IVRUS BSN, RN

Vascular Access

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All Content by IVRUS

  1. IVRUS

    Unprimed IV flush

    IVRUS replied to wailingtrees's topic in General Students

    The volume of air in many extension sets that are to be attached to the IV catheter is a fraction of a ml. (not 2-3 mls) Many PICC's hold 1 to 1.25 mls. Micro bore sets hold even
  2. IVRUS

    Vanco peak & trough times

    IVRUS replied to alarla's topic in Infusion, Intravenous

    Normally P&T are NOT done for Vanco, but they are done for your aminoglycosides (Tobra, Gent, Amikacin). When they are ordered, Trough is done at 0830 for a 9 AM dose and then Peaks for Vanco...
  3. IVRUS

    Precepting in IV therapy

    IVRUS replied to nurseshellyRN's topic in Infusion, Intravenous

    Well YAY for you! Congrats... AND 1. IV therapy is a very exciting and ever changing as a nursing career. 2. Brush up on your Sterile technique as this will be mandatory when changing dressings and...
  4. IVRUS

    Is it normal that my school doesn't teach us IVs?

    IVRUS replied to Annie_1101's topic in General Students

    Nope, didn't miss the point at all.... Many nurses see this as a rudimentary skill, and not something that is specialized. INS STATES: "Infusion therapy is one of the most invasive, high-risk...
  5. IVRUS

    Is it normal that my school doesn't teach us IVs?

    IVRUS replied to Annie_1101's topic in General Students

    If you are equating your placement of an IV catheter to a MONKEY, and saying that you both can place them with equal success, then I have a great fear for your patients. In addition, DO NOT ever come...
  6. IVRUS

    single mom about to start BSN

    IVRUS replied to LAD2015's topic in General Students

    YES it can be done...Back in the early 80's I was a divorced MOM with two babies... and attended nursing school during the week and worked every weekend. I was the only student to take a full...
  7. IVRUS

    Skills required for starting an IV

    IVRUS replied to allnurses's topic in General Students

    Although many places may video an educational offering, it does NOT mean that the video is thoroughly appropriate. Students please note: 1. As others have posted, you do NOT need a 20 g, much less an...
  8. IVRUS

    Port-a-cath issues!!!!

    IVRUS replied to Tolos's topic in Infusion, Intravenous

    Well most research points to the fact that when any central line is involved with a thrombus, but NOT infected, it should have a 4-6 hour slow drip infused of a thrombolytic agent ( TPA ). If it is...
  9. IVRUS

    Implanted Ports & Heparin Flushes

    IVRUS replied to HMarie13's topic in Oncology

    HIT is NOT concentration
  10. IVRUS

    Implanted Ports & Heparin Flushes

    IVRUS replied to HMarie13's topic in Oncology

    Standard 40, practice criteria I-6 speaks to HIT. [pg S78) In addition, Standard 28- Practice criteria F speaks to flushing and locking with Saline and / or Heparin flush. Since Heparin flush...
  11. IVRUS

    How do you draw up small amounts of medications for Picc lines?

    IVRUS replied to Hockeynursing's topic in Patient Medications

    But notallwhowonder, Just because an institution has policies in place doesn't meant hat that particular policy is correct, or up-to-date, which this one is NOT. Bring this to your education committee...
  12. IVRUS

    How do you draw up small amounts of medications for Picc lines?

    IVRUS replied to Hockeynursing's topic in Patient Medications

    Becton Dickson (BD) makes a prefilled syringe which has a 10cc syringe barrel diameter. So, they provide a 3cc in a 3ml syringe, and a 5cc in a 5ml syringe but the actual barrel of their syringes are...
  13. IVRUS

    New BSN Nurse with Minimal Guidance in LTAC: I want to do things right

    IVRUS replied to Nurse Beth's topic in Career Advice Column

    So, you are saying that you can't rely on the EDUCATION/STAFF DEVELOPMENT person to give you the needed information to do your job right??? Or that you're afraid to ask, even though patient outcomes...
  14. IVRUS

    Central Line safety

    IVRUS replied to NursingOR's topic in Patient Safety Issues

    ILUVIVT is correct again, If the IV catheter has clamps, then it is open-ended and non-valved. However, some central lines, like the Hickman Tunneled IV catheter have a sleeve on it, which...
  15. IVRUS

    New BSN Nurse with Minimal Guidance in LTAC: I want to do things right

    IVRUS replied to Nurse Beth's topic in Career Advice Column

    "The Staff Development Dept REALLY needs to be involved with her educational needs, even though your OP is hesitant to go that route. That is that dept's job. But it seems a more direct route for...
  16. IVRUS

    How long does it take for your IV/blood withdrawal information to show on the states site?

    IVRUS replied to Life22feb's topic in General Nursing

    Most states have a particular amount of days that each instructor has to get all the paper work into the state once the class has been completed. For instance, the state I reside in gives me 30 days....
  17. IVRUS

    Moving to Fort Worth, TX

    IVRUS replied to nyrigagirl's topic in General Nursing

    Wow.. what a long move, and a bold one... I admire your goals, and will tell you that Texas is a great place to live, and if I could, I would move back there in a hurry. Fort Worth, and Arlington TX...
  18. IVRUS

    PICC in wrong place

    IVRUS replied to mistymae22's topic in General Nursing

    Well, I see this as problematic. "Okay to use" verbiage from a Radiologist can be that the tip is anywhere fromt he subclavian to brachiocephalic to the Right Atrium. So, the nurse takes this...
  19. IVRUS

    Infusion spike

    IVRUS replied to guilty's topic in Infusion, Intravenous

    As long as that guilt, causes a change in behavior, you'll remember next time, and patient care won't be compromised.
  20. IVRUS

    Infusion spike

    IVRUS replied to guilty's topic in Infusion, Intravenous

    What should have been done is this: the contaminated IV tubing should have been thrown away, and new tubing obtained to spike the bag. When IN DOUBT, throw it out! The spike is a "No touch"...
  21. IVRUS

    PICC in wrong place

    IVRUS replied to mistymae22's topic in General Nursing

    To give any medication into any central line and NOT know where the tip of the IV catheter is just negligence, and that includes a PICC as it is one type of central line. Yes, any IV catheter can...
  22. IVRUS

    Power Injectable PICC occlusion

    IVRUS replied to kimhl's topic in General Nursing

    If these Power Injectable IV catheters are BARD PowerPICC, and Power PICC Solo, then Yes I agree with you... These are the two culprits known in my world to occlude quick, fast and in a hurry. Let's...
  23. IVRUS

    Tricks of the Trade for PICC placement

    IVRUS replied to Infusion50's topic in Infusion, Intravenous

    Pain medication alone, may not be the best.. I would add an antianxiety med: Xanax or Ativan. Then, I have always found much better
  24. IVRUS

    New Nurse IV Struggles

    IVRUS replied to mer015's topic in First Year After Licensure

    " An sometimes you just have to go in blind to the AC and hope you stick something that is not an artery - if ultrasound is not available. Arteries are hard, if you are trying to poke something hard -...
  25. IVRUS

    New Nurse IV Struggles

    IVRUS replied to mer015's topic in First Year After Licensure

    So, the expertise of a Vascular Access Specialist isn't recognized by you, unless you see them place lines in areas that shouldn't be used in the first place??? JUST because you CAN place an IV...