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.…

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…

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…

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,…

How frequent should you check PIV sites?

In the past, we have routinely replaced peripheral IV catheters every 48-72hours. Since INS 2011 Standard for Infusion Nursing revised it to site rotation based on clinical indications, PIV site assessment is even more important now. So how frequent should you assess the patient’s peripheral IV site? According to the latest Position Paper from the Infusion…

Poll Results: Gloves vs no gloves during vein palpation

The poll results are in: 1.  Do you think an RN should wear gloves when palpating for veins prior to venipuncture? Yes:  47 Votes    42% No:  65 Votes     58% 112 readers took the poll, and 58% said they think an RN should not wear gloves when palpating veins prior to venipuncture. 47% said they…

INS 2012: Exhibit Hall Experience

At each INS Annual Meeting, I am always looking forward to the exhibit hall. The exhibit hall was huge and to see every booths and exhibits, one needs a strategy to get through without missing any booth or presentation. My strategy is simple and that is…. to go down the numbered aisles and look around…

Infection from an IV catheter…

can lead to a lawsuit!! Yes, according to a news article, a medical malpractice lawsuit filed late last month accuses nurses and health care providers of negligence by giving the patient “an IV tainted with streptococcus pyogenes” — bacteria commonly associated with strep throat. Click here for more info. The harm – following the removal of…

Just something to think about…

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…

In case you missed it….

…some latest news and initiatives on infection prevention and safety….. “Preventing Infections in Cancer Patients” – CDC is launching a new program called Preventing Infections in Cancer Patients, featuring tools to help both clinicians and patients prevent infections. CDC worked with partners to develop a Basic Infection Control and Prevention Plan for Outpatient Oncology Settings, which…