. What will diminish the anxiety is knowing the right way, and never...
  10. IVRUS

    re-used IV needle

    IVRUS replied to LibraNurse27's topic in General Nursing

    First of all, please remember that reusing an IV catheter after an unsuccessful attempt to insert it, is NEGLIGENT. Negligence is the opposite of diligence, or being careful according to most...
  11. IVRUS

    CVC placement by Vascular Access Nurses

    IVRUS replied to VascularNurse1006's topic in Infusion, Intravenous

    As someone who has been placing IV catheters of all kinds (Peripheral, Midlines and PICC's) I can say that MO does NOT have that in our practice act yet, that I know of. Looking at the MO NPA-PDF, I...
  12. IVRUS

    I hate the politics in nursing

    IVRUS replied to cwill2015's topic in Activism, Healthcare

    I disagree... If I could live in any state, I would quickly move back to Texas. Low cost of living, short winters, and beautiful weather over
  13. IVRUS

    School Shootings

    IVRUS replied to OldDude's topic in General Nursing

    THANK YOU, THANK YOU... Love this, and you are so right
  14. IVRUS

    PICC line trainers

    IVRUS replied to markweber's topic in General Nursing

  15. IVRUS

    RN Relocating to Dallas, Tx

    IVRUS replied to Amck0711's topic in General Nursing

    Dallas has MANY great Hospitals to work for. But so does Arlington and Fort Worth. In addition, when I lived there, they had the Baylor work plan: Work every Sat/Sun, two 12 hour shifts and get paid...
  16. IVRUS

    PICC line trainers

    IVRUS replied to markweber's topic in General Nursing

    There are PICC instructional companies like BARD, who will provide the class, and U.S. is the standard of care, meaning if PICC's are to be placed, it should be using Ultrasound. Most people find...
  17. IVRUS

    Reinsert Blood from CVC

    IVRUS replied to RonaIsaNurse's topic in Patient Safety Issues

    One should NEVER reinfuse a drawn waste which has been disconnected from the IV catheter. That puts the patient at too much risk. IMO, Nurses drawing from lines should use the MIXING method: Attach...
  18. IVRUS

    Wearing gloves with HIV positive patients

    IVRUS replied to Leekri's topic in General Nursing

    Tricia, One IS USUALLY exposed to bodily secretions when performing a SQ or IM injections, and gloves should be worn. In addition, alcohol promotes bleeding and it burns, so I wouldn't use it to...
  19. IVRUS

    Maintaining Patent Venous Access in Hypercoagulable State

    IVRUS replied to bgxyrnf's topic in General Nursing

    Agreed that proper flushing of the IV catheter is very important, and HIT, not being concentration dependent is a concern with heparin flush, but currently it is the only approved locking agent we...
  20. IVRUS

    Maintaining Patent Venous Access in Hypercoagulable State

    IVRUS replied to bgxyrnf's topic in General Nursing

    Totally disagree, as you knew I would Muno. Having a mechanical device squeeze the arm is inappropriate, just like putting a BP cuff or a tourniquet on an arm with a PICC in place is inappropriate....
  21. IVRUS

    Maintaining Patent Venous Access in Hypercoagulable State

    IVRUS replied to bgxyrnf's topic in General Nursing

    Annie, What concentration of Heparin are you using, where you would have to draw it off so it does not go systemically? Standards dictate that if heparin flush is used, one should always use the...
  22. IVRUS

    Maintaining Patent Venous Access in Hypercoagulable State

    IVRUS replied to bgxyrnf's topic in General Nursing

    I definitely agree with avoiding PICC's as out of the four Central Lines, a PICC has the highest thrombosis rate. But I absolutely do NOT recommend and would discourage anyone from putting a...
  23. IVRUS

    Dose angio catherter size matter angiopain when potassium fluid injected via IV?

    IVRUS replied to Ironprostate's topic in General Nursing

    As Wuzzie said appropriately, it is all about blood flow. You always want to choose the smallest IV catheter to do the job, all-the-while allowing for adequate blood flow around said IV catheter....
  24. IVRUS

    Medication administration confusion???

    IVRUS replied to Mike DBD's topic in General Nursing

    Yes, but when a pharmacy tech draws up the medication, he/she will attach the empty vial to the syringe so that the pharmacist who does the final checking can sign off that it truly was the drug...
  25. IVRUS

    changing a IJ central line for a PICC

    IVRUS replied to HyperRNRachel's topic in Infusion, Intravenous

    While a patient may have two central IV catheters in at once, I agree with Annie, it's not best practice. Having two catheters in the SVC at the same time, not only increases infection risks, but it...