IVRUS BSN, RN

Vascular Access

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All Content by IVRUS

  1. IVRUS

    Question about broviac! Urgent please HELP!

    IVRUS replied to dcnurse789's topic in Infusion, Intravenous

    Again, this is definetly a wrong thought process... If this central line flushes without resistance, but does NOT yield a blood return, you have a NON-Functioning Central line which needs assessment...
  2. IVRUS

    IV Push med– do you always have to pull back for blood return?

    IVRUS replied to missjune's topic in Patient Medications

    So as one progresses in life, and new research emerges, one's opinion can't change or one is being hypocritical? Geessshhh... So those who realized that the earth isn't flat, but actually, round,...
  3. IVRUS

    IV Push med– do you always have to pull back for blood return?

    IVRUS replied to missjune's topic in Patient Medications

    How does this apply? I do not give any medication into an IV catheter without a brisk, freeflowing blood return. Knowing the reasons why it won't yield a blood return should make everyone pause if...
  4. IVRUS

    IV Push med– do you always have to pull back for blood return?

    IVRUS replied to missjune's topic in Patient Medications

    Many times it is 'operator error' as to the reason why clinicians aren't able to get a blood return from a catheter. First try using a 3ml syringe. Also, gently withdraw not vigorous suctioning...
  5. IVRUS

    IV Push med– do you always have to pull back for blood return?

    IVRUS replied to missjune's topic in Patient Medications

    Who gives VANCO IV push? That is insane. Before the administration of ALL medications, especially vesicants, you MUST get a free-flowing blood return from the IV
  6. IVRUS

    IV Push med– do you always have to pull back for blood return?

    IVRUS replied to missjune's topic in Patient Medications

    Who said that a blood return is the ONLY thing that should be assessed? I never did. A blood return is one part of ones assessment in checking patency of ALL IV
  7. IVRUS

    IV Push med– do you always have to pull back for blood return?

    IVRUS replied to missjune's topic in Patient Medications

    Her blog spans info from 2017 and goes back several years. One must look at the published dates and use the "previous" button on the bottom of the page sited to see ALL the info. All of Lyn's...
  8. IVRUS

    IV Push med– do you always have to pull back for blood return?

    IVRUS replied to missjune's topic in Patient Medications

    What is imperative here, is that one looks at the articles in chronological order, as I said before, standards change with further research. And yes, all of the above in her article are duly...
  9. IVRUS

    IV Push med– do you always have to pull back for blood return?

    IVRUS replied to missjune's topic in Patient Medications

    Have you ever been called in as an expert in Infusion Therapy, Muno... Obviously not, because you would then know what the Courts look to for proper standards of care with
  10. IVRUS

    IV Push med– do you always have to pull back for blood return?

    IVRUS replied to missjune's topic in Patient Medications

    YOU obviously did NOT read what she wrote, but rather love forming your own opinions. She wrote: The 2016 Standards now call for obtaining a blood sample from a peripheral catheter during the dwell...
  11. IVRUS

    IV Push med– do you always have to pull back for blood return?

    IVRUS replied to missjune's topic in Patient Medications

    Well, I'm sorry you didn't get to the website. Yes, there is a dollar amount attached to the standards, but imo, well worth it. Also, check out one of the other leading INFUSION gurus, if you don't...
  12. IVRUS

    IV Push med– do you always have to pull back for blood return?

    IVRUS replied to missjune's topic in Patient Medications

    This is truly frightening to
  13. IVRUS

    IV Push med– do you always have to pull back for blood return?

    IVRUS replied to missjune's topic in Patient Medications

    Yes, We all know that short term peripheral IV catheters have fibrin building up quickly, frequently leading to withdraw occlusions, BUT todays standards of practice say that if one cannot get a...
  14. IVRUS

    IV Push med– do you always have to pull back for blood return?

    IVRUS replied to missjune's topic in Patient Medications

    BUT... part of assessing if any line is patent is checking for that blood return, AND making sure that the line flushes without resistance. You are seriously risking infiltration, if you're pushing a...
  15. IVRUS

    IV Push med– do you always have to pull back for blood return?

    IVRUS replied to missjune's topic in Patient Medications

    Your assessment for a brisk, freeflowing blood return is done with the Normal Saline syringe. Then, once you determine that you have line patency, give the IVP medication over the time frame
  16. IVRUS

    IV Push med– do you always have to pull back for blood return?

    IVRUS replied to missjune's topic in Patient Medications

    If you DON'T pull back to obtain a blood return, you aren't following best practices. EVERY IV catheter should yeild a brisk, free-flowing blood return which is the color and consistancy of whole...
  17. IVRUS

    Chloraprep reuse for IV insertion

    IVRUS replied to TXAZRNED2017's topic in Infectious Disease

    It is important to know the meaning of single use... ie. IV catheters are single use too. Once attempts are made to place it, and if it fails, one cannot use that same SINGLE USE item and restick it...
  18. IVRUS

    Chloraprep reuse for IV insertion

    IVRUS replied to TXAZRNED2017's topic in Infectious Disease

    Single use does NOT mean single patient... It means, once it's used,
  19. IVRUS

    Chloraprep reuse for IV insertion

    IVRUS replied to TXAZRNED2017's topic in Infectious Disease

    I would go to the BD website. On their videos regarding the ChloraPrep Frepp applicator, it reviews proper cleansing techniques and states, "DISCARD AFTER A SINGLE USE!!!" That's the manufacturers...
  20. IVRUS

    IV catheter styles...what one is safer?

    IVRUS replied to AmandaC83's topic in General Nursing

    The push button IV catheter, most likely is the Insyte Autoguard and it is an active safety device. Meaning, in order to be a safety device the clinician MUST activate the safety aspect of it, and...
  21. IVRUS

    Did you get a raise with IV certification?

    IVRUS replied to bebbjo's topic in LPN, LVN Corner

    Not entirely true... If the LPN received her nrsg license before 2000, then he/she was NOT grandfathered in and therefore, in order to work with IVT, must go to an approved class to get certified....
  22. IVRUS

    IV Push dilution methods... Is my method wrong?

    IVRUS replied to Axmann, RN, BSN, NREMT-B's topic in Patient Medications

    Your practice is dangerous and is against practice guidelines. First of all, prefilled saline syringes are SINGLE use only. In addition, so is the cap that covers the male tip of the syringe. Once...
  23. IVRUS

    Midline insertion question

    IVRUS replied to UnbrokenRN09's topic in Infusion, Intravenous

    You must use a 10cc syringe barrel or larger to assess patency, but once it's open, use whatever syringe you need to give a medication. For instance, if you're giving 125 mcg of dig, draw it up into a...
  24. IVRUS

    Midline insertion question

    IVRUS replied to UnbrokenRN09's topic in Infusion, Intravenous

    My question would be this: What vessel did you cannulate? At times, the cephalic vein narrows as it goes up the arm, while the basilic usually increases in size as it goes up the arm. My aim is to...
  25. IVRUS

    Need Port question answered by knowlegable nurses

    IVRUS replied to Bluanthrogrrl's topic in Infusion, Intravenous

    Hey Blu... What you've "always" thought is completely correct!!! Dig in your heels, and cite that this IS Infusion Nurses Society (INS) standards and if you were called into a court of law, your...