Q: We have a 24/7 vascular access team, yet we find that an ultrasound machine in a medical floor is used for PIV insertion by untrained nurses and residents. The machine is there for other purposes but is being used for hard IV sticks. A: There is increasing evidence to show the use of ultrasound or…
It just doesn’t seem right that the national crisis with “drug shortages” would include large volume (1000mL) IV solutions we commonly administer to our patients: 0.9% Sodium Chloride Injection 0.45% Sodium Chloride Injection Lactated Ringer’s Injection 5% Dextrose Injection But the reality is there is a shortage, IV saline solution, in particular is on…
These two terms defined by the Infusion Nurses Society means: Vesicant – an agent capable of causing blistering, tissue sloughing or necrosis when it escapes from the intended vascular pathway into surrounding tissue. Extravasation – the inadvertent infiltration of vesicant solution or medication into surrounding tissue. There are several chemotherapeutic agents with vesicant properties, and…
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…
This great resource in available free to download to INS members from the INS website – SPC Checklist. SPC means short peripheral catheter, which man y of us call “peripheral IV catheter” or “PIV”. This checklist was part of the IV Safety Task Force position paper project on Recommendations for Improving Safety Practices for Short…
Q: Do you have any tips on how to improve my IV insertion skills? A: This is one of the FAQ and often comes from new blog readers. I have blogged about this many times before but I thought I’d post it again. To some of my long time readers, this may not be new…
Q: What kind of IV solutions can be given through a PICC line? Is it safe to give Humolog insulin or should I start another IV line? A: PICC is short for peripherally inserted central catheter. It is a central vascular access device (CVAD) inserted into an extremity and advanced in the venous system until…
Q: I know I’m in the vein but get no blood return and when I flush with saline to check it blows. Can it be pt is dehydrated. A: The presence of a blood return during the insertion of a peripheral IV catheter is an indication that the tip of the catheter has entered the…
Q: How can I be IV certified? If I attend an IV program, will I be IV certified? A: If I get a dollar every time I get asked this question, I would be a very rich infusion nurse!! But seriously, the confusion about IV certification have been in existence for as long as I…
Today, the Infusion Nurse Blog is celebrating it’s “4th year” blog anniversary!!! WOW…I can’t believe it has been four years already. I am sincerely grateful and humbled as our readers and site numbers continue to grow each year. It is my hope that you will continue to visit, read, post comments, and subscribe to my blog posts.…
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