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…

In case you are the IV patient…

I have now confirmed my blog readers are not only healthcare providers but are ‘actual’ patients. I get questions/emails/comments from them and they made it known to me that they are watching and noticing what we do to their venous access!!  LOL.. So in the spirit of sharing and learning, without revealing anything about them,…

Q&A – Implanted Venous Ports

Recently, I have had a few questions regarding implanted ports so I decided to post it here in the spirit of sharing and learning . Q:  A patient asked:  why is it that sometimes my nurse wears a mask to access my port and sometimes they don’t? Should they or should they not wear a…

It’s Q&A Time…..

On a regular basis, I get questions from readers and from Twitter colleagues. Here are some of the Q’s and my A’s which I thought I’d blog about it in the spirit of sharing and learning. 1. Vancomycin Q: We give Vancomycin IV on a regular basis through an IV site in the arm at…

R-E-S-P-E-C-T….PIV

Peripheral IV (PIV) placement is one of the common IV procedures performed by nurses (and other healthcare practitioners)  in hospitals and other healthcare settings, including long-term care, outpatient, and home care.  Perhaps because of its simplicity, many nurses have underestimated the risks involved with PIV placement, care and maintenance. I often hear them say, “it’s just a…

It’s that time of year….

December 25…a day to celebrate Christmas or that special holiday you celebrate! Many people are off from work taking time to celebrate with loved ones, friends, and family.  Many are working to keep us safe or away at war striving to protect our country and to care for those who are ill. That includes nurses and…

Nurses and Off Label Drug Use

At a recent meeting,  I was asked by an RN what her liability is if she administered an approved intravenous drug for an non-labeled indication prescribed by a physician to her patient and does she have the right to refuse to give the treatment even with the patient consent? A very interesting question and one that…

DC a CVAD…

as in discontinuing (removal) a central venous access device. Certainly, many of us have discontinued a central venous access device (central line) before. No big deal, right?  One key element to remember when discontinuing a CVAD is to include precautions to prevent air embolism. Air embolism from removal of central lines can occur when a…

Veins and Arteries..

By now, we should know the difference between a vein and an artery, right? I hope so, because we’ve learned this in nursing school unless you’ve forgotten those trivial matters, like names of veins and arteries. This could be the case especially when you don’t often use the names of the veins and arteries in…

IV policies and procedures..

..many facilities/organizations have them, some don’t. Many nurses know what their IV policies and procedures are, others don’t have a clue or don’t even know they should have one. Others say…yeah, we do have them  but here’s what we do! Borrowed from a previous post- “Terms of Confusion” about  Policies and Procedures: Policies are the established rules…