IVRUS BSN, RN

Vascular Access

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All Content by IVRUS

  1. IVRUS

    IV certification

    IVRUS replied to galenanurse's topic in Infusion, Intravenous

    Ahhh, You are so right. "They" expect a RN to come out of school and just "know it all" and be able to put all of the pieces together regarding IV therapy.. but the truth is, we don't get the needed...
  2. IVRUS

    Central Line Dressing Changes

    IVRUS replied to ChrisEMTB's topic in General Nursing

    I doubt that your library would carry a copy of INS standards of care, however, it is those very same standards that you and the organization that you work for, should be following. Infusion Nurses...
  3. IVRUS

    artery or vein

    IVRUS replied to rollerblade's topic in General Nursing

    Well, if you think about it, where are arteries "normally" located? Deep within the body tissue right? Veins, however are superficially located. So, does this mean that you will never find a...
  4. IVRUS

    NICU question (diff b/w long line? PICC? CVC?)

    IVRUS replied to let237's topic in Infusion, Intravenous

    Lines are lines, whether in the NICU, or Adult ICU. The terminology should remain consistant. 1. A Central Venous Catheter is any IV catheter which terminates in the central vasculature: e.g. THE SVC...
  5. IVRUS

    Phlebotomy thru port?

    IVRUS replied to rusty55's topic in Infusion, Intravenous

    The part about using a 20cc or larger syringe for withdraw, sends up red flags to me because the larger the syringe, the greater the pressure one creates, in this case, in the port. I'd seriously...
  6. IVRUS

    5 french vs 6 french PICC

    IVRUS replied to Rexie68's topic in Infusion, Intravenous

    Wow, What populi do you serve that can accomadate such large french size catheters???? Also, remember that when you have a 5 or 6 french IV catheter, you can easily occupy > 50% of that blood...
  7. IVRUS

    Need some advice about IV starts

    IVRUS replied to CS#3's topic in Infusion, Intravenous

    "JUST before you make the puncture..feel the vein again." I agree with iluvivt, but please remember that if you are placing a short term peripheral IV catheter, only touch the site again IF you've...
  8. IVRUS

    Saline flushes causing nausea for my patients

    IVRUS replied to aeberstein's topic in Oncology

    But a 10 cc Normal Saline vial has zero preservatives in it! Neither do most prefilled syringes as both contain single dose saline. The difference between them may be the manufacturer, but both...
  9. IVRUS

    Washed RBC Transfusions

    IVRUS replied to Lulu222's topic in Nursing Student Assistance

    Washed RBC's refers to a unit of packed cells which are "washed " in the lab. This is often done for those with reoccurant or severe allergen reactions to the PRBC's. The blood is washed with saline...
  10. IVRUS

    Questions about Triple Lumen Central Catheters

    IVRUS replied to RN for TIDE's topic in General Nursing

    Well, First and foremost, one should be checking with their employing organization to see what their P&P states is appropriate. However, for many organizations, the Distal port (which is...
  11. IVRUS

    D/C central lines in SNFs?

    IVRUS replied to nyteshade's topic in General Nursing

    Wow, Culturing the catheter tip s/p removal on ALL IV's which were centrally placed sound like a huge waste of money and time to me. PICC's are central catheters, so do they do CXR s/p on their...
  12. IVRUS

    Where do I go to get an IV Certification? Job posts say certification required.

    IVRUS replied to GardenerGirl's topic in Infusion, Intravenous

    The certification that they are probably referring to is the Certified Registered Nurse Infusion (CRNI). It is a national certification given by INCC/Infusion Nurses Society and it denoted you as...
  13. IVRUS

    Question about 10cc syringes and picc/ports

    IVRUS replied to mappers's topic in General Nursing

    The principles of force, resistance and pressure apply whether one is attaching the syringe directly to the IV catheter, or attaching the syringe to a port on the IV tubing. When one meets...
  14. IVRUS

    Question about 10cc syringes and picc/ports

    IVRUS replied to mappers's topic in General Nursing

    Well, I suppose we can agree to differ, however... Think about it. Why do we use 10 cc syringes to ascertain patency? We do it to verify that the line is patent, right. Well if it is patent, then...
  15. IVRUS

    Question about 10cc syringes and picc/ports

    IVRUS replied to mappers's topic in General Nursing

    Many manufacturers of PICC's and other central lines recommend no greater than 40 psi's into their IV catheters to prevent the catheter from bursting. However, just because you have a 10 cc syringe,...
  16. IVRUS

    PICC line dressing change

    IVRUS replied to mesa14's topic in Nursing Student Assistance

    To my knowledge, Arrow does not make a valved IV catheter. However, new designs/catheters are emerging on a frequent basis. Remember that one of the reasons why a catheter can be flushed and...
  17. IVRUS

    An Angel's Prayer

    IVRUS replied to Tink7586's topic in General Nursing

    Oh Tink, Any nurse who has worked for any length of time in a setting such as yours, has been there, done that. No, I'm sure you are not stupid.. There is, however, a fine art to getting and staying...
  18. IVRUS

    Quick general question about RN certification

    IVRUS replied to Rocknurse's topic in General Nursing

    Rocknurse, If you graduated from a diploma program, and the program granted you a diploma, not college credits, then you do not have an associate degree and if you wanted to get your bachelor's...
  19. IVRUS

    PICC line dressing change

    IVRUS replied to mesa14's topic in Nursing Student Assistance

    "Do it before. Don't forget to change the caps, measure the circumfrence and insertion length, and never saline lock a PICC. It needs to be heplocked." This is true if it's and open ended, non-valved...
  20. IVRUS

    Blood return prior to using PICC or CVC?

    IVRUS replied to AggieNurse99's topic in General Nursing

    NOOOOOO... :-) It is NOT okay to use a centrally placed IV catheter if a blood return can't be obtained with gentle aspiration or with nursing interventions such as repositioning the pt, or...
  21. IVRUS

    I want to TEACH IV cert

    IVRUS replied to RN_DON_Rochelle's topic in Infusion, Intravenous

    I suppose my first question would be to ask if Colorado has a state mandated program for IV therapy. Do your LPN's have to attend a formal program to work with IV's? If so, then the state will have...
  22. IVRUS

    "Scrub the Hub" means... ?

    IVRUS replied to Dialysis R.N. in IA's topic in General Nursing

    Scrub the hub means cleaning the end of the injection cap (whatever kind it may be) for 30 seconds like a juicer, as a poster mentioned earlier. Injection caps are removable and are the number 1...
  23. IVRUS

    home infusions

    IVRUS replied to nonclinicalbiologist's topic in Infusion, Intravenous

    Hello, I am not sure what country, or where you are from, but in the USA, it is common to teach the parent or caregiver to administer IV therapy in the home. Home infusion nurses educate on mixing...
  24. IVRUS

    Batadine vs Chlorhexidine

    IVRUS replied to brain-nurse's topic in General Nursing

    Several reasons come to mind: 1. Betadine is irritating & cytoxic. 2. Betadine does not have the residual activity, or continued killing power that Chloraprep or Chlorahexidene does. 3. Betadine...
  25. IVRUS

    Is it ok to draw lab from a PIVC?

    IVRUS replied to vpierre's topic in General Nursing

    With a MD's order, I place these every time I'm on call. I do it independantly, or without any assistance in its placement. Yes, I think we can agree that a PICC is different than a short term...