IVRUS BSN, RN

Vascular Access

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All Content by IVRUS

  1. IVRUS

    PICC line question

    I agree that any IV catheter placed in a sterile fashion, should have its dressing changes done in a sterile fashion.. But the discontinuation of said catheter, unless you are doing cultures, as one...
  2. IVRUS

    Infusion question

    The concept of a "virgin line" or not being able to give the drug the way you discussed is only applicable if the reason you are needing to switch sites is because of infection. If the first line...
  3. Find your Vascular Access Placements companies in your state, and sign on with
  4. IVRUS

    Infusion question

    Ivana, Usually the reason patients have two IV catheters in at once is either to administer incompatible meds or to use the other one if the first one fails. I would definitely move the medication to...
  5. IVRUS

    Opportunity of a Lifetime Update

    Well, I don't know if you want to hear my thoughts or not, but I believe that when a door like this closes on you, it truly wasn't meant to be anyway. Whether it would have put my license in...
  6. If one uses the Introcan Safety 3, one will not be exposed to patients blood as it is a valved peripheral IV
  7. IVRUS

    PICC line companies

    We charge all our PICC placements per their Infusion Contract. Some companies charge 350, for an uncomplicated US placement, while others charge 600 or more. Some pricing includes the navigation...
  8. IVRUS

    Opportunity of a Lifetime

    Well, IV therapy is the most invasive procedure we as nurses perform on a patient. Some take this too lightly. And, please remember, IV therapy is much, much more than "sticking" someone. I'd...
  9. IVRUS

    Changing the PPV on PICC Line

    Thanks ILUVIVT.. I see
  10. IVRUS

    Changing the PPV on PICC Line

    I agree that not all institutions change their caps after they draw blood from them, but then I have to wonder, even with those that have a clear housing, are you clearing ALL traces of blood? And,...
  11. IVRUS

    Changing the PPV on PICC Line

    How one flushes an IV catheter depends on the needleless cap on its end. Valved or non-valved, it doesn't matter. There are Negative, Neutral and Positive displacement devices. If your needleless...
  12. What I was trying to tell the OP was that Illinois is NOT part of the compact. So, where she puts roots, should be a state that is part of the compact if she is planning on traveling to other states....
  13. Well, personally, I'd take the NCLEX in Colorado, and declare it then as my home state. Then, since Colorado is part of the nrsg compact, you can work in any state without relicensing as long as it...
  14. CRNI Exam Study Guide and Practice Questions booklet can be purchased on the Infusion Nursing Society Website.
  15. IVRUS

    General IV Filter question

    Good Post ILUVIVT... But also remember that the TPN that can infuse via .22 micron filter is one that is without LIPIDS. AND, The filters should NEVER be ADD ONs. Filters should be an integral part...
  16. First, why are you stopping your medication(s) and then waiting TEN MINUTES. That is crazy, imo. The blood flow running through the SVC is over 2000mls/minute. Two minutes is standard practice,...
  17. IVRUS

    Flushing a central line

    I am assuming that you drew up two separate doses into ONE syringe. That's the first mistake. One should not draw up both doses into one syringe, give a partial dose, then come back later to give...
  18. IVRUS

    New infusion center...new protocols

    Feraheme has an Okay pH and Okay Osmolarity as far as that goes... But the pH or Osmolarity of a drug cannot be the only thing one looks at. Take Naficillin, for example, it too has an Okay pH and...
  19. IVRUS

    Measuring picc length

    Agreed. And that is why, I believe, only the Vascular Access RN should be declotting
  20. IVRUS

    Measuring picc length

    "Personally, I think the groshong piccs make the most sense because they're trimmed from the outside after the picc is inserted to the correct depth, but I've been told this type is more difficult to...
  21. IVRUS

    Blown ac vein

    I would explain to this patient that having an IV catheter in the ACF is not a good idea. The damage to the smooth bed of endothelial cells causes the start of phlebitis and thrombosis secondary to...
  22. IVRUS

    New grad to infusion nursing?

    You definitely want to get some hands-on clinical experience under your belt before you delve into Infusion Nursing, or being a vascular access nurse. I was a renal nurse for two years prior to going...
  23. I don't have the correct number of fingers to count that many violations!!! Exit stage left... I too would not subject my license for this "infusion
  24. IVRUS

    PORT TIPS

    I find that having a patient in a sitting position, with her shoulders slightly forward, but head turned away, works best in the case you described, especially if they are FLUFFY on their chest....
  25. AND if it does NOT yield a blood return, it is NOT functioning as a central line needs to, and therefore for all intents and purposes, is non-functioning. A nurse should never ignore this, and yes, I...