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,…

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…

How frequent should you check PIV sites?

In the past, we have routinely replaced peripheral IV catheters every 48-72hours. Since INS 2011 Standard for Infusion Nursing revised it to site rotation based on clinical indications, PIV site assessment is even more important now. So how frequent should you assess the patient’s peripheral IV site? According to the latest Position Paper from the Infusion…

I got a blood return…but

…it burns when you flush my port! In case you missed it… “The Case of the Painful Port”  a very interesting article published by ONS Connect and  shared by a twitter colleague @ONSmark.  Read article here… This case is a very good reminder for us nurses to stop and listen to what our patients are…

My IV infiltrated….

and I am wondering if what seeped into my arm will yield any medicinal benefit or if it’s like not getting anything at all? This was a question posted by a reader of this blog. Thanks for posting this interesting question.  While I could have readily given an answer based on my experience, I wanted…

Just something to think about…

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…

Nurse….my IV hurts!!

You just started a PIV in the patient’s right arm and soon after, the patient complained of sharp pain and ask that the PIV be removed. What would you do? Leave PIV in and tell patient,of course it will hurt, I just stuck you with a needle Assess the IV site and if no redness…