IVRUS BSN, RN

Vascular Access

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All Content by IVRUS

  1. IVRUS

    Simulating arm veins for practice IV's

    IVRUS replied to linda2097's topic in General Nursing

    Other ideas include: 1. Buy balloons, one pkt of elongated balloons and one pkt of round ones. Blow up a round balloon and then engorge up one of the long, thin ballooons with a substance such as...
  2. IVRUS

    Feel free to mention any unused central access at any time...

    IVRUS replied to blondy2061h's topic in General Nursing

    Bard's Power Port does require a special needle to access it IF it is being accessed for a Cat Scan use.. Otherwise, in homecare or a LTC setting, a regular huber needle can be used. Here is a link.....
  3. IVRUS

    Questions about RN role in LTC

    IVRUS replied to debd72's topic in Geriatric, LTC

    Hello, As the previous poster stated, you may be a staff RN, or work in a management capacity in a LTC setting. However, to answer the second part of your question, A Bachelors in Health Care...
  4. IVRUS

    Looking for Infusion nurse certification in PA

    IVRUS replied to nw36's topic in Infusion, Intravenous

    You can become a "Certified Registered Nurse Infusion OR CRNI", by having your application accepted by INS (Infusion Nurses Society) and then by passing the exam that they give. Go to the website...
  5. IVRUS

    MATH HELP! IV- drug and drip question

    IVRUS replied to Starfish1's topic in Nursing Student Assistance

    Regarding help... Problem #1 = First identify how many hours it would take to infuse the liter bag at 60cc/hr. 1000/60 = 16.66 hours. 20 mEq then will be divided over that time frame giving you...
  6. IVRUS

    IV Therapy

    IVRUS replied to ilovechadkrause's topic in General Nursing

    Babybird, The osmolarity or tonicity of an IV solution is compared to what normal serum osmolarity is. Normal serum osmolarity is approx. 290 (serum). So, for a solution to be isotonic (most like...
  7. IVRUS

    blood administration

    IVRUS replied to Fifi2u's topic in First Year After Licensure

    Normal Saline Solution (NSS) is the ONLY solution that should be hung with Blood and it frequently is used to pre-prime the filter and purge the IV tubing, using a "Y" set. D5W should not be used as...
  8. IVRUS

    Broviac catheter blood draw

    IVRUS replied to softballnurse22's topic in Infusion, Intravenous

    It is NOT acceptable if you have disconnected the syringe from the catheter. However, with the mixing method of drawing blood from an IV catheter, your syringe is hooked up to the IV catheter and you...
  9. IVRUS

    Needing math help please calculating flow rates? how do I do this?

    IVRUS replied to tiffany311's topic in Nursing Student Assistance

    Tiffany, One easy way to find gtts per minute is to use this formula; Once you have your flow rate (In this case it is given to you=100mls/hr) then it is simple division... If your IV tubing is...
  10. IVRUS

    whats wrong with clamping the PICC??

    IVRUS replied to Ms.RN's topic in General Nursing

    as previous posters said, if the picc line has a clamp on it, use it and clamp using positive pressure flushing if your catheter is open ended and you don't have a positive displacement injection port...
  11. IVRUS

    Im a nurse! Not a doctor!!!

    IVRUS replied to ObamaRN08's topic in Patient Safety Issues

    I am glad that you even knew to ask if an antidote was available...A documented lawsuit involving a dopamine extravasation reveals the danger of not knowing: An ICU nurse had a pt in which Dopamine...
  12. IVRUS

    D5W with 0

    IVRUS replied to EveAngel00's topic in Nursing Student Assistance

    D51/2NS is hypertonic. You have two combined osmolarities... Dextrose and 0.45 Sodium Chloride with a combined osmolarity of 406. Remember that solutions that have an osmolarity of 240-340 are...
  13. IVRUS

    Humiliating IV questions

    IVRUS replied to elizabells's topic in NICU, Neonatal

    One thing you may try is this: Once you obtain that initial flashback of blood into your flashback chamber, lower your angle then advance a mm or so more. Then using the two handed technique, advance...
  14. IVRUS

    IV Certification Class?

    IVRUS replied to NurseAims's topic in General Nursing

    The Missouri Dept. of Professional Regulations website gives you all of the approved programs available in the state. Interlock Pharmacy Systems ( An Omnicare Company) gives classes 4x a year and they...
  15. IVRUS

    Help Phenergan & Picc Line????

    IVRUS replied to 1_Dedicated_RN's topic in First Year After Licensure

    Just because phenergan competes with histamine for the H-1 receptors sites doesn't mean that it isn't harmful to the smooth endothelial cells lining the blood vessels. It is harmful and caustic and if...
  16. IVRUS

    Port Access Question

    IVRUS replied to bshaw96's topic in Infusion, Intravenous

    It sounds like you have an implanted port which the MD erroneously placed too deep in the pt's chest wall given the breast tissue present. I hate it when MD's do that! However, a couple of...
  17. IVRUS

    Question on Drawing Blood from PICCs

    IVRUS replied to abundantjoy07's topic in Infusion, Intravenous

    "Small syringes create higher pressures in the catheter than larger syringes do. With some of the soft catheters and using small syringes, you will collapse the catheter and nothing will be...
  18. IVRUS

    Question on Drawing Blood from PICCs

    IVRUS replied to abundantjoy07's topic in Infusion, Intravenous

    Abundantjoy07, (BTW, Great name) After the placement of ALL IV catheters, fibrin (which is a mixture of immunoglobulins, formed blood elements, etc) builds up on the external &/or internal...
  19. IVRUS

    Bonehead PICC/Midline flush question

    IVRUS replied to garciadiego's topic in Infusion, Intravenous

    After giving the MSO4, then simply restart the mainline infusion (if it's been shut off). Many will just give the medication over the approriate time frame and then release the slide clamp, or stop...
  20. IVRUS

    Bonehead PICC/Midline flush question

    IVRUS replied to garciadiego's topic in Infusion, Intravenous

    When you have continuous IVF infusing into a line, there is no need to flush the line at periodic intervals. However, when an IV Push medication is needed, once compatibility has been ascertained it...
  21. IVRUS

    picc line protocol

    IVRUS replied to dpcsaw's topic in Infusion, Intravenous

    Each facility has there own protocol, however, using traditional insertion techniques for PICC placement the dressing "normally" is changed after the first 24 hours post placement and then every 7...
  22. IVRUS

    picc line protocol

    IVRUS replied to dpcsaw's topic in Infusion, Intravenous

    I am so sorry to hear about your loved one, however, just because an extra day went by without the needed dressing change, doesn't mean that an infection would automatically ensue. The fact that the...
  23. IVRUS

    BP in arm with PICC?

    IVRUS replied to light4j's topic in General Nursing

    Your nurse that you were working with is correct. You can take a BP out of the arm BELOW the PICC line, but not over the PICC line. If you think of it in terms of what happens when you squeeze a...
  24. IVRUS

    Help Just About To Jump Overboard

    IVRUS replied to yellowtui's topic in Infusion, Intravenous

    Hello, The answer to your questions can be found in your second paragraph. Anything that can possibly cause circulation to be impaired is the reason you don't want to put in an IV cannula in that...
  25. IVRUS

    port-a-cath dressing change--needle change?

    IVRUS replied to veronica butterfly's topic in Medical-Surgical

    Veronica, If you, or any of your fellow nurses were called into a Court of Law to defend any IV procedure, It's INS (Infusion Nurses Society) standards which are used as a benchmark for safe practice....