40 years of INS

The Infusion Nurses Society (INS) is celebrating its 40th year as the premier organization for infusion nurses. Through the years, this organization has gone through many changes, a name change from National Intravenous Therapy Association (NITA) , and yes, even the logos. But one thing remains the same, it continues to set the standards for…

Q&A: PIV and Blood Return

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…

IV manual flow regulators

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…

PIV Catheter Gauge selection

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 states…

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…

IV policies and procedures..

..many facilities/organizations have them, some don’t. Many nurses know what their IV policies and procedures are, others don’t have a clue or don’t even know they should have one. Others say…yeah, we do have them  but here’s what we do! Borrowed from a previous post- “Terms of Confusion” about  Policies and Procedures: Policies are the established rules…

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…

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…

One of these things is not like the others…

Sounds familiar? Growing up, it’s my favorite Sesame Street segment. At several recent meetings with physician groups and administrators who were getting ready to open up an infusion center, it became very obvious they were confused about the following. 1. An infusion nurse (aka IV nurse) is not the same as a phlebotomist. An infusion nurse…

My IV infiltrated….

and I am wondering if what seeped into my arm will yield any medicinal benefit or if it’s like not getting anything at all? This was a question posted by a reader of this blog. Thanks for posting this interesting question.  While I could have readily given an answer based on my experience, I wanted…