Q: I know not to but reality is, many nurses use the AC (antecubital fossa) to start and dwell a peripheral IV. It is the easiest place to find a vein so why not use it? A: The antecubital fossa is in front of the elbow, bounded laterally and medially by the humeral origins of…
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…
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…
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: 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…
I am always delighted to get IV questions from colleagues on social networks. Occasionally, I post them on this blog in the spirit of learning. Here’s one on IV needle insertion. Q: Tell me do you insert a needle up or down? A: I am assuming the question you are asking pertains to the bevel…
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.…
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…
In case you missed it just like I did, spare a few minutes and watch this short video on how a 15 year old freshman in high school developed a paper sensor that could detect pancreatic, ovarian and lung cancer in five minutes for as little as 3 cents. There is hope in the…
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…
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