It’s Q&A Time…..

On a regular basis, I get questions from readers and from Twitter colleagues. Here are some of the Q’s and my A’s which I thought I’d blog about it in the spirit of sharing and learning. 1. Vancomycin Q: We give Vancomycin IV on a regular basis through an IV site in the arm at…

R-E-S-P-E-C-T….PIV

Peripheral IV (PIV) placement is one of the common IV procedures performed by nurses (and other healthcare practitioners)  in hospitals and other healthcare settings, including long-term care, outpatient, and home care.  Perhaps because of its simplicity, many nurses have underestimated the risks involved with PIV placement, care and maintenance. I often hear them say, “it’s just a…

Nurses and Off Label Drug Use

At a recent meeting,  I was asked by an RN what her liability is if she administered an approved intravenous drug for an non-labeled indication prescribed by a physician to her patient and does she have the right to refuse to give the treatment even with the patient consent? A very interesting question and one that…

VAD Stabilization

According to the INS Standards of Practice, stabilization of vascular access devices shall be used to preserve the integrity of the access device, minimize catheter movement at the hub, and prevent catheter dislodgment and loss of access. A catheter stabilization device is a device/system specifically designed and engineered to control movement at the catheter hub, thereby decreasing catheter movement…

Bloody Halloween!!!

Today is Halloween and while it’s my favorite “unofficial” holiday, I am wimp when it comes to scary movies and  I don’t care for people’s costumes with blood, guts, and gore.  No, not because I’m scared but as a nurse, I’ve seen my fair share. But as an infusion nurse, I love seeing blood!! Ok,…

IV policies and procedures..

..many facilities/organizations have them, some don’t. Many nurses know what their IV policies and procedures are, others don’t have a clue or don’t even know they should have one. Others say…yeah, we do have them  but here’s what we do! Borrowed from a previous post- “Terms of Confusion” about  Policies and Procedures: Policies are the established rules…

In case you missed it…

here are a few FDA recalls you might want to know…. 1. Class 1 Recall for Carefusion Alaris Infusion Pump Model 8015  – read notice here  The issue: FDA notified healthcare professionals of a Class I Recall of the Alaris PC unit, model 8015. A component on the PC unit power supply board is causing…

Got Pain? There’s IV Acetaminophen for that…

Yes, if you haven’t heard yet, that over the counter acetaminophen in a bottle you have in your medicine cabinet, is now available as an intravenous infusion . IV acetaminophen (Ofirmev) is indicated  for the management of mild to moderate pain; the management of moderate to severe pain with adjunctive opioid analgesics; and the reduction of fever. It…

April 28 – National Take Back Day

The Drug Enforcement Administration (DEA) has scheduled another National Prescription Drug Take-Back Day which will take place on Saturday, April 28, 2012, from 10:00 a.m. to 2:00 p.m.  This is a great opportunity for those who missed the previous 3 events, or who have subsequently accumulated unwanted, unused prescription drugs, to safely dispose of those…

Cheaper at the Doctor’s Office

I came across this interesting article on a study that shows chemo costs less in doctor’s offices. Chemotherapy Treatment in Hospitals Costs 24% more than Treatment in Physician’s Offices The study found that care for patients treated in a physician’s office is less expensive regardless of the length of the chemotherapy duration. The average chemotherapy…