Category Archives: Nursing blogs

Yearly Tribute 9/11

We will always remember…..September 11, 2001.

It was a day no one would ever forget. I remember exactly where I was and what I was doing at the time. I remember feeling lucky that although I was at an airport, I was not on an airplane.

We will always be grateful to the courageous firefighters, rescuers and first responders who risked their lives to save those in the rumbles of this dreadful day.

We will always remember those who died from this tragedy, whose memories we celebrate today.

But as we remember those who are no longer with us in this world, let us not forget those who survived or were left behind…those whose lives were forever changed..those who will always be guilty that they survived.

tumblr_mstyix3k441r2bebho1_500

 

Leave a comment

Filed under Cora Vizcarra, Infusion Nursing, InfusionNurse, Nursing blogs

FIVE Year Blog Anniversary Gift

To celebrate the “FIVE” year blog anniversary and to thank you for your continued support, I am giving away “FIVE” free registrations to  a web seminar on September 18, 2014 entitled:  A Closer Look at Peripheral IVs

Description
Intravenous therapy via a peripheral IV (PIV) catheter is one of the common IV procedures performed by nurses in hospitals and other healthcare settings, including long-term care, outpatient, and home care.  PIVs are used for medication administration and/or infusion of IV solutions.  Because PIV placement is such a common and simple nursing procedure, nurses may underestimate the risks and the consequences of complications such as phlebitis, infiltration/extravasation, infection, and nerve damage.  In this presentation, the importance of appropriate PIV site selection, techniques to reduce complications, and the importance of monitoring the PIV site will be addressed.

Here’s how to participate:

1. You must reside in the United States and available to attend on Sept 18, 2014 1-2pm ET

2. Send a comment to this post.  The comments must be in response to this particular post in order to be considered an entry. Comments (entry) must include your first and last name, a valid email address, and  the phrase – “Fabulous 5 giveaway”

3. This free offer is valid only for the webinar on Sept 18, 2014. Offer does not apply to any other events.

4. Five entries will be selected. You will be notified by email if you’re one of the five winners. No substitution will be allowed.

5. Offer ends on September 12, 2014 12noon ET.

IMG_2607-5.JPG

 

 

 

2 Comments

Filed under CRNI, Infusion Nurse Chat, Infusion Nursing, Infusion Nursing Standards of Practice, InfusionNurse, IV, IV start, IVchat, Medical bloggers, Nursing, Nursing blogs

Thank you for taking the survey

My sincerest thanks to everyone who took the survey on the “Use of Unlicensed Healthcare Personnel in the provision of infusion therapy” posted on Aug 8, 2014. You were very gracious in responding and we sincerely appreciate your feedback. The survey is now closed and we will share the results when ready.

Leave a comment

Filed under Infusion Nurse Chat, Infusion Nursing, IVchat, Nursing, Nursing blogs, Patient Safety

Looking for RNs to take a SURVEY!

If you are a registered nurse currently working with/delegating/supervising “unlicensed healthcare personnel” (UHCP) also known as “unlicensed assistive personnel” (UAP), would you be interested in answering a short survey related to the use of unlicensed healthcare personnel in the provision of infusion therapy?

The survey is open to US registered nurses from all healthcare settings who work with, delegate/and/or supervise UHCP. The survey results will be integrated in a project for the Infusion Nurses Society.

fgx_button3

(Click sign ^^ above to take the survey)

If you have any questions, please use the comment section of this post. Your comment will reach me first and will not be posted publicly. I will reply as soon as possible.

Thank you so much! Your help and willingness is greatly appreciated!

 

 

Comments Off

Filed under Certified Nurses, CRNI, Infusion Nurse Chat, Infusion Nursing, Infusion Nursing Standards of Practice, Infusion Therapy Resources and References, InfusionNurse, IV, IV start, IVchat, Medical bloggers, Medication Administration, Medication Errors, Medication Safety, Nursing blogs, Patient Safety, Physician's offices, State Board Of Nursing, VA-BC, Venipuncture

Q&A: BP cuff for vein distention

Q: I am a new RN and was always told that I can use a BP cuff to distend the veins for IV starts instead of a tourniquet. Can you tell me how high should I pump the cuff?

A:  BP cuff is one method that can be used for vein distention while assessing veins for venipuncture and during the actual venipuncture. There are various views on what the inflation pressure is best for this purpose  and the consensus opinion appears to indicate  just below diastolic pressure.  Here’s what the following infusion nursing/infusion therapy textbooks indicate:

1. Alexander et al:  Infusion nursing an evidence based approach 3rd edition 2009 states: You can inflate the cuff and release to just below the diastolic pressure.

2. Philips & Gorski Manual of IV Therapeutics 6th edition 2014:  You can apply the BP cuff on the patient’s arm, then slightly pump the cuff to about 30mmHg  The authors added this nursing fast fact: when using a blood pressure cuff, care must be exercised not to start the IV too close to the cuff, which causes excessive back pressure.

3.  Weinstein & Hagle Plumer’s Principles and Practice of Infusion Therapy 9th edition 2014. The patient’s blood pressure cuff may be used to distend the vein; inflate the cuff and then release it until the pressure drops to just below the diastolic pressure.

As an infusion nurse, I’ve only used a BP cuff in lieu of a tourniquet a few times when starting an IV.  I’ve found that inflating and releasing to about 30-40mm Hg provided sufficient distention without increased discomfort to the patient.

Good luck and thank you for your question.

hand-held-aneroid-sphygmomanometers-67891-133555

Comments Off

Filed under Certified Nurses, Continuing nursing education, Cora Vizcarra, In office infusions, Infection Control and Prevention, Infusion Nurse Chat, Infusion Nursing, Infusion Nursing Standards of Practice, Infusion Therapy Resources and References, InfusionNurse, IV, IV start, IVchat, Nursing, Nursing blogs, Patient Education, Patient Safety, State Board Of Nursing, Toruniquets

Happy 4th of July!

Always proud and grateful to live in this country! Have a safe and wonderful 4th of July!!

american_flag-971804

Comments Off

Filed under Infusion Nurse Chat, Infusion Nursing, InfusionNurse, IV, IVchat, Nursing, Nursing blogs

Why do nurses use the same alcohol swab over and over?

I know, this may come as a surprise to all of you, but the truth is, I have seen many nurses (even those highly trained and specialized) both in hospitals and outpatient settings, use the same alcohol swab over and over.

Imagine this scenario where a nurse is ready to withdraw medication from several vials. The nurse rips open a swab, then removes the swab from the package using the thumb and forefinger, literally touching the entire surface and both sides of the swab, then proceeds to disinfect the top of one vial. Then using the same swab, the nurse proceeds to disinfect the top of the next vial, and repeats the same until all vials are disinfected, still using the same swab. The swab is then laid on the work surface, and if additional disinfection of the vial is required, the nurse picks up the same swab and proceeds to use it again. The same observation is true when disinfecting Y-sites, connection hubs or needleless connectors attached to vascular access devices. Rip open an alcohol swab, pick up with thumb/forefinger, disinfect hub, then either lay swab on surface or disinfect another hub with same swab. Why do nurses re-use alcohol swabs?

When brought to their attention and nurses are asked – why are you re-using the alcohol swab? Often, I get a blank stare or I get this..“what do you mean”look, and I don’t get an answer. Sometimes I get this answer, “its alcohol, dummy!” or “it’s still wet”. I think back to my nursing school training and I tried to recall what my Fundamentals instructor told us about how to use alcohol swabs. I honestly don’t remember what we were told, whether or not to reuse, or use till dry…..maybe I skipped school that day.

I can’t find evidence based research about re-using alcohol swabs. The fact is that an alcohol swab (aka alcohol prep pad) contains 70% Isopropyl Alcohol and is sterile while in the package. When removed, we need to take great care not to contaminate it with our fingers before we even use it for disinfection. Discard after one use, even if the alcohol swab is still dripping wet. When disinfecting several vials, use one alcohol swab per vial; don’t share alcohol swabs between the vials. I am aware that there are non-sterile alcohol prep pads available in the market, often used by diabetic patients for insulin injections. If selected to be used for disinfection, discard after use. Alcohol swabs are inexpensive and always available. Let’s put this in perspective, if you are the patient, do you want your nurse re-using alcohol swabs on you?

So next time you are getting ready to open an alcohol swab, will you remember hold the swab properly and not to re-use?

alcohol2

 

Comments Off

Filed under Certified Nurses, Cora Vizcarra, CRNI, Disinfection Caps, Infection Control, Infusion Nurse Chat, Infusion Nursing, Infusion Nursing Standards of Practice, Infusion Therapy Resources and References, InfusionNurse, IV, Medication Administration, Nursing, Nursing blogs, Patient Safety, Physician's offices, REMICADE, State Board Of Nursing, VA-BC, Venipuncture