IVRUS BSN, RN

Vascular Access

Member

  • Content

    1,049

  • Visitors

    24,025

  • Followers

    0

  • Likes

    104

All Content by IVRUS

  1. IVRUS

    Found cap off port of PICC

    IVRUS replied to scoochy's topic in Infusion, Intravenous

    But will it have more, or enough to cause a CRBSI? That's why strict monitoring s/p is needed. It is a risk versus benefit thing. Since a new PICC will also become seeded eventually, did the...
  2. IVRUS

    Found cap off port of PICC

    IVRUS replied to scoochy's topic in Infusion, Intravenous

    Removal of this IV catheter won't do much as the new IV catheter will also quickly be seeded with biofilm. After a short dwell, it will be, just like the one that is being
  3. IVRUS

    Found cap off port of PICC

    IVRUS replied to scoochy's topic in Infusion, Intravenous

    Guys, The line is undoubtedly already seeded with biofilm... and even if It was pulled and tip cultured.. One will not find, or capture the biofilm as it is in side the IV catheter. Removal of this...
  4. IVRUS

    Found cap off port of PICC

    IVRUS replied to scoochy's topic in Infusion, Intravenous

    I agree with one thing that your supervisor said... Wipe off the lumen with alcohol (do it vigorously) and place a new injection cap on it... However the rest of the advice is not appropriate. You...
  5. IVRUS

    IV certification

    IVRUS replied to slim40's topic in Georgia Nursing

    Check out Lynn Hadaway's courses at
  6. IVRUS

    are filter needles necessary?

    IVRUS replied to brownbook's topic in Patient Medications

    Blondy, Harm has come from NOT using filter needles. Think of what the glass shards do to the smooth endothelial layer of the vein.. But that's not the only problem. Before nurses started using the...
  7. IVRUS

    Do I need to calculate this?

    IVRUS replied to dblpn's topic in Infusion, Intravenous

    For the Baxter Flogards 6201 series, put in your pri (primary) VTBI of the mls in the bag, or in this case, 100cc. Then, hit your time button and put in 3 0 (for 30 minutes) then hit pri rate and the...
  8. IVRUS

    How many times do you try to start an IV before calling in reinforcements?

    IVRUS replied to belgarion's topic in General Nursing

    It may have been, but I've seen many nurses choosing to place IV catheters in many innappropriate places. And.. MD's aren't exempt to
  9. IVRUS

    How many times do you try to start an IV before calling in reinforcements?

    IVRUS replied to belgarion's topic in General Nursing

    "Just the other day we had a patient come to the unit with a 20g in his right abdomen, and an 18g in his right calf." That is truly scary!! First of all, one MUST think, why are there palpable/visable...
  10. IVRUS

    How many times do you try to start an IV before calling in reinforcements?

    IVRUS replied to belgarion's topic in General Nursing

    Newbienurse, Perhaps it is the policy of the institution that your Mom works for which dictates her information/practice... However, in most Hospitals and other health care facilities, RN's and...
  11. IVRUS

    Air embolism from PICC line

    IVRUS replied to ivstarterRN's topic in Medical-Surgical

    IVstartRN, There are different types of IV catheters, and different types of PICC lines. If your patient has a valved IV catheter, like a Groshong PICC in place, unless the valve of the catheter is...
  12. IVRUS

    Cathflow

    IVRUS replied to ritrit's topic in Infusion, Intravenous

    So.. Are you advocating the use of something less than a 10 cc syringe? That is dangerous and against policies for Cathflo use. Years ago manufacturers showed you how to use Urokinase for catheter...
  13. IVRUS

    How to flush a POC

    IVRUS replied to mervat's topic in Oncology

    Are your ports Groshongs? All Groshong catheters only need NS flushing due to their valved, closed end. However, a non-valved, or open ended port needs heparinization to prevent occlusions....
  14. IVRUS

    Cold IV fluid through Picc line..?

    IVRUS replied to pookiesmom's topic in Patient Medications

    It is never a good idea to hook something up to a patient that has just come out of the refrigerator. Cold IVF can cause venous spasms, vasoconstriction and in large amounts, cardiac arrythmias...
  15. IVRUS

    How long can port-a-cath go without flushing

    IVRUS replied to fakemusician's topic in Oncology

    "Hadn't been flushed in over a year..." WOW. I surely wouldn't have flushed it. Talk about Septic
  16. IVRUS

    Hanging IV bags

    IVRUS replied to LStar's topic in General Nursing

    I too would not worry about this practice in this case. Your rule of thumb is to first assess compatibility between what is hanging and what you want to hang next. In this case, the solutions are...
  17. IVRUS

    Blood samples from mediport clotting at lab.

    IVRUS replied to Nursecathy123ca's topic in Infusion, Intravenous

    Well, You didn't say what your pt was on Coumdin for and while some may be on it for medical conditions like A-fib, others could be taking low dose for catheter patency. At times, pt's have...
  18. IVRUS

    How long can port-a-cath go without flushing

    IVRUS replied to fakemusician's topic in Oncology

    Standard of practice by Infusion Nurses Society (INS) is flushing every month to maintain patency of the device. What is your agencies policy? It is always important to follow P&P, and hopefully...
  19. IVRUS

    ER patients falsify info...has it really come to this?

    IVRUS replied to RNYC's topic in General Nursing

    Well, with the new healthcare bill, you will be required to show proof that you have insurance, so what's the difference??? Those who can't prove that they are a citizen are breaking the law by being...
  20. IVRUS

    PICC with too much resistance

    IVRUS replied to tokebi's topic in General Nursing

    If you had to "Huff and Puff" you were doing something that you shouldn't have been doing! If you meet resistance when flushing with a 10cc syringe you: 1. Don't obtain a smaller syringe and try to...
  21. IVRUS

    Marker on syringes

    IVRUS replied to kiwigirl123's topic in Patient Medications

    Okay, here's the real skinny... Do NOT write on IV bags unless it has a label on it, and the label is what you are writing on!! When you use a magic marker to write on bags, the marker leaches into...
  22. IVRUS

    central lines protocols

    IVRUS replied to wrkoutgirl's topic in General Nursing

    I would not accept the Radiologist, or Rad. tech calling and saying, "Okay to use" that is NOT acceptable. The main reason why this is not appropriate is that for many doctors of radiology, "okay to...
  23. IVRUS

    Procedure for accessing a Portacath

    IVRUS replied to CNALLENRN's topic in Patient Education

    There are a couple of things that should have been done differently: 1. The area that was cleansed prior to accessing was not large enough. Therefore, once the drsg was placed, there was skin under...
  24. IVRUS

    Help with diluting meds for IVP

    IVRUS replied to RNtoB2010's topic in Nursing Student Assistance

    Why would you put it down??? Once you draw up the medication.. GIVE IT. And whose to say that a 10cc syringe filled with NSS and dilaudid won't be confused for just saline as well... Therefore, DO...
  25. IVRUS

    Help with diluting meds for IVP

    IVRUS replied to RNtoB2010's topic in Nursing Student Assistance

    Wow, I bet the instructor was an "old" one, or "old school" anyway. I too would have wasted 5 cc out of a prefilled 10 ml syringe, attached a filter needle or filter straw and then draw up the...