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…
There is a great resource available to nurses and other healthcare providers. It is the SPC insertion guide card deck. The Short Peripheral Catheter (SPC) Insertion Card Deck provides step-by-step instruction for successful venipuncture in children and adults. The deck highlights proper site selection, insertion techniques, as well as care and maintenance methods. It also…
In June of 2013, I was honored to chair a national task force for the Infusion Nurses Society’s (INS) project on Short Peripheral Catheter Safety (SPC). Along with five other colleagues, we embarked on a task to identify the safety and practice issues and look at ways to promote safety in the insertion and management…
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: 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…
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,…
On a regular basis, I get questions from readers and from Twitter colleagues. Here are some of the Q’s and my A’s which I thought I’d blog about it in the spirit of sharing and learning. 1. Vancomycin Q: We give Vancomycin IV on a regular basis through an IV site in the arm at…
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…
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…
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