Binkey

Binkey BSN

Clinical Infusion Educator

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All Content by Binkey

  1. Guess the mispronounced medical term

    Binkey replied to EricJRN's topic in General Nursing

    Working for home care, I once had a woman asking for a refill of her son's IV meds..."He is out of Gancy-clover" "Can you send some more? She meant Ganciclovir.

  2. Dumb question

    Binkey replied to Schmoo1022's topic in Infusion, Intravenous

    Yes.. You would flush both lumens and many protocols delinelate a q 12 hour flush. So, If it is a open ended IV catheter, both lumens would be flushed q 12 with saline and heparin. However if it is a...

  3. IV Infiltration Treatment

    Binkey replied to John's topic in Infusion, Intravenous

    As an educator for infusion therapy, I encourage the use of warmth for an infiltrated IV site, but only if you have an isotonic solution or you have had an extravasation of a vinca-alkaloid....

  4. Blood transfusion via midlines?

    Binkey replied to cannulation's topic in Infusion, Intravenous

    INS discourages the use of midclavicular IV catheters.. Not midlines. In years past, midclavicular IV catheters (ones that terminate in the subclavian vein, or midway below the clavicle) were placed...

  5. Withdrawal of blood from piccs

    Binkey replied to cannulation's topic in Infusion, Intravenous

    While it is true that blood can be drawn from A PICC, it is important to remember that some will give you a better blood returns than others. A 3 FR PICC is usually unreliable in yielding a return...

  6. On call PICC nurse? Does such a thing exist?

    Binkey replied to KEVIN88GT's topic in Infusion, Intravenous

    Kevin, One way is to contact your local pharmacies and ask them if they hire RN's who have good IV skills (because they will want you to have that as a prereq). Omnicare is one company that services...

  7. Blood sampling from midlines

    Binkey replied to VASACCESSMAN's topic in Infusion, Intravenous

    A midline IV catheter should terminate before the axillary vein in the upper aspect of the upper arm. Therefore, though it is in a bigger vein than that which is in your forarms, it still doesn't...

  8. transfusion ??'s and other iv ??'s

    Binkey replied to dayshiftnurse's topic in Medical-Surgical

    Dayshiftnurse, #1- As long as your not needing to infuse that blood in a short time frame, you can infuse it via a 22g 1" IV catheter over a three to four hour time frame. Then, that same line can be...

  9. Port care question

    Binkey replied to AtlantaRN's topic in Medical-Surgical

    I too wonder why they weren't accessing the Port in the hospital, and then I'd wonder why she didn't demand it be done in that setting. Another question is "how long has it been since it had been...

  10. PASV PICC line care

    Binkey replied to IngyRN's topic in Infusion, Intravenous

    My first thought is: Is this a pt who is immunocomprimised? If so, he or she may be more prone to infections, however, that doesn't necessarily correlate to an increased frequency of drsg changes to...

  11. ideal syringe size for saline locks.

    Binkey replied to dsgrandmarn's topic in Infusion, Intravenous

    We teach our students that if the catheter is over 3" in length, use no less than a 10cc syringe to ascertain patency.

  12. KVO rate

    Binkey replied to kathys76's topic in Infusion, Intravenous

    Kathy76, Like many abbreviations, KVO can be problematic. KVO can be 0.2cc/hr or up to 50cc/hr. Normally, unless the facility that you work for has a set flow rate for what KVO is for that...

  13. On The Other Side Of The Bed

    Binkey replied to RNKC25's topic in Infusion, Intravenous

    Dear RNKC25, If your brother had TPN infusing via one lumen and continuous Lasix gtt via a peripheral line, then they were probably using the second lumen of the PICC for all the ancillary meds (IVP...

  14. what is your policy when central line won't allow blood aspiration?

    Binkey replied to shelq56's topic in CCU, Coronary, Cardiac

    Any catheter that is centrally placed (tip in SVC) should yield a blood return upon gentle aspiration of the syringe. However, if it is a PICC, that catheter should be a 4 French or greater as the 3...

  15. Can you get a job just inserting Iv's

    Binkey replied to IndyGypsyNurse's topic in Infusion, Intravenous

    Adriadawn, Try finding an Omnicare pharmacy in your area. Many of these pharmacys have infusion nurses that do just that... go around and start IV's. They place peripherals, midlines and PICC lines...

  16. PICC question

    Binkey replied to blsmom's topic in Infusion, Intravenous

    BLSMOM, Ideally, you want the patient to be on treatment for the infection and then once the patient is no longer febrile, place the line. In other words, place a short term periph until the above...

  17. Taking the CRNI exam

    Binkey replied to sbivrn's topic in Infusion, Intravenous

    Well, If you are taking it next week, it doesn't give you time to heed my recommendation, which is using the tapes that INS sells. They were important to me when I took it, particularily when...

  18. BD instye autoguard angiocaths- difficulty

    Binkey replied to enfermeraSG's topic in Infusion, Intravenous

    That is the exact reason that you can't thread it... This breaks the seal and allows you to thread it off.

  19. BD instye autoguard angiocaths- difficulty

    Binkey replied to enfermeraSG's topic in Infusion, Intravenous

    SG... Have you tried twisting the hub ( the colored portion ) prior to insertion? Twist the hub one way, and then twist it back into place and insert. Hope that helps..

  20. RL & piptaz

    Binkey replied to purseOnalityRN's topic in Infusion, Intravenous

    I am unsure where you are finding that info, but here in the USA, Zosyn can be given IVPB with LR, however the warnings are for reconstitution, not administration. LR will cause Zosyn to degrade after...

  21. Rn, Crni

    Binkey replied to rnatfahc's topic in Infusion, Intravenous

    The Purple Power PICCs are open ended IV catheters which require Saline and Heparin to maintain patency. However, if you are using an injection cap such as the CLC 2000 (an injection cap that converts...

  22. Need Help With Monitoring an IV: Solution Compatibility

    Binkey replied to Olsonizme's topic in Infusion, Intravenous

    There are different factors associated with chemical incompatibility: 1. Drug Concentration 2. pH of the solution 3. Volume of solution 4. Length of time that the medications are in contact 5....

  23. Need tips on removing IV

    Binkey replied to Erwende's topic in Infusion, Intravenous

    Erwende, A couple of things may help in addition to what other post have already stated; 1. Make sure that when you are removing the IV catheter that you remove it flush with the skin. Do not hold it...

  24. Port a cath question

    Binkey replied to CyndieRN2007's topic in General Nursing

    To ascertain patency of a vascular access device, or a patency of any catheter over 3" in length, always use a 10cc syringe with the appropriate amt of saline. Smaller syringes will generate PSI's of...

  25. Size of Angiocath for IV

    Binkey replied to nurseob7's topic in Ob/Gyn

    The important thing to remember here is whether or not this is a pt on a med-surg floor, or a pt in a LTC facility vs. a pt who is in the field (just having a MVA) or ER or OB. In an emergency, yes,...