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…

Twice is enough…

The practice criteria in the INS standard 35 on vascular access site preparation and device placement states: “No more than 2 attempts at vascular access placement should be made by any 1 nurse, as multiple unsuccessful attempts limit future vascular access, and cause patients unnecessary pain. Patients with difficult vascular access require a careful assessment…

Exhibit Hall Experience: INS 2013

This is the part of the INS Annual meeting that I always look forward to.  I am very grateful to all the vendors who were there whether they had something new to show or not because their products contribute greatly to patient care and safety. Their willingness to educate nurses is always appreciated. Just like…

Q&A: PIV and Blood Return

Q: If I don’t get a blood return when checking a PIV for patency before administering an IV, does that make it unsafe to proceed? A: While verification of a blood return on a short peripheral IV is the common way to check for patency, sometimes, it is difficult to obtain a blood return in…

Q&A: Syringe re-use

I get questions from colleagues on social networks, while I don’t post all of the questions , there are times when I do post for learning purposes. Here’s one on “syringe re-use”. Q: It boggles my mind, how someone highly trained, a nurse, can use a single use syringe  over and over and sometimes on multiple patients.…

IV manual flow regulators

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…

Celebrate March 19 Certified Nurses Day

A registered nurse (RN) license allows nurses to practice. Certification affirms advanced knowledge, skill, and practice to meet the challenges of modern nursing.Certification is a profession’s official recognition of achievement, expertise, and clinical judgment. It is a mark of excellence that requires continued learning and skill development to maintain. Today is a day to recognize board…

RNs mixing IV medications

A nurse colleague started a new job as an infusion nurse for a physician office based practice offering infusion services (non chemo) to their patients. After a few days, the nurse left the new job for the following reasons:  Another RN in the office routinely mixes IV medication for the infusion nurses to administer. The IV medication…

In case you are the IV patient…

I have now confirmed my blog readers are not only healthcare providers but are ‘actual’ patients. I get questions/emails/comments from them and they made it known to me that they are watching and noticing what we do to their venous access!!  LOL.. So in the spirit of sharing and learning, without revealing anything about them,…

Q&A – Implanted Venous Ports

Recently, I have had a few questions regarding implanted ports so I decided to post it here in the spirit of sharing and learning . Q:  A patient asked:  why is it that sometimes my nurse wears a mask to access my port and sometimes they don’t? Should they or should they not wear a…