IVRUS BSN, RN

Vascular Access

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All Content by IVRUS

  1. IVRUS

    Is it ok to draw lab from a PIVC?

    IVRUS replied to vpierre's topic in General Nursing

    Vpierre, The appropriate thing to do is to assess what these nurses are doing, and compare it to accepted standards of practice. One such organization which sets standards for Infusion therapy is...
  2. IVRUS

    IV Therapy Certification/Training

    IVRUS replied to oslogirl's topic in General Nursing

    Hotflashion, I encourage you to check out your local Omnicare pharmacies. I believe that there is one in Wakefield and Springfield, MA. Many Omnicare pharmacies give hands on IV training to RN's and...
  3. IVRUS

    You may think this is stuipid, but I'm need advice!

    IVRUS replied to wrightLPN's topic in General Nursing

    Well, Don't be disheartened... I am a Vascular Access Nurse Educator (IV nurse) and have placed thousands of Lines in the course of my 20+ year career, however, I too was the first one to pass out...
  4. IVRUS

    How long can you use mdv and sdv?

    IVRUS replied to salpal92's topic in Infusion, Intravenous

    Okay, so you are drawing from a 50cc MDV of saline (0.9% sodium chloride) right? So, that brings me to my next question... how much of this saline is being infused into your pts in a 24 hour period?...
  5. IVRUS

    How long can you use mdv and sdv?

    IVRUS replied to salpal92's topic in Infusion, Intravenous

    My first question would be to ask if you are pulling the flush solution out of a 50cc minibag of NS? I am not sure about the 10 ml reconsitution. Anyway, a MDV of saline (or heparin flush) has a...
  6. IVRUS

    phenergan ivp into hand

    IVRUS replied to newnurse012's topic in General Nursing

    New Nurse, Phenergan is a vesicant, and no, it should not (ideally) be given into the veins in the back of the hand (metacarpal veins) as you do not have the blood flow in your extremities that you do...
  7. IVRUS

    IV insertion area guidelines

    IVRUS replied to patwil73's topic in Infusion, Intravenous

    Well Pat, If you're trying to get me to give you a rationale for accepting this location as an "Okay" spot to place a line, you won't get that from me. As I mentioned before, I would worry since the...
  8. IVRUS

    TPN HELP!!! (please)

    IVRUS replied to peachpower's topic in General Nursing

    TPN is given with, or without lipids. When it is given with Lipids, it is called a 3 in 1 mixture. That is because it contains your 3 main ingredients: Dextrose, Lipids, and Amino acids. Sometimes a...
  9. IVRUS

    IV insertion area guidelines

    IVRUS replied to patwil73's topic in Infusion, Intravenous

    Pat, Standards for Infusion Therapy come from established organizations like Infusion Nurses Society(INS) and Oncology Nurses Society (ONS). As nurses, we've all seen the engorged, tortuous veins in...
  10. IVRUS

    In need of help with a nursing dx!!!

    IVRUS replied to Holly7824's topic in General Nursing

    Along with the aforementioned nursing interventions for thrombocytopenia, remember to minimize excessive bleeding complications: 1. Avoid lifting heavy objects ( Don't want to break blood vessels...
  11. IVRUS

    IV push meds

    IVRUS replied to IngyRN's topic in General Nursing

    White Lily, A percutaneous inserted IV cathter isn't necessarily the same as a PICC. The triple lumen catheters that MD's place with the entry into the subclavian, and then threading down to SVC, or...
  12. IVRUS

    IV saline/hep lock

    IVRUS replied to ChiSmile6's topic in Patient Medications

    Your initial assessment for each pt with a line needs to include its patency. That fact that your preceptor is not assessing the line at the beginning of his or her shift is negligent. Also...
  13. IVRUS

    PICC Certification?

    IVRUS replied to PMFB-RN's topic in Infusion, Intravenous

    One should not be placing PIC's which terminate in the subclavian vein. The increase in thrombus rates skyrocket when the tip stops in this vessel. INS recognizes a PICC with its tip in the distal...
  14. IVRUS

    Saline Lock Question???

    IVRUS replied to RenaissancemaN's topic in General Nursing

    When you are aspirating, the smaller syringes will not generate the PSI's that a larger one will. However, with infusing, the 3 cc syringe exerts more pressure than a 10cc
  15. IVRUS

    Chest pain after PICC removal?

    IVRUS replied to kk2000's topic in Infusion, Intravenous

    A couple of questions... 1. What is the time frame in which the PICC was removed and CP started? 2. Did you use Gel (neosporin or betadine) on top of a 4x4 to seal the tract shut s/p removal? 3. Did...
  16. IVRUS

    Port Question.............

    IVRUS replied to dreamriderRN's topic in Infusion, Intravenous

    The non-coring needle in the port can dwell for 7 days, however, if it gets partially pulled out, or becomes problematic it should be changed before that 7 days is up. So, ideally orders should read,...
  17. IVRUS

    PICC Certification?

    IVRUS replied to PMFB-RN's topic in Infusion, Intravenous

    I hope that you aren't placing Peripherally Inserted Catheters (PIC's) which terminate in the subclavian area. Is that what you meant by PIC? In addition, there isn't a true "Certification" for PICC...
  18. IVRUS

    Port-a-cath needle size?

    IVRUS replied to Beijos's topic in General Nursing

    Beijos, TSM stands for Transparent Sterile Membrane.. It is any IV dressing you can see thru, such as tegaderm, opsite, IV 3000 drsg.
  19. IVRUS

    Port-a-cath needle size?

    IVRUS replied to Beijos's topic in General Nursing

    #1. You will increase the "life" of the port by using small gauge, non-coring needles. i.e. A 22g is appropriate for many people, but if you are having difficulty with blood returns, I'd opt for a...
  20. IVRUS

    Potential Complication of TPN

    IVRUS replied to liser79's topic in General Nursing

    Well, I have a different take on this. While Hyperglycemia is a real issue with pt's on TPN, it is assessed frequently with q 6 hour FSBS. A temp increase, however, can signal line sepsis, or full...
  21. IVRUS

    IV tubing terminology

    IVRUS replied to HamsterRN's topic in General Nursing

    INS standards are to change continuous IV tubing no more than every 72 hours. However, if it is intermittent tubing connected to the primary and you are connecting and disconnecting thru-out the day,...
  22. IVRUS

    Blood simultaneously with other meds in the same IV

    IVRUS replied to Vicki_RN's topic in Infusion, Intravenous

    Okay, I see that "A" has no Calcium in in like the other one. ... I concur... You are right on this
  23. IVRUS

    Blood simultaneously with other meds in the same IV

    IVRUS replied to Vicki_RN's topic in Infusion, Intravenous

    plasma-lyte r injection (multiple electrolytes injection, type 2, usp) should not be administered simultaneously with blood through the same administration set because of the likelihood of...
  24. IVRUS

    Help with Simple Question

    IVRUS replied to jamhoyz's topic in General Nursing

    Well, alcohol gels are effective against MRSA and VRE. Alcohol has germacidal activity against these organisms, but not against C-Diff. So, yes, you must wash with soap and water if you have a pt...
  25. IVRUS

    Pediatric IV Infiltrate

    IVRUS replied to cchsmp1999's topic in General Nursing

    As an FYI, If she had a Vanco infiltrate, use ice to site, instead of warmth. Vancomycin is a Vesicant with a pH of 2.5-4.5. It should ideally never be given peripherally, but in some cases, it is....