..if we see veins like we had X-ray vision and insert IV catheters with one stick in patients with difficult to find veins?? Well, now there are several devices that can make the “venipuncture” experience much more tolerable, improves patient satisfaction and eliminates sticking patient’s veins blindly. They are called “vein-detecting” devices that use different types of technology and…
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…
I’m sure no one will be surprised to hear that many services in acute care and outpatient settings are outsourced to individuals or organizations who specialized in certain tasks or services. One of these outsourced services include vascular access device insertion, in particular PICC insertions. There are several independent companies and/or individuals who provide PICC insertion service, many…
Sounds familiar? Growing up, it’s my favorite Sesame Street segment. At several recent meetings with physician groups and administrators who were getting ready to open up an infusion center, it became very obvious they were confused about the following. 1. An infusion nurse (aka IV nurse) is not the same as a phlebotomist. An infusion nurse…
Just a few interesting articles… 1. “Poppy Pocket” – a safe and discreet way for patients to manage their infusion pumps. What a great idea! How many times have our patients complained of having to carry their pumps and nowhere to put it? This was designed by a daughter of a patient who battled cancer and…
and I am wondering if what seeped into my arm will yield any medicinal benefit or if it’s like not getting anything at all? This was a question posted by a reader of this blog. Thanks for posting this interesting question. While I could have readily given an answer based on my experience, I wanted…
Chestnuts roasting on the open fire….Jack Frost nipping on your nose….crowded malls with last minute shoppers…and holiday treats that are sooo good, you know it can’t be good for your health. Oh, let’s not forget that big jolly fellow in the red suit…. A year ago, I posted a blog wondering what it would be…
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…
… as in blood return… which, to an infusion nurse is truly exhilarating! When I am challenged to insert a 24g peripheral IV catheter in a tiny, invisible vein of a dehydrated infant, I jump for joy as I watch anxiously for the blood return and pray that blood continues to backflow as I advance…
This is the title of an article from the Medical Journal of Australia (MJA) posted by my twitter colleague @chemosabe from Australia. Design/Setting: A prospective study in a tertiary hospital to collect and analyse reusable venesection tourniquets for the presence of MROs —methicillin-resistant Staphylococcus aureus (MRSA), vancomycin-resistant enterococci (VRE), and extended-spectrum β-lactamase and metallo-β- lactamase-producing…
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