Let’s talk about vials…

One of the FAQ I get is this…. Q:  Should you or should you not clean the top of vials after you just removed the protective lid? A:  Yes, clean(wipe) the vial diaphragm even if you just flipped the lid off is the answer I give. Then I get this “deer in the headlight” look.…

CDC Guide for Infection Prevention for Outpatient Settings

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…

INS 2011: Exhibit Hall Experience

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…

Contaminated IVs….

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…

Calculating and counting drops…

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…

New drugs….new hope!!

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…

B. Cereus…. contaminated alcohol swabs, pads & swabsticks?

The FDA released this alert a few days ago: Triad Group Issues a Voluntary Nationwide Recall of All Lots of Alcohol Prep Pads, Alcohol Swabs, and Alcohol Swabsticks Due to Potential Microbial Contamination What??? Are you serious? We use these products to disinfect areas such as skin, injection ports, connectors, etc… prior to injection or…

Terms of Confusion..

Over the years, I’ve noticed certain terms often misused and misunderstood by nurses which can lead to false assumptions, misinterpretations and yes, confusion.  Here’s some of those terms: Standards of Care Standards of Practice Policies and Procedures Practice Guidelines Protocols Often I hear these terms used interchangeably. To help clear up the confusion, let’s define…

Closing out 2010..

The last day of the year and yes, 2010 went by so fast.  I consider myself lucky for it was a good year f0r me professionally and an equally good year for this blog as well. Through this blog, I have met so many wonderful individuals,  learned so much from them, and very grateful for…

You want “what” given IV?

In the years I have been an infusion nurse, none of my patients would volunteer to have an “IV access” started for any reason unless prescribed for the treatment their illness or to save their lives. It seems that a lot of consumers, not necessarily “patients” in the traditional definition, are seeking unconventional IV treatments.…