The goal when selecting the proper gauge of an peripheral IV catheter is to ensure that the best device meets the patient’s needs. This means taking into consideration many factors such as: Prescribed therapy/type of solution Duration of treatment Peripheral vein availability/vein integrity Diagnosis /Age Known complications of the device The Infusion Nurses Society standards of practice states…
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…
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…
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…
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…
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…
..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…
The poll results are in: 1. Do you think an RN should wear gloves when palpating for veins prior to venipuncture? Yes: 47 Votes 42% No: 65 Votes 58% 112 readers took the poll, and 58% said they think an RN should not wear gloves when palpating veins prior to venipuncture. 47% said they…
I came across this interesting article on a study that shows chemo costs less in doctor’s offices. Chemotherapy Treatment in Hospitals Costs 24% more than Treatment in Physician’s Offices The study found that care for patients treated in a physician’s office is less expensive regardless of the length of the chemotherapy duration. The average chemotherapy…
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