Vesicants and Extravasation

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…

Short Peripheral Catheter Checklist

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…

Think Safety, Insert Safely

In June of 2013, I was honored to chair a national task force for the Infusion Nurses Society’s (INS) project on Short Peripheral Catheter Safety (SPC).  Along with five other colleagues, we embarked on a task  to identify the safety and practice issues and  look at ways to promote safety in the insertion and management…

Q&A: IO and Blood Transfusion

Q:  A twitter colleague posted:  Can you give blood through an IO? A:  IO as in intraosseous access. An old concept that is now getting more attention as an alternate access for infusion therapy in emergent and non-emergent situations. IO access uses the intraosseous space that contains thousands of non-collapsible intertwined blood vessels that absorbs any fluids.…

Q&A: PIV insertion

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&A: PICC line dressing – clean or sterile?

Q: Can you please let me know if a PICC line dressing can be a clean procedure or does it have to be sterile? A:  First, I will direct you to your organization’s policy and procedure on central vascular access device (CVAD) dressing change procedure to determine the procedure to follow. If you can’t locate…

4 -Ever More…

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.…

Q&A: Medical Assistants and IV therapy

Q: Can medical assistants in office based infusion settings insert peripheral IVs and administer IV medications? A: This is a question I get weekly.  I have posted a previous blog about this topic and replied privately to individuals asking the question. But I think it’s time to post my response again: Medical assistants (MAs)as defined…