IVRUS BSN, RN

Vascular Access

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All Content by IVRUS

  1. IVRUS

    IV Rules at your Facility

    IVRUS replied to applesxoranges's topic in General Nursing

    Yes ILUVIVT, I agree with this new recommendation for IV catheters put in in the right way: Proper cleansing and care with insertion, and not a quick swipe as EMT's will do in an emergency. I...
  2. IVRUS

    IV Rules at your Facility

    IVRUS replied to applesxoranges's topic in General Nursing

    I am at a loss as to why, anyone would want an IV catheter, which is placed in LESS THAN DESIRABLE conditions/situations like in the ER or out in the field, say by a paramedic, would leave that IV...
  3. IVRUS

    New Nurse IV Struggles

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

    INS publications come every 5 years, so 2011 was the previous publication, and now, 2016, in January to be exact was the last publication. Yes, many hospital RN's and LPN's have no clue what INS is,...
  4. IVRUS

    New Nurse IV Struggles

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

    SLAPPING the vein is counterproductive and one gloving IT is just plain wrong. When one "Slaps" the skin over the blood vessel, this causing undue pain to the pt and often results in vessel spasm....
  5. IVRUS

    TPN Bag Wrong in Practicum

    IVRUS replied to Tracy0924's topic in General Students

    As GUY, so appropriately said, the problem is that whomever hung the bag, did NOT verify its contents, nor properly checked it with another medical professional before hanging. Now, I don't believe...
  6. IVRUS

    Tricks of the Trade for PICC placement

    IVRUS replied to Infusion50's topic in Infusion, Intravenous

    We use BARD® NICORE™Nitinol guidewire, and place only Groshong Midlines and PICC's. Patients are masked, and when I tell them to look and tuck, the instructions are given to them with their...
  7. IVRUS

    Picc line care/flushing

    IVRUS replied to Jer328's topic in General Nursing

    There are plenty of organizations who are still using Heparin Flush as their locking agent in NON-Valved IV catheter to prevent occlusion/fibrin buildup. And yes, many have gone to Saline "locking"...
  8. IVRUS

    Tricks of the Trade for PICC placement

    IVRUS replied to Infusion50's topic in Infusion, Intravenous

    Couple of things to note here: 1. You should NOT be advancing the guide wire past the AXILLA. A guide wire is just that: a wire to guide the dilator/introducer into the vein. 2. I too place PICC's...
  9. IVRUS

    starting IV's, pesky valves, just a rant

    IVRUS replied to brownbook's topic in General Nursing

    Ahhh, BUT IT IS WRITTEN "IN STONE"... You see Infusion Nurses Society (INS) sets standards for Infusion Therapy and one of their standards is that one nurse should make NO MORE than two Venipunctures...
  10. IVRUS

    How many air bubbles required to endanger patient?

    IVRUS replied to lauderek's topic in Infusion, Intravenous

    True, When looking for septal defects, air bubble agitation is done, but I will disagree with your statement which says it doesn't hurt the patients. Any amount of air produces changes in the smooth...
  11. IVRUS

    How many air bubbles required to endanger patient?

    IVRUS replied to lauderek's topic in Infusion, Intravenous

    There are different research papers which review actual cases related to Air Embolism (AE). The one I always remember is the elderly debilitated person who died from a 7cc AE. Now 7 cc is approx. 1/3...
  12. IVRUS

    Midline catheters?

    IVRUS replied to Everlearningnewbie's topic in General Nursing

    Agreed, But we also cannot make a blanket statement saying that absolutely blood will flow out of the IV catheter if the cap is removed. Because if it is Valved, 99.9% of the time, it will not...
  13. IVRUS

    Midline catheters?

    IVRUS replied to Everlearningnewbie's topic in General Nursing

    No, Blood will NOT JUST flow out when the cap is removed if the IV catheter is
  14. IVRUS

    Midline catheters?

    IVRUS replied to Everlearningnewbie's topic in General Nursing

    First of all, There are two types of Catheters: Valved and Non-Valved. Valved catheters have a valve either at the distal end of the catheter (LIKE A GROSHONG) or at the proximal end of the catheter...
  15. IVRUS

    Port question

    IVRUS replied to molliemiko's topic in General Nursing

    At times, one may open up a small vessel on the way out when deaccessing... this can lead to bleeding. But as others have asked, what did her labs look like, and was she on any medication which could...
  16. IVRUS

    What was it like to be a nurse in the 1980s

    IVRUS replied to fatrabbit's topic in General Nursing

    What I believe was the primary difference, is that in the 80's we had TEAM LEADING. Each RN worked side by side with their CNA to take care of their patients. The CNA did all vitals, and prepared the...
  17. IVRUS

    what causes PICC line insertion site leaking

    IVRUS replied to fangguixiao's topic in Infusion, Intravenous

    Namely because the thoracic duct, connects to the left subclavian vein bringing all of the lymph fluid into the blood stream. . Here, one has the primary connection of the lymphatic system to the...
  18. IVRUS

    New Nurse With Plantar Fasciitis

    IVRUS replied to Imyangski's topic in General Nursing

    Ohhh the pain of this condition... Been there, done that and will NEVER allow anyone to INJECT a steroid into the heel of my feet again!!! However, know that though this may be a reoccurring...
  19. IVRUS

    what causes PICC line insertion site leaking

    IVRUS replied to fangguixiao's topic in Infusion, Intravenous

    Yes, my first thought too is, thrombosis of line.. but that is highly unusual in a line that new, even though fibrin sheaths can develop in a matter of hrs (~24). But it also could be Chyle. This...
  20. IVRUS

    Boldness to Speak

    IVRUS replied to Parakeet's topic in Spirituality, Religion

    If anyone is spewing Babel, it must be known that this is the epitome of doctrine gone wrong! If OP is a Christian, and someone asks her to pray with them... She is just as capable, and maybe more so...
  21. IVRUS

    Boldness to Speak

    IVRUS replied to Parakeet's topic in Spirituality, Religion

    What right do you have to tell HER not to share with people? If the OP wants to share, bur then the recipient doesn't want what is being shared, then the receiver can discard the gift. You share...
  22. IVRUS

    Boldness to Speak

    IVRUS replied to Parakeet's topic in Spirituality, Religion

    EXACTLY... And I don't really care what you believe in, nor don't believe in. That is the beauty of living in a free society. We can all speak our mind, and I don't have to agree with you, nor you...
  23. IVRUS

    Boldness to Speak

    IVRUS replied to Parakeet's topic in Spirituality, Religion

    C'mon, Farawyn, you judge people every day... We all do.. That person lying in the gutter with an empty alcohol bottle in his hand.. Quick, what say you? That he is a man who has passed out from a...
  24. IVRUS

    Boldness to Speak

    IVRUS replied to Parakeet's topic in Spirituality, Religion

    I believe that the OP probably was thinking out loud.. and was merely saying that there are some people who say that they are Christian, but do not produce fruit, which always causing one to question....
  25. IVRUS

    Boldness to Speak

    IVRUS replied to Parakeet's topic in Spirituality, Religion

    People become out-of-joint, simply when one mentions the fact that Jesus is the ONLY WAY. That is not a mystery, but it is ones desire to not offend, to keep thing even keel, and to be mansy-pansy...