Q: We work in a single physician office based infusion clinic and we infuse drugs for rheumatoid arthritis by gravity, not by pump, because pumps are expensive. Me and the other nurse think dial-a flow tubing will be useful especially on a busy infusion day. What do you think? A: Dial-a-flo devices are designed to…
Q: A patient gets daily IV antibiotic infusion at home. The antibiotic is mixed in a 50mL 0.9% Sodium Chloride minibag by pharmacy. The home care nurse administers the infusion via gravity drip using a macrodrip primary tubing via the patient’s PIV lock. When the IVPB bag is completely empty, the nurse stops the infusion, disconnects…
Q: You will think I am a complete idiot but please explain when is a single use syringe considered used? I need to explain to my practice manager why I can’t re-use a syringe while reconstituting a powdered medication for injection. My practice manager is complaining that I am using too many syringes and needles which…
These are devices designed to regulate the flow of fluid instead of using the roller clamp on the IV tubing. IV manual flow regulators are either part of the IV tubing or added on. Since these are regulated manually, these flow regulators are not “infusion pumps”. It does not function like electronic infusion pumps and…
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…
Yes, if you haven’t heard yet, that over the counter acetaminophen in a bottle you have in your medicine cabinet, is now available as an intravenous infusion . IV acetaminophen (Ofirmev) is indicated for the management of mild to moderate pain; the management of moderate to severe pain with adjunctive opioid analgesics; and the reduction of fever. It…
We’ve all heard it before…in healthcare, anything can happen, hence there is no guarantee. Well, that is until the press release for a new needlefree catheter patency device called “Neutron” came out on Oct. 4, 2011. Click here for the press release. Neutron, according to its manufacturer ICU Medical, is the world’s first and only…
I am back from the INS 2011 meeting in Louisville and although it was exhausting, one can’t say they didn’t learn anything, The week was packed with educational sessions that focused on may different core aspects of infusion nursing. The exhibit hall was packed with vendors and manufacturers eager to showcase their latest and greatest…
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…
When was the last time you have counted the drops on your patient’s IV? Thanks to the marvels of infusion pump technology, for many of us, it may have been a while and to some of our new colleagues, perhaps none of them have actually counted drops. Why bother with such unimportant matter? Is it…
Infusion Nurse Blog 