Stick n Glue!

First, my apologies for the lack of posts here lately. I’m still around, just got busy with, you know,  life and grown up stuff!! Anyway, thank you for your continued support and patience. Hope everyone is doing well. So what’s new? IV Glue…yes, glue but not the one you get at the office supply store.…

What IV needle size should I use?

A: The goal when selecting the proper gauge of an peripheral IV catheter is to ensure that the best device meets the patient’s needs.  This means taking into consideration many factors such as: Prescribed therapy/type of solution Duration of treatment Peripheral vein availability/vein integrity Diagnosis /Age Known complications of the device The Infusion Nurses Society standards of practice…

Looking for RNs to take a SURVEY!

If you are a registered nurse currently working with/delegating/supervising “unlicensed healthcare personnel” (UHCP) also known as “unlicensed assistive personnel” (UAP), would you be interested in answering a short survey related to the use of unlicensed healthcare personnel in the provision of infusion therapy? The survey is open to US registered nurses from all healthcare settings who work…

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.…

What do you think…

Q:  We have a 24/7  vascular access team, yet we find that an ultrasound machine  in a medical floor is used for PIV insertion by untrained nurses and residents. The machine is there for other purposes but is being used for hard IV sticks. A:  There is increasing evidence to show the use of ultrasound or…

Vesicants and Extravasation

These two terms defined by the Infusion Nurses Society means: Vesicant – an agent capable of causing blistering, tissue sloughing or necrosis when it escapes from the intended vascular pathway into surrounding tissue. Extravasation – the inadvertent infiltration of vesicant solution or medication into surrounding tissue. There are several chemotherapeutic agents with vesicant properties, and…

SPC Insertion Guide Card Deck

There is a great resource available to nurses and other healthcare providers. It is the SPC insertion guide card deck. The Short Peripheral Catheter (SPC) Insertion Card Deck provides step-by-step instruction for successful venipuncture in children and adults. The deck highlights proper site selection, insertion techniques, as well as care and maintenance methods. It also…

Short Peripheral Catheter Checklist

This great resource in available free to download to INS members from the INS website – SPC  Checklist. SPC means short peripheral catheter, which man y of us call “peripheral IV catheter” or “PIV”. This checklist was part of the IV Safety Task Force position paper project on Recommendations for Improving Safety Practices for Short…

Think Safety, Insert Safely

In June of 2013, I was honored to chair a national task force for the Infusion Nurses Society’s (INS) project on Short Peripheral Catheter Safety (SPC).  Along with five other colleagues, we embarked on a task  to identify the safety and practice issues and  look at ways to promote safety in the insertion and management…