IVRUS BSN, RN

Vascular Access

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All Content by IVRUS

  1. IVRUS

    What to do with leaky PICC's

    IVRUS replied to curiousgeorgeRN's topic in Infusion, Intravenous

    Do you mean that her skin was very 'inelastic"? Because of this issue in the elderly, bleeding is a distinct probability. Are her coag's off too? Sometimes a tapered PICC can be good in instances as...
  2. IVRUS

    Question about IV certification

    IVRUS replied to Jennyfour's topic in General Nursing

    As a registered nurse, and as another poster wrote, you do not need additional "certifications" to do IV therapy... However, with that being said.. Do I think registered nurses could benefit from a...
  3. IVRUS

    IV ADMIN

    IVRUS replied to santos2010's topic in General Nursing

    Wow... You have got to be kidding.... How wrong! I am a Clinical Infusion Specialist and can tell you that many nurses, RN's and LPN's alike... FREAK-OUT re. IV therapy and can't see the forest thru...
  4. IVRUS

    IV ADMIN

    IVRUS replied to santos2010's topic in General Nursing

    Sometimes the easiest things can trip us up... don't be freaked out by the information on the bag, but rather break-it-down: If you have 100 cc in volume, and you want it to infuse over 30 minutes,...
  5. IVRUS

    Gloves or not for IV meds?

    IVRUS replied to Shibby3's topic in General Students

    If you wear gloves, when spiking a bag of IV fluids, and you accidently touch the tip of the sterile spike (perhaps because your gloves are too big), haven't you contaminated the set just as you would...
  6. IVRUS

    PICC Lines And TPN

    IVRUS replied to pearldiaz's topic in General Nursing

    Well, I would be concerned about a TPN tubing change of q 72, if Lipids were present, or in other words you have a 3 in 1 solution. A TNA, or triple admix that contains Dextrose, amini acids AND...
  7. IVRUS

    PICC Lines And TPN

    IVRUS replied to pearldiaz's topic in General Nursing

    I can image that those neonates don't have vessels large enough for anything but a Single Lumen 1.9/2 French IV catheter, however, that does cause other issues, like an increase concern for...
  8. IVRUS

    PICC Lines And TPN

    IVRUS replied to pearldiaz's topic in General Nursing

    Actually, most of the time, the dextrose in TPN is 50 to 70%. Yes that is "heavy duty" sugar, and yes, bacterial love it.. So one should be concerned with infection control issues, but also...
  9. IVRUS

    INS Guidelines

    IVRUS replied to A pharmacist's topic in Infusion, Intravenous

    The rule of thumb is to always use the lowest concentration of heparin Flush solution possible. Open ended IV catheters, or ones without a valve, require that final Heparin to prevent fibrin buildup...
  10. IVRUS

    Shave long arm hair before IV start

    IVRUS replied to FLVARN's topic in General Nursing

    For years, Infusion Nurses Society(INS) has adopted the standard of never shaving before IV placement as one already said so appropriately as it causes microabrasions and subsequent staph infections....
  11. IVRUS

    Blood draws

    IVRUS replied to Jenni811's topic in General Nursing

    "Nothing wrong with drawing labs from a peripheral IV." Well, This statement is not accurate, all of the time. If one needs to draw blood from a peripheral IV catheter, it should ONLY be done upon...
  12. IVRUS

    Gloves or not for IV meds?

    IVRUS replied to Shibby3's topic in General Students

    When exposure to blood or body secretion is possible, wear gloves. When giving an IV medication, or hanging an IV bag, I don't wear gloves either. If I touch or accidently contaminate a portion of...
  13. IVRUS

    iv lines, can someone plz explain all the differnces?

    IVRUS replied to gummibear's topic in General Students

    1. A sort term peripheral IV catheter is a catheter that is less than 3 inches in length. Most states will allow a LPN/LVN to place these IV cahteters with appropriate education behind them. 2. A...
  14. IVRUS

    On call with no experience. Help!

    IVRUS replied to G'smommy's topic in Infusion, Intravenous

    The home infusion company that you work for should have the best answers for these questions as they should know their populi... however: 1. Know your scope of practice for the state you live in as it...
  15. IVRUS

    port clot questions

    IVRUS replied to PEDIRN25's topic in Oncology

    First and foremost, you MUST follow your employing facilities policies. All of these questions should be addressed with your employer and utilizing their P&P manual. But, in general: Always use...
  16. IVRUS

    PICC in subclavian - ok to use??

    IVRUS replied to CharmedJ7's topic in Infusion, Intravenous

    AN IV catheter which stops in the subclavian is NOT a central line. A Central LINE is defined as a catheters which terminates, or stops in the SVC only. Years ago, we used to put in what was called...
  17. IVRUS

    Heparin Flush for CVC

    IVRUS replied to astudentnurse10's topic in General Nursing

    Yes, You're welcome... Flushing with 10 mls saline, giving the drug ordered, and then flushing again with saline helps to prevent incompatibility. The final flush would be heparin flush solution, 10...
  18. IVRUS

    Heparin Flush for CVC

    IVRUS replied to astudentnurse10's topic in General Nursing

    I'm sure you meant 10 mls Normal saline before and after each medication, and then the locking solution was with Heparin flush solution. Wow, So sorry that you had so many different types of IV...
  19. IVRUS

    Heparin Flush for CVC

    IVRUS replied to astudentnurse10's topic in General Nursing

    All catheters over 3 inches in length that are NOT valved, should have heparin flush solution, ideally the lowest concentration 10 units/ml to prevent occlusions. There really isn't any other...
  20. IVRUS

    central line blood sampling

    IVRUS replied to piccemrn1's topic in Infusion, Intravenous

    Dear Lab tech... I appreciate your desire to educate, but I can emphatically tell you that research shows that there is NO reason to turn off medications/solutions for more than one minute.. You may...
  21. IVRUS

    Central Venous Port Question

    IVRUS replied to esunada's topic in General Nursing

    Understood, but let's be clear about that waste... One should NEVER disconnect the waste syringe from the patient in attempts to reinfuse it, even in a short time frame. Depending on the patient's...
  22. IVRUS

    Central Venous Port Question

    IVRUS replied to esunada's topic in General Nursing

    I agree iluvivt, and you MUST stop all medications for one full minute then draw your specimen. Draw the sample peripherally if you cannot stop the infusing medication. Please also note that if you...
  23. IVRUS

    Infusion Nurse Society

    IVRUS replied to CRNI(R)'s topic in Infusion, Intravenous

    Muno, First, let me state that I do NOT believe that INS is unfamilar with, or uninterested in, evidence based practices. I also do NOT believe that they are ignorant of the delineation, or care of...
  24. IVRUS

    Infusion Nurse Society

    IVRUS replied to CRNI(R)'s topic in Infusion, Intravenous

    Yes, I agree, and no intended attack toward anyone intended. If one has knowledge to share with others, then cool... if not, it's merely assumptions and
  25. IVRUS

    Again... air bubbles in CVC

    IVRUS replied to creo's topic in Infusion, Intravenous

    Well, if you are seeing air in the lumen, first make sure that there aren't any cracks in the catheter, or that lumen and then make sure you have a well-fitting leur-lock injection cap on its end to...