IVRUS BSN, RN

Vascular Access

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All Content by IVRUS

  1. IVRUS

    Large bore IV

    IVRUS replied to remf3's topic in Emergency

    Yes, If you need a catheter to deliver greater than 2L an hour, choose a larger gauge size (>22g) for your patient.. But.. Larger IV catheters safer for the patient... NO...That is not true....
  2. IVRUS

    Large bore IV

    IVRUS replied to remf3's topic in Emergency

    A 22 gauge allows for fluid delivery of 35mls/ min or 2,100 mls per hour.. So 2L in an hour shouldn't be an
  3. IVRUS

    Large bore IV

    IVRUS replied to remf3's topic in Emergency

    Well, think about this.. If you have an elderly patient in your ER from a LTC setting and he is there to be admitted because he has a UTI.. Would you put in an 18 gauge just because he was in ER? I...
  4. IVRUS

    Do you use an IV with no blood return??

    IVRUS replied to RN-ing's topic in General Nursing

    Right on ILUVIVT... Are we twins??? My brain seems to be mimicking yours..LOL. There are rare occasions when a blood return is had, but the vessel and SQ are both being exposed to the...
  5. IVRUS

    Do you use an IV with no blood return??

    IVRUS replied to RN-ing's topic in General Nursing

    Are we talking about a short term peripheral IV catheter? Usually, these peripheral short term IV catheters won't yield a blood return. especially if it's a small catheter, like a 24 gauge and your...
  6. IVRUS

    LVNs training RNs???

    IVRUS replied to JStollRN's topic in General Nursing

    Jstoll, Bottom line, IMO, is if this precepting nurse comprimised patient care, then yes, you must go to the nurse manager. If however, she "just did things differently than what I was taught, or am...
  7. IVRUS

    CVC Cleansing Techniques?

    IVRUS replied to JStollRN's topic in Medical-Surgical

    If you read the IFU (instructions for use) on ChloraPrep, it will tell you to use the back and forth motion for skin antisepsis/cleansing, however, as an infusion nurse, I can tell you that using...
  8. IVRUS

    PORT A CATH ISSUE!!

    IVRUS replied to mscelean's topic in Infusion, Intravenous

    It is quite possible that the port needle become dislodged, or the needle used was too short and once saline was put into it in attempts to flush it, the saline went into the surrounding tissue...
  9. IVRUS

    How to run vancomycin by iv

    IVRUS replied to dblpn's topic in Infusion, Intravenous

    Is this advisable... NO. As Iluvivt explained in a previous post (See above), Vancomycin should NEVER be given in any time frame less than 1 hour. We actually run it over 90 minutes, if it is over a...
  10. IVRUS

    My multilumen central line has no blood return!!

    IVRUS replied to MyNurseIsaDude's topic in Infusion, Intravenous

    Yes, The other lumens can be used, but don't forget about that lumen that is without a blood return. You wouldn't want to withhold the patients IV med because of one, non-functioning lumen, but YOU...
  11. IVRUS

    Pushing Heparin through a Peripheral IV

    IVRUS replied to nrsing2011's topic in Nursing Student Assistance

    First of all, remember that it is against Infusion Therapy standards (INS) to draw from a short term, less than 3 inch IV catheter, unless you are drawing blood from it right when it was placed. Even...
  12. IVRUS

    Large bore IV

    IVRUS replied to remf3's topic in Emergency

    I agree with Iluvivt, that standards say to always use the smallest gauge and length for the prescribed therapy. However, remember that even though a 16 gauge IV catheter can tolerate flow rates up...
  13. IVRUS

    Do I need a certification to access ports?

    IVRUS replied to ivdude's topic in General Nursing

    There is no "Certification" for skills like accessing an IMPLANTED PORT. You can be taught how to do it, and then demonstrate that you are competent in this task, but true certification does not...
  14. IVRUS

    Running Abx as primaries/Not setting up NS primaries

    IVRUS replied to klarck's topic in Infusion, Intravenous

    Well I would definetly advocate for a primary or flush line, if the IVAB was mixed in a small volume, say 50cc. One needs to know how many cc's are in their IV tubing, as ours holds 21cc which when...
  15. IVRUS

    Does your phlebotomist ask you to draw blood from a PICC line for them?

    IVRUS replied to koinurse's topic in Geriatric, LTC

    Well, Not drawing from a central line, like a PICC, because you don't know how to do it, or you just feel uncomfortable with the procedure is not an appropriate excuse. Speak to your director or...
  16. IVRUS

    Field Start IV policy

    IVRUS replied to HamsterRN's topic in General Nursing

    Well, All I have to say to that is...Have you ever heard of the saying " Chew each mouthful 20 times" LOL.. Maybe we could get better digestion if "we" didn't eat in 30 seconds! And yes, compliance...
  17. IVRUS

    Field Start IV policy

    IVRUS replied to HamsterRN's topic in General Nursing

    Wow, You say that you've never seen a nurse scrub the site for 30 seconds... Hmmm. That's Best practice in my world. Since 80 % of the bacteria are in the first five layers of the epidermis,...
  18. IVRUS

    Field Start IV policy

    IVRUS replied to HamsterRN's topic in General Nursing

    I encourage my students to remove and replace within the first 24 hours after its placement in a "non-traditional" setting. I think that this is wise as an EMT or paramedic who places the line in...
  19. IVRUS

    Parmeters for Infusion pump

    IVRUS replied to Rajeshkumar's topic in General Nursing

    A bolus usually means a discrete mass over a short time frame, while KVO means Keep Vein Open and that could mean a flow rate of anything from 0.2cc/hr to 50cc/hr (that's why KVO is an ambiguous...
  20. IVRUS

    EJ Discontinuation Question

    IVRUS replied to gtmoore's topic in General Nursing

    What a strange policy that is... I say that because you stated that you were allowed to discontinue an internal jugular line and other central lines, but that you weren't able to d/c a PICC???? Well,...
  21. IVRUS

    Question regarding heparinized ports

    IVRUS replied to KelliD's topic in Oncology

    In Missouri, an IV certified LPN can flush a port with saline and heparin flush solution, but the port has to be accessed and deaccessed by a RN. However, once a RN has accessed it, it can be...
  22. IVRUS

    Found cap off port of PICC

    IVRUS replied to scoochy's topic in Infusion, Intravenous

    Wow... I would really have to be frustrated at this point, if I were you! Sorry, but the supervisor is wrong in her assessment, as if this "infusion" nurse. Please know that I'm responding now only...
  23. IVRUS

    Found cap off port of PICC

    IVRUS replied to scoochy's topic in Infusion, Intravenous

    Tell me the organisms that the catheter is now seeded with, that is different then what was there prior to finding the cap off? Also, did the cap fall off once the patient returned from his smoke...
  24. IVRUS

    Which vein do you prefer

    IVRUS replied to zahryia's topic in Infusion, Intravenous

    The radial and ulnar vein are deep vessels, and not ones that are easily assessed without U.S. I'd also be concerned sticking a vessel in the shoulder area... First there usually aren't vessels found...
  25. IVRUS

    Found cap off port of PICC

    IVRUS replied to scoochy's topic in Infusion, Intravenous

    How do you know that the PICC is truly contaminated??? And Biofilms DO NOT PREVENT INFECTIONS... They are, and can be the cause of major septicemia events. IVAB can kill organisms in the blood...