Positively bloody!

….as in  positive blood return when aspirating from central venous catheters (CVC).  Positive blood return means a free flowing blood return easily obtained on aspiration, and the color of whole blood. In other words, bloody RED, not pink-tinged. What a great feeling, knowing that the CVC is properly functioning and ready to use. NOT able to…

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…

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…

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.…

INS Exhibit Hall 2014 – Part 2 New PIV Technology

Don’t you just hate it when you stick a perfectly good vein  and end up going through the vein? Can you tell when the tip of the needle and the tip of the catheter have entered the vein to know when to advance the catheter into the vein? As I always do, here’s my disclaimer…

Exhibit Hall Experience INS 2014

At every INS Annual Meeting, the exhibit hall is the one of the highlights of the week.  I am very grateful to all the vendors who were there whether they had something new to show or not because their products contribute greatly to patient care and safety. Their willingness to educate nurses is always appreciated.…

ICYMI: Check out these ASHP Guidelines

1. The ASHP Guidelines on Home Infusion Pharmacy Services – defines the role of the pharmacist in providing home infusion care to patients and to outline minimum requirements (indicated by use of the word “shall”) and best practices for the operation  and management of services provided by pharmacies in the home or alternate-site setting.  Home…

Large Volume IV Solution Shortages

It just doesn’t seem right that the national crisis with “drug shortages” would include  large volume (1000mL) IV solutions we commonly administer to our patients: 0.9% Sodium Chloride Injection 0.45% Sodium Chloride Injection Lactated Ringer’s Injection 5% Dextrose Injection   But the reality is there is a shortage, IV saline solution, in particular is on…