IVRUS BSN, RN

Vascular Access

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All Content by IVRUS

  1. IVRUS

    Specialty IV therapies

    Heather, You've only been a nurse for one year, however, your other assets are a plus. Infusion nursing encompasses a broad spectrum of your nursing abilities and assessment skills. Pursuing the...
  2. IVRUS

    info on apnea

    I know that a CPAP may be uncomfortable, annoying, and a whole lot of other words which we won't mention here BUT... As a grandma to 3, Please wear it, or check out NOMASK.com as an alternative to...
  3. IVRUS

    Anyone in the Pacific MO area

    I'm not sure where these are in Pacific, but here are the contact from the local paper.. For Rent in Pacific: 1. 1-2 br apts starting at 475/m 636-271-3797 2. 1 &2 bdroom available, water,...
  4. IVRUS

    Anyone in the Pacific MO area

    I live 1 mile outside the city limits of Pacific, and I can tell you that housing varies greatly. I would recommend housing in the Hawthorne subdivision, as homes range from 120's and up and it is a...
  5. IVRUS

    flushing protocol

    If you are talking about an implanted venous access port, then amounts can vary depending on ones P&P. The P&P where I currently practice is to flush the line with 5cc normal saline and then...
  6. IVRUS

    Mathematical aspect of nursing

    Dear Isitpossible, IT IS POSSIBLE!! I realize that many students are math "shy" to put it nicely, however like the other poster stated, it can be mastered. If you'd like, you can email me and I'd...
  7. IVRUS

    PICC dressing removal w/ biopatches

    While in theory this may work for some, J&J's website denotes a PICC catheter with a Biopatch, but it has a hubguard holding the PICC and a portion of the Biopatch in place before the TSM is...
  8. IVRUS

    PICC dressing removal w/ biopatches

    It can be difficult to remove a TSM (transparent sterile membrane) and seperate it from the Biopatch, however, it does become easier if one tapes the Biopatch down after placing it at the site then...
  9. IVRUS

    Subcutaneous Infusion Advice Needed

    We service LTC facilitites in the Missouri/Illinois area and many of our homes are interested in SQ or Hypodermoclysis infusions. The newest modality in administering via this route is utilizing a...
  10. IVRUS

    Central Line ocluded or sluggish?

    If you are asking "Can a Central line infitrate?" then the answer is YES, However, keep in mind that though the vessel wall can break down, allowing for the permiability of infusates to leak out of...
  11. NO... When you read the standards, it will be quite evident that whoever told you this, spoke in error! INS only recognizes two tip locations for peipherally inserted IV catheters over 3" in length:...
  12. I realize that the manufacturers state to use a ten cc syringe or greater when flushing and ascertaining patency, and I agree, however I'm saying once patency has been determined, then and only then...
  13. IVRUS

    What is NS NOT compatible with?

    The only flushes in a crash cart may be NSS, but included in that crash cart should be a 250cc bag of D5W. Use this to draw up 3-5cc as a flush and then flush the line using this appropriate solution....
  14. What's important to remember is what INS states regarding catheter size: "Always use the smallest gauge and length to adequately deliver the prescribed therapy" Therefore, In an emergency setting, a...
  15. IVRUS

    IV Heparin/saline lock

    Times to change the injection caps on the end of a short term, peripheral IV catheter less than 3" in length, should coincide with the placement of a new IV catheter which is q72 hours. However, there...
  16. IVRUS

    Picc Line- Tpn

    The only way I would employ this reinfusion method is if I had NOT disconected the syringe with my waste from the patient. Best practice is not to reinfusion a syringe filled with blood if you have...
  17. IVRUS

    Transfustion

    You would want to choose option A. It is the only "acceptable" answer. Why? Well, A 3% Sodium Chloride solution should only be used for pt's with severe Hyponatremia that present with neurological...
  18. IVRUS

    IV Piggybacks

    Poppy07, You would not want to "piggyback" NS with KCL into the same lumen where TPN is infusing... The line that has TPN infusing through it needs to be TPN dedicated only. (No other meds, no blood...
  19. IVRUS

    Port Access Question

    Well, There is some things that I would do differently... Number one being I would use a 22g 3/4 " huber to access the port. You will save on the life of the port by using a smaller needle, plus it...
  20. IVRUS

    LPN's and IV therapy

    Hello, I am hoping to gain insight on the different duties as it relates to IV therapy and the LPN in Illinois. It seems to me that many nurses are practicing IV therapy in numerous different ways...
  21. IVRUS

    I can't stand needles, help!!

    SeaNurse, I totally understand where you are coming from! I hate needles... that is someone coming to me with one intended for me. I was always the one growing up that was passed out in the pew after...
  22. IVRUS

    IV therapy certification course near Dallas TX?

    Try American Pharmaceutical Services (APS) in Fort Worth Tx. They are a LTC pharmacy, but they teach LVN's and RN's IV therapy. The number is 817.540.2400 Hope it helps
  23. IVRUS

    Ppn Infiltration

    When making the distinction between Extravasation and Infiltration, remember that Infiltration is when the medication that "seeps" into the tissues is BENIGN. Meaning, any medication that will not...
  24. Yes, we know that smaller syringe sizes can yield > PSI's, and I agree that one needs to understand the dynamics of pressure and flow and resistance to the same. Many companies make...
  25. Think about it... The purpose of flushing with no less than a 10cc syringe to ascertain patency is so that if there is a clot at the end, you won't send it free floating into the circulation or bust...