IVRUS BSN, RN

Vascular Access

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All Content by IVRUS

  1. IVRUS

    PICC removal

    IVRUS replied to agldragonRN's topic in General Nursing

    On page S58 in the 2011 Infusion Nurses Society Standards of Practice, practice criteria for Nontunneled CVAD's read as follows: F. Caution should be used in the removal of a non-tunneled CVAD,...
  2. IVRUS

    need help in math IV therapy

    IVRUS replied to edythe's topic in Nursing Student Assistance

    Your best bet is to follow this formula: First thing is to find flow rate. The flow rate is what you are setting your pump to. Pumps work in mls per hour. So, in this case, 100/0.5 = 200cc/hr....
  3. IVRUS

    need help on blood transfusion questions

    IVRUS replied to The Bell Jar's topic in Nursing Student Assistance

    Generally, whole blood is given for acute massive blood loss. PRBC's are given when a patient has anemia, like that from blood
  4. IVRUS

    PICC removal

    IVRUS replied to agldragonRN's topic in General Nursing

    I am advocating that a nurse, knowing what is appropriate and in the best interest of their pt, advocate for best practice to produce optimal patient outcomes. I've gone to my education liason in a...
  5. IVRUS

    PICC removal

    IVRUS replied to agldragonRN's topic in General Nursing

    The application of gel, is not to prevent infection, but rather as a seal over the tract made with the catheter's removal. Has the "gel or ointment" just come out of a tube or a jar in your patient's...
  6. IVRUS

    PICC removal

    IVRUS replied to agldragonRN's topic in General Nursing

    Wow, "poorly substantiated practice recommendations".. Hmm.. You must think that INS has a bunch of uneducated "boobs" working and writing the standards. Sad. But you are wrong. The INS standards...
  7. IVRUS

    PICC removal

    IVRUS replied to agldragonRN's topic in General Nursing

    Wow, didn't know I was talking to an idiot, but rather a fellow medical professional, but hey, thanks for enlightening me. Never, did I say that I wished you were sued, what I said was that I'm glad...
  8. IVRUS

    PICC removal

    IVRUS replied to agldragonRN's topic in General Nursing

    Hello... That article is NOT r/t Removal. Ointment DOES NOT decrease the ability of the TSM.. It enhances it. It is "standard," to seal with ointment. If you were called into a court of law...
  9. IVRUS

    PICC removal

    IVRUS replied to agldragonRN's topic in General Nursing

    Well honestly, just because you haven't been privy to this practice, does NOT mean that those "in the know" and those with infusion savy, don't utilize this in their daily practice. I am glad in one...
  10. IVRUS

    PICC removal

    IVRUS replied to agldragonRN's topic in General Nursing

    Muno, I am familiar with your distain for INS, however, It IS the standard across the nation to "seal" the site with ointment and then place an occlusive dressing over the site to prevent AE. I don't...
  11. IVRUS

    Question regarding heparinized ports

    IVRUS replied to KelliD's topic in Oncology

    Dang, that's scary... Why use such high concentrations into an implanted port? The standards state to always use the lowest concentration, which for ports, should be 100 units per ml, not
  12. IVRUS

    mobility and turgor

    IVRUS replied to smily11's topic in General Students

    Not sure what you mean regarding locations for mobility.. But Skin turgor is an easy one... For the young, and adult, skin turgor may be assessed on the forearm, but for the geriatric, NEVER! With all...
  13. IVRUS

    PICC removal

    IVRUS replied to agldragonRN's topic in General Nursing

    Here is the defintion of Naivete: Lack of experience; Gullible. Here is the defintion of Litigious: Subject to
  14. IVRUS

    PICC removal

    IVRUS replied to agldragonRN's topic in General Nursing

    I too would be worried about air-emboli while in-situ, because if you had a non-valved IV catheter and the injection cap "accidentally" came off, or was removed when the syringe was removed, air...
  15. IVRUS

    PICC removal

    IVRUS replied to agldragonRN's topic in General Nursing

    Well, I too believe that the tip should be inspected, BUT, the tip is NOT always rounded my friend. Sometimes PICC's are cut to alleviate extra catheter outside of the IV site. And charting TIP...
  16. IVRUS

    PICC removal

    IVRUS replied to agldragonRN's topic in General Nursing

    Well, you were truly "blessed" not to suffer an air embolism s/p removal if a 2x2 and bandaid is all they put on
  17. IVRUS

    PICC removal

    IVRUS replied to agldragonRN's topic in General Nursing

    I would never just look at the markings on a PICC and say.... Oh, it's all there... Some PICC's start their cm markings at the distal end, whereas others start their cm markings at the proximal end....
  18. IVRUS

    PICC removal

    IVRUS replied to agldragonRN's topic in General Nursing

    the only time it does not need to be measured, is if it is a groshong iv catheter. the groshong catheter will have a black rounded tip. if that is present on removal, the catheter is intact....
  19. IVRUS

    PICC Lines - To clamp or not.

    IVRUS replied to raskol's topic in General Nursing

    See attached file for a pic of the CLC2000. Is this what you're talking about? If so, the catheter or its extension set should not be clamped before the syringe is removed as the inner white piece is...
  20. IVRUS

    PICC line reflux and occlusions

    IVRUS replied to alzrn's topic in Infusion, Intravenous

    I Totally Agree with ILUVIVT ... In practice, if I get called because of an occluded line, 99% of the time it is a Solo Power PICC. Thanks ILUVIVT for your
  21. IVRUS

    PICC Lines With Heparin

    IVRUS replied to mangua's topic in General Nursing

    Cathflo Activase (Alteplase) is indicated for the restoration of function to central venous access devices (CVADs). It will lyse fibrin or thrombus formations that cause catheter
  22. IVRUS

    PICC Lines With Heparin

    IVRUS replied to mangua's topic in General Nursing

    A CLC2000 cap is a positive displacement device, not positive pressure, and yes, though these claim to enable you to eliminate heparin flush in open ended IV catheters, I don't see it working well in...
  23. IVRUS

    PICC Lines With Heparin

    IVRUS replied to mangua's topic in General Nursing

    You wear a mask, place a sterile field and wear sterile gloves to flush an IV catheter? Hmmm... No studies out there which show that this is the norm, or standard. And, these steps alone are NOT...
  24. IVRUS

    PICC Lines With Heparin

    IVRUS replied to mangua's topic in General Nursing

    But HIT is not concentration dependant. Drawing it off makes little sense in the respect that one "usually" flushes with 3 or 5 mls of Heparin flush solution as the final SASH protocal. Given that...
  25. IVRUS

    PICC Lines With Heparin

    IVRUS replied to mangua's topic in General Nursing

    Open ended, non-valved IV catheters should have Heparin flush 10unit per ml instilled into them after the saline flush. Though many hospitals have tried getting away from heparin flushing, it is the...