What? Seriously?

I’ve had conversations with several RN colleagues that left me saying, are you serious? I hesitated writing about this but I thought I’d share so we can all learn and avoid doing the same. 1. Whatever happened to those “multi-use” syringes? That’s crazy that I can’t reuse syringes when I’m just drawing up medication for…

NIOSH 2014 List of Antineoplastic & Other Hazardous Drugs in Healthcare Settings

This is an updated version of  the National Institute of Occupational Safety and Health (NIOSH) hazardous drugs list. So what’s new in this current update? The text for the update to the 2014 list was updated and expanded to reflect the complexity of safe handling issues that have arisen over the past few years.  This…

Q&A: When is a single use syringe considered used?

Q:  You will think I am a complete idiot but please explain when is a single use syringe considered used? I need to explain to my practice manager why I can’t re-use a syringe while reconstituting a powdered medication for injection. My practice manager is complaining that I am using too many syringes and needles which…

Q&A: PICC line dressing – clean or sterile?

Q: Can you please let me know if a PICC line dressing can be a clean procedure or does it have to be sterile? A:  First, I will direct you to your organization’s policy and procedure on central vascular access device (CVAD) dressing change procedure to determine the procedure to follow. If you can’t locate…

RNs mixing IV medications

A nurse colleague started a new job as an infusion nurse for a physician office based practice offering infusion services (non chemo) to their patients. After a few days, the nurse left the new job for the following reasons:  Another RN in the office routinely mixes IV medication for the infusion nurses to administer. The IV medication…

How frequent should you check PIV sites?

In the past, we have routinely replaced peripheral IV catheters every 48-72hours. Since INS 2011 Standard for Infusion Nursing revised it to site rotation based on clinical indications, PIV site assessment is even more important now. So how frequent should you assess the patient’s peripheral IV site? According to the latest Position Paper from the Infusion…