In response to a question from a former ER nurse who now works for a physician office providing infusion services, I came upon this guide from the CDC. The question is why should infection control practices in a physician’s office differ from those in the hospital? In particular, this nurse was appalled that the physician…
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…
Scrub….don’t wipe!!! According to the 2011 CDC guidelines section on “needleless intravascular catheter systems” statement #4 : “Minimize contamination risk by scrubbing the access port with an appropriate antiseptic (chlorhexidine, povidone iodine, an iodophor, or 70% alcohol) and accessing the port only with sterile devices. Category 1A” This is an update to their 2002 guidelines…
…those vascular access devices? Of course… all nurses who care for vascular access devices (VAD) should, right?? …. but do they ” flush and lock” or ” flush” only thinking that flushing is enough to keep the VAD patent? The 2011 Infusion Nursing standards of practice makes this distinction…. “Flushing” – the act of moving…
Hi y’all!! A two hour drive south on I 65 takes me to downtown Louisville, KY for the 2011 INS (Infusion Nurses Society) Annual Convention and Industrial Exhibition. I am so excited to be here and always looking forward to meeting up with old and new colleagues.The weekend session just concluded and it is going…
The long awaited update to the 2002 CDC Guidelines for the Prevention of Intravascular Catheter -Related Infections was released today April 1 by the Centers for Disease Control and Prevention (CDC) and the Healthcare Infection Control Practices Advisory Committee (HICPAC). The 2011 guidelines outline steps to eliminate bloodstream infections in patients with intravenous catheters, which…
Anything with the letters…”IV” catches my attention immediately then I’m all over the article/topic or whatever the letters are attached to. More so when the word…”CONTAMINATED” appears before it. CONTAMINATED IVs…ugh, not something an infusion nurse want to see or hear at anytime. My heart broke when I saw the news about the 9 patient…
Several new treatment options for chronic illnesses have received FDA approval in the last few months. Among them are two biologic agents administered intravenously for chronic refractory gout in adults (September 2010) and the other is for Lupus, a serious autoimmune disorder (March 2011). Krystexxa (pegloticase) has been approved by the FDA for patients with…
Here are the results of the survey from a previous post “Take our survey: Standards of Practice”. Q1 Are you aware that there is a Standard of Practice for Infusion Nursing? n=75 Yes: 82.5% No: 17.65% Q2 If you are an RN, LPN or APN performing, administering, delivering IV/infusion therapy, do you think the…
On January 25, national IV nurse day, the Infusion Nurses Society (INS) announced the release of the revised 2011 Infusion Nursing Standards of Practice. This has been a long awaited document for infusion nurses and I am so happy to hear this news. So like a child on Christmas morning, I wait in great anticipation…
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