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…
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…
….vascular access devices, that is! Yes, just like our patients, many celebs have had a vascular access device placed to receive medical treatments. As an infusion nurse, I have made mental note of celebs who have publicly admitted they’ve had a PICC line or any other central venous access devices (sad, I know). And the…
Midline catheters have been around since the 1950’s and with the increasing popularity of other venous access like PICCs, many have forgotten about this viable option for venous access. So let’s take a second look… A midline catheter is approximately 3-8 inches long and is inserted in the antecubital area and advanced into the peripheral…
This maybe old news to some…but others may have missed it… Infiltration: Checking for blood return or back flow of blood is good for patency but not a reliable method for assessing infiltration at IV site. If infusion continues to run when you apply digital pressure 3 inches above peripheral IV site in front of…
… as in blood return… which, to an infusion nurse is truly exhilarating! When I am challenged to insert a 24g peripheral IV catheter in a tiny, invisible vein of a dehydrated infant, I jump for joy as I watch anxiously for the blood return and pray that blood continues to backflow as I advance…
We’ve all heard it before…in healthcare, anything can happen, hence there is no guarantee. Well, that is until the press release for a new needlefree catheter patency device called “Neutron” came out on Oct. 4, 2011. Click here for the press release. Neutron, according to its manufacturer ICU Medical, is the world’s first and only…
Scrub….don’t wipe!!! According to the 2011 CDC guidelines section on “needleless intravascular catheter systems” statement #4 : “Minimize contamination risk by scrubbing the access port with an appropriate antiseptic (chlorhexidine, povidone iodine, an iodophor, or 70% alcohol) and accessing the port only with sterile devices. Category 1A” This is an update to their 2002 guidelines…
…those vascular access devices? Of course… all nurses who care for vascular access devices (VAD) should, right?? …. but do they ” flush and lock” or ” flush” only thinking that flushing is enough to keep the VAD patent? The 2011 Infusion Nursing standards of practice makes this distinction…. “Flushing” – the act of moving…
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