Feeling lucky and privileged…

…to be a registered nurse practicing in the United States of America. Over a week ago,  along with other professionals from 35 countries,  I had the opportunity to attend the first World Congress on Vascular Access (WoCoVa) in Amsterdam, The Netherlands.  The conference was well organized, packed with great speakers, lectures, and exhibits all going…

Epinephrine – Warning Risk for Serious or Fatal Medication Errors

Please note this urgent message from the National Alert Network (NAN) for Serious Medication Errors.   The National Council for Medication Error Reporting and Prevention (NCCMERP) is distributing a NAN alert to warn practitioners about the potential for serious or fatal errors with epinephrine, caused by the current shortage of epinephrine emergency syringes. EPINEPHrine emergency syringes…

Need 411 on IO?

A few months ago, I blogged about intraosseous (IO) access – see  IO made easy.   This type of vascular access is experiencing tremendous growth and is beginning to gain acceptance as a true alternative access for infusion therapy. However, I think many nurses are still hesitant to consider IO access as a viable option for…

Is it unfair or unethical?

I have numerous nursing colleagues with extensive background and years of experience in infusion nursing, infusion therapy, and vascular access who are now directly employed by entities defined by the American Nursing Credentialing Center (ANCC) as “commercial interest”.  ANCC defines  an entity that has a “commercial interest” as any proprietary entity producing health care goods…

FDA Alert on certain IV medications

The U.S. Food and Drug Administration (FDA) is alerting healthcare professionals not to use certain intravenous (IV) bags of metronidazole, ondansetron, and ciprofloxacin because of potential contamination. FDA has received reports of floating matter in IV bags manufactured by Claris Lifesciences Limited, in Ahmedabad, India. Microbiological analysis identified the matter in one of the bags…

FDA Infusion Pump Improvement Initiative

External infusion pumps, commonly called “infusion pumps”, including large volume, patient-controlled analgesia (PCA) , elastomeric , syringe , enteral, and insulin pumps, are used worldwide in healthcare facilities such as hospitals, and in the home.  Infusion pumps have contributed to improvements in patient care, allowing for a greater level of control, accuracy, and precision in…

Informed consent for Infusions of Biologics

A common question I get asked by nurses is…..do I need to obtained an  informed consent from a patient who is receiving infusions of biologic agents such as  Remicade (Infliximab)? An informed consent, according to the American Medical Association (AMA), is the communication process between a patient and his or her physician that results in…