Why do nurses use the same alcohol swab over and over?

I know, this may come as a surprise to all of you, but the truth is, I have seen many nurses (even those highly trained and specialized) both in hospitals and outpatient settings, use the same alcohol swab over and over. Imagine this scenario where a nurse is ready to withdraw medication from several vials.…

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…

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…

Calculating and counting drops…

When was the last time you have counted the drops on your patient’s IV? Thanks to the marvels of infusion pump technology, for many of us, it may have been a while and to some of our new colleagues, perhaps none of them have actually counted drops. Why bother with such unimportant matter? Is it…

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…

Infusions of Monoclonal Antibodies in New York State

In the past 12 years, we have seen an increase in new monoclonal antibodies approved by the FDA for numerous indications as treatment options for cancer, neurologic disorders, immunologic,  and autoimmune diseases, to name a few. These monoclonal antibodies are administered either subcutaneously, usually self administered by patients or administered intravenously by a registered nurse…