IVRUS BSN, RN

Vascular Access

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All Content by IVRUS

  1. IVRUS

    PICC: aspirate blood before every infusion?

    IVRUS replied to mlolsonny's topic in Infusion, Intravenous

    YES, YES, AND YES! Each time, Every time! Now, once you assess and have patency with NSS, then you don't need to assess it again if you are heparinizing the line after your saline flush, but a brisk,...
  2. IVRUS

    port accessing tips.

    IVRUS replied to busybee04's topic in Oncology

    Heparin Flush will prevent fibrin build-up. Keeping a line open with Saline only is doable, but one should be flushing at greater intervals if that is what you are using. In hospital settings, they...
  3. IVRUS

    Heparin Flush

    IVRUS replied to Kelly_the_Great's topic in Infusion, Intravenous

    Infusion Nurses Society (INS) reviews in its standards, that Heparin Flush, if it is to be used on Non-Valved IV catheters should be the lowest concentration available. In hospitals, most IV...
  4. IVRUS

    ER registered nurse

    IVRUS replied to eileendg1989's topic in Infusion, Intravenous

    I would contact BARD. They often provide PICC "certification"
  5. IVRUS

    PICC: aspirate blood before every infusion?

    IVRUS replied to mlolsonny's topic in Infusion, Intravenous

    A curos cap is a good idea, but if it is not your policy to use them, then scrub, scrub , scrub that needleless connector each and every time before you enter
  6. IVRUS

    Getting a CVC IJ dressing to stick with facial hair

    IVRUS replied to RNKPCE's topic in Infusion, Intravenous

    This is a total NO-NO. Shaving causes microabrasions and possible staph infections. If you must, clip the
  7. IVRUS

    PICC: aspirate blood before every infusion?

    IVRUS replied to mlolsonny's topic in Infusion, Intravenous

    So, let's say that you are giving an IVAB. Med is due at 0600. At 0555, you do all your checks on the IV catheter/drsg, you check the saline syringe, and you do a good, vigorous scrub of the...
  8. IVRUS

    sterile technique question for implanted port accessing

    IVRUS replied to allthesmallthings's topic in Infusion, Intravenous

    That is why you are PALPATING initially with non-sterile gloves on, so that you only have to stabilize the port's body with one hand, while accessing it with the other hand. Yes, with sterile gloves...
  9. IVRUS

    Help! Struggling with IV placement in hand

    IVRUS replied to Guest1167668's topic in Infusion, Intravenous

    Well, Your process doesn't appear problematic, but how is your tourniquet placement? If you are placing the line on a geriatric pt, you may very well have difficulty being successful if you...
  10. IVRUS

    TPN infusing when to change PICC drsg?

    IVRUS replied to avado's topic in Infusion, Intravenous

    Any issues/complications, real or imagined, must come under the PRN dressing change tab. If you think you are seeing redness under at the site, that is a time when you MUST perform a sterile dressing...
  11. IVRUS

    PICC dressing change with 3M Tegaderm with CHG

    IVRUS replied to utah23LPN's topic in Patient Medications

    https://multimedia.3m.com/mws/media/993615O/picc-cvc-chg-device-application-guide.pdf Maybe their website instructions can
  12. IVRUS

    Best practice for locking a central line with heparin.

    IVRUS replied to kristine_bean's topic in Patient Safety Issues

    Kristine, What is the concentration that you are using to "lock" the PICC line? Standards, and many Policies have you locking catheters with the lowest concentration, namely 10 units/mL. With...
  13. IVRUS

    How do I get IV experience?

    IVRUS replied to Mich888's topic in Infusion, Intravenous

    I would try to find a Post Acute / LTC facility which takes complex patients. We have a couple in my area that take vents/trachs, and they do tons of IV therapy. Given that you are such a new RN, I...
  14. IVRUS

    port accessing tips.

    IVRUS replied to busybee04's topic in Oncology

    Were you actually ACCESSING an implanted port, or truly de-ACCESSING? Upon accessing, some ports are easier to access if the patient is sitting up; this is especially true if the pt is a large...
  15. IVRUS

    Can 3% normal saline be given peripherally and in a non ICU/ER setting?

    IVRUS replied to LvlupNurse's topic in Patient Safety Issues

    First of all Karen, this conclusion, imo, is nonsensical. Yes, having a central line in increases the chance of large vessel thrombosis, but the benefit of having it is so much better than the...
  16. IVRUS

    Cleocin IVPB

    IVRUS replied to Newnewnewtoit's topic in Patient Medications

    I too would have obtained an order for a "chaser" bag with this 50 ml IVAB. Not doing this, leaves too much medication in the IV administration set, whereas having it as a secondary will increase the...
  17. IVRUS

    Can 3% normal saline be given peripherally and in a non ICU/ER setting?

    IVRUS replied to LvlupNurse's topic in Patient Safety Issues

    I get that, you probably don't but I would seriously bring this up with your staff development person and
  18. IVRUS

    Can 3% normal saline be given peripherally and in a non ICU/ER setting?

    IVRUS replied to LvlupNurse's topic in Patient Safety Issues

    I would NEVER run a vesicant medication such as this via a MIDLINE. That is a huge NO-NO. Think about it: Can you see, much less palpate the blood vessels under the shoulder or right before the...
  19. IVRUS

    IV Question!

    IVRUS replied to tennisace95's topic in Patient Safety Issues

    Another important thing to remember is that some IV catheters are packaged and sent to you "heat sealed". Insyte Autoguard IV catheters used to be that way. Therefore, the junction of the IV...
  20. IVRUS

    Considering infusion nursing

    IVRUS replied to J-lynn's topic in Infusion, Intravenous

    Feel free to PM me, and I'd be happy to speak with you on the
  21. IVRUS

    CLABSI - Multiple lumens vs Y sites

    IVRUS replied to CN21IVT's topic in Infusion, Intravenous

    Standard 36 specifically addresses add-ons and it states, " When indicated, preferentially use systems that minimize manipulation and reduce components, such as integrated extension sets" Therefore,...
  22. IVRUS

    Considering infusion nursing

    IVRUS replied to J-lynn's topic in Infusion, Intravenous

    What is it about Med/Surg do you hate? If it's the fact that they have many different types of IV catheters and IV medications, then Infusion nursing is not for you. Infusion nursing is sooo much...
  23. IVRUS

    CLABSI - Multiple lumens vs Y sites

    IVRUS replied to CN21IVT's topic in Infusion, Intravenous

    WOW!, 6 lumens.. Is the patient that much of a sick puppy??? First of all, like you, I know that the more lumens means more manipulation, and an increase in CRBSI's. But, also remember that this is...
  24. IVRUS

    Tricky portocath

    IVRUS replied to csheprn's topic in Infusion, Intravenous

    IMPLANTED PORTS are sutured into a subcutaneous pocket. If these sutures broke, the port will travel under the skin and be hard to pin down. The MD should go in and fix this problem. Now lack of...
  25. IVRUS

    Flo Valley Fall 2015

    IVRUS replied to lk517's topic in General Students

    I don't know who you are, or what the issue is, but if you read the first two posts, this person seemingly was frustrated because over several days without a response to her OP, she came back. So, it...