A registered nurse (RN) license allows nurses to practice. Certification affirms advanced knowledge, skill, and practice to meet the challenges of modern nursing.Certification is a profession’s official recognition of achievement, expertise, and clinical judgment. It is a mark of excellence that requires continued learning and skill development to maintain. Today is a day to recognize board…
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…
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,…
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…
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…
According to the INS Standards of Practice, stabilization of vascular access devices shall be used to preserve the integrity of the access device, minimize catheter movement at the hub, and prevent catheter dislodgment and loss of access. A catheter stabilization device is a device/system specifically designed and engineered to control movement at the catheter hub, thereby decreasing catheter movement…
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…
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…
Infusion Nurse Blog 