Q&A: PICC vs Midline

Q: What is difference between picc line and midline. How can you tell the difference if one is not the one who inserted it? A: By definition, the difference is: PICC is short for peripherally inserted central catheter. It is a central vascular access device inserted into an extremity and advanced in the venous system until…

Q &A : AC PIVs

Q: I know not to but reality is, many nurses use the AC (antecubital fossa) to start and dwell a peripheral IV. It is the easiest place to find a vein so why not use it? A: The antecubital fossa is in front of the elbow, bounded laterally and medially by the humeral origins of…

Q&A: Medical Assistants and IV therapy

Q: Can medical assistants in office based infusion settings insert peripheral IVs and administer IV medications? A: This is a question I get weekly.  I have posted a previous blog about this topic and replied privately to individuals asking the question. But I think it’s time to post my response again: Medical assistants (MAs)as defined…

Twice is enough…

The practice criteria in the INS standard 35 on vascular access site preparation and device placement states: “No more than 2 attempts at vascular access placement should be made by any 1 nurse, as multiple unsuccessful attempts limit future vascular access, and cause patients unnecessary pain. Patients with difficult vascular access require a careful assessment…

Thank you…

My sincerest thanks to everyone who took the survey on short peripheral IV posted on June 3, 2013. You were very gracious in responding and we sincerely appreciate your feedback. If you haven’t yet but would like to take the survey, there is still time. Click here to take the survey! Again, thank you so much!  

Looking for RNs inserting PIVs

If you are a registered nurse inserting short peripheral IVs , would you be interested in answering a short survey on peripheral IVs? The survey is open to registered nurses, whether you are part of an IVteam/PICC/Vascular access team or not, and actively inserting short peripheral IVs in all healthcare settings. The survey results will be integrated in…

Exhibit Hall Experience: INS 2013

This is the part of the INS Annual meeting that I always look forward to.  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. Just like…

40 years of INS

The Infusion Nurses Society (INS) is celebrating its 40th year as the premier organization for infusion nurses. Through the years, this organization has gone through many changes, a name change from National Intravenous Therapy Association (NITA) , and yes, even the logos. But one thing remains the same, it continues to set the standards for…

Q&A: PIV and Blood Return

Q: If I don’t get a blood return when checking a PIV for patency before administering an IV, does that make it unsafe to proceed? A: While verification of a blood return on a short peripheral IV is the common way to check for patency, sometimes, it is difficult to obtain a blood return in…