Vesicants and Extravasation

These two terms defined by the Infusion Nurses Society means: Vesicant – an agent capable of causing blistering, tissue sloughing or necrosis when it escapes from the intended vascular pathway into surrounding tissue. Extravasation – the inadvertent infiltration of vesicant solution or medication into surrounding tissue. There are several chemotherapeutic agents with vesicant properties, and…

SPC Insertion Guide Card Deck

There is a great resource available to nurses and other healthcare providers. It is the SPC insertion guide card deck. The Short Peripheral Catheter (SPC) Insertion Card Deck provides step-by-step instruction for successful venipuncture in children and adults. The deck highlights proper site selection, insertion techniques, as well as care and maintenance methods. It also…

Think Safety, Insert Safely

In June of 2013, I was honored to chair a national task force for the Infusion Nurses Society’s (INS) project on Short Peripheral Catheter Safety (SPC).  Along with five other colleagues, we embarked on a task  to identify the safety and practice issues and  look at ways to promote safety in the insertion and management…

Q&A: IO and Blood Transfusion

Q:  A twitter colleague posted:  Can you give blood through an IO? A:  IO as in intraosseous access. An old concept that is now getting more attention as an alternate access for infusion therapy in emergent and non-emergent situations. IO access uses the intraosseous space that contains thousands of non-collapsible intertwined blood vessels that absorbs any fluids.…

Q&A: Tips to improve IV insertion skills

Q: Do you have any tips on how to improve my IV insertion skills? A: This is one of the FAQ and often comes from new blog readers. I have blogged about this many times before but I thought I’d post it again. To some of my long time readers, this may not be new…

Q&A: Insulin and PICCs

Q: What kind of IV solutions can be given through a PICC line? Is it safe to give Humolog insulin or should I start another IV line? A:  PICC is short for peripherally inserted central catheter. It is a central vascular access device (CVAD) inserted into an extremity and advanced in the venous system until…

Q&A: How can I be “IV certified”?

Q: How can I be IV certified? If I attend an IV program, will I be IV certified? A: If I get a dollar every time I get asked this question, I would be a very rich infusion nurse!!  But seriously, the confusion about IV certification have been in existence for as long as I…

4 -Ever More…

Today, the Infusion Nurse Blog is celebrating it’s “4th year” blog anniversary!!!  WOW…I can’t believe it has been four years already.  I am sincerely grateful and humbled  as our readers and site numbers continue to grow each year.  It is my hope that you will continue to visit, read, post comments, and subscribe to my blog posts.…

Q&A: PICC vs Midline

Q: What is difference between picc line and midline. How can you tell the difference if one is not the one who inserted it? A: By definition, the difference is: PICC is short for peripherally inserted central catheter. It is a central vascular access device inserted into an extremity and advanced in the venous system until…

Q &A : AC PIVs

Q: I know not to but reality is, many nurses use the AC (antecubital fossa) to start and dwell a peripheral IV. It is the easiest place to find a vein so why not use it? A: The antecubital fossa is in front of the elbow, bounded laterally and medially by the humeral origins of…