Binkey

Binkey BSN

Clinical Infusion Educator

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All Content by Binkey

  1. Quit my job...

    Binkey replied to flashpoint's topic in General Nursing

    Cotjockey.. I wouldn't be angry in the least... You have to let it go. They are in the wrong. Sometimes that proverbial door closes, so that we may enter through majestic gates. It is so sad that...

  2. Plebitis and Dobutamine

    Binkey replied to angelique777's topic in Infusion, Intravenous

    A couple of key things to remember here is that 1. Dobutamine and Dopamine are Vesicants. Therefore, these medications are very caustic to the inner lining of the vein (the tunica intima), and should...

  3. Time it takes???????

    Binkey replied to blsmom's topic in Infusion, Intravenous

    Yes, I agree with Suzanne, the variables will make a big difference. However, It usually takes me 1-1.5 hours to check the chart, review procedure with pt, have consent signed, and place the line....

  4. Blood Transfusions: How fast do you go?

    Binkey replied to Genista's topic in Medical-Surgical

    Wow... Running a transfusion in at 300cc for the first hour, or 75cc for the first 15 minutes is way to fast according to published standards. Your hemolytic reactions will usually be detected during...

  5. I feel so bad- anyone else ever done this?

    Binkey replied to LoriAlabamaRN's topic in General Nursing

    Lori, The important thing to remember with elderly patients is that those ropes that are on the back of their hands, aren't the best veins to cannulate. Though they appear large, they have lost much...

  6. What is "KVO" on your unit?

    Binkey replied to KellNY's topic in General Nursing

    In reality, Unless your institution has a written policy of what KVO is for that facility, Writting an order for KVO can be problematic. KVO can be anything from 0.2cc/hr to 50cc/hr. So, when...

  7. Bad Habits Nurses Develop

    Binkey replied to Debbie_LPN's topic in General Nursing

    By removing one finger from the glove, you put the patient at greater risk for a site infection, as well as expose your skin to body fluids. Once an area is cleansed for placement of a peripheral IV...

  8. Placing midlines on same side as pacemaker

    Binkey replied to RNladybug26's topic in Infusion, Intravenous

    RN LadyBug.. I would not have any problems placing a Midline on the side with a pacer, but a PICC could be a problem. The older pacemakers will have a decreased risk of lead fracture with its...

  9. Question re hypertonic solutions

    Binkey replied to heron's topic in Infusion, Intravenous

    Heron, According to Infusion Nurses Society(INS) standards, Any solution with a dextrose concentration of greater than 10% should go centrally. These hypertonic solutions are too damaging to the...

  10. "Y" tubing and transfusion reaction

    Binkey replied to NYNewGrad's topic in Medical-Surgical

    Dear NY Newgrad, One of the purposes of the Y tubing is to allow you to set-up and prepare for the blood transfusion ie.. starting the NS fluids and then hooking up the Blood once you have the unit on...

  11. picc line migration

    Binkey replied to mark_49's topic in Infusion, Intravenous

    Mark, The patient has a good chance of filing and winning here. I am surprised that your "central line team" would follow that MD's order when it was totally against standards. They courts will use...

  12. Infusaport Question

    Binkey replied to webblarsk's topic in Infusion, Intravenous

    grlnxtdr88, No, I would not attempt to access and flush the device. Most nurses first concern is that of a blood clot at the distal end. But, even if there wasn't a clot present, the catheter is...

  13. New nurse and would love to work in dialysis cnter

    Binkey replied to chix's topic in Dialysis, Renal, Urology

    Congrats on passing the board! In my humble opinion, you would do best by working a year or two on a medical surgical floor in a hospital and then switch to a critical care floor. Once you've had 6...

  14. IV therapy

    Binkey replied to jkdttown's topic in Infusion, Intravenous

    Well JKDT, Both of the solutions that you referenced are hypertonic, So ideally infuse them into the largest vessel possible. D5LR not only provides electrolytes, but also dextrose for calories....

  15. Air Embolism

    Binkey replied to Nellie Nurse's topic in Infusion, Intravenous

    Nellie, Small amounts of air in IV tubing usually is inconsequential, however, there has been reports of pts dying, especially if they are elderly and infirmed, with as little as 7 cc of air. As far...

  16. 3 fr Non-groshong PICC with CLC 2000 cap

    Binkey replied to cherricka's topic in Infusion, Intravenous

    Hello, I believe a key question here should assess the way that CLC 2000 injection cap is being used. The CLC 2000 injection cap works well to convert a open-ended IV catheter to one that requires a...

  17. Lactated Ringers Solution

    Binkey replied to Concordas's topic in Infusion, Intravenous

    Dear Concordas, Lactated Ringers solution is the most frequently given balanced electrolyte fluid. It is an isotonic solution which means its osmolarity is similar to blood plasma (~ 290) When...

  18. Midline PICCs

    Binkey replied to ghostcat's topic in Infusion, Intravenous

    Ghostcat, Thanks for clarifying the previous info... At my place of employment we service approx. 300 LTC facilities and often place midlines in pt's who have less than 4 weeks of Vanco left. If...

  19. Midline PICCs

    Binkey replied to ghostcat's topic in Infusion, Intravenous

    Okay Ghostcat.. I'm a little confused here. Are you asking about a midline catheter which is not a PICC as it terminates in the upper arm before the axillary vein (6-8 inches long) or are you talking...

  20. Picc Insertion

    Binkey replied to suhurd's topic in Infusion, Intravenous

    Just to elaborate... One reason that the central lines that are placed in the subclavian or IJ area have a 10-15% infection rate is because the trunk is moist and warm and bacteria can colonate in...

  21. alcohol site prep

    Binkey replied to blufoxtrot's topic in Infusion, Intravenous

    Yes, You are correct about the friction scrub, and using the no-touch technique after prepping, but INS does not discourage tape (sterile tape) under the dressings. As a matter of fact, it is...

  22. Confirming PortACath access

    Binkey replied to sjb2005's topic in Oncology

    ShellyJellyBelly, An Implanted port that does not yield a blood return, should be a port that warrents attention....The presence of a blood return is imperative especially if you are giving a...

  23. How to deal with unexpected deaths of nurses and other health care professionals

    Binkey replied to confused101's topic in General Nursing

    Dear Confused, Perhaps we will never know the "why's" of a situation like this, especially not in this life. One individual posted that she hated it when someone says " everything happens for a...

  24. piggybacked to death

    Binkey replied to RNAnna's topic in Medical-Surgical

    RN Anna, Whenever you have a questions regarding IV Therapy, your best bet is to check and see what INS standards are. If the facility that you are working for has policies and procedures that...

  25. misdirected venipuncture

    Binkey replied to OITnurse82's topic in Infusion, Intravenous

    Though I would feel inclined only to speak to the individual in question, (versus writing him/her up), I would inform them though that directing the cannula away from the heart is an inappropriate VP...