VAD Stabilization

According to the INS Standards of Practice, stabilization of vascular access devices shall be used to preserve the integrity of the access device, minimize catheter movement at the hub, and prevent catheter dislodgment and loss of access. A catheter stabilization device is a device/system specifically designed and engineered to control movement at the catheter hub, thereby decreasing catheter movement…

Bloody Halloween!!!

Today is Halloween and while it’s my favorite “unofficial” holiday, I am wimp when it comes to scary movies and  I don’t care for people’s costumes with blood, guts, and gore.  No, not because I’m scared but as a nurse, I’ve seen my fair share. But as an infusion nurse, I love seeing blood!! Ok,…

Veins and Arteries..

By now, we should know the difference between a vein and an artery, right? I hope so, because we’ve learned this in nursing school unless you’ve forgotten those trivial matters, like names of veins and arteries. This could be the case especially when you don’t often use the names of the veins and arteries in…

How frequent should you check PIV sites?

In the past, we have routinely replaced peripheral IV catheters every 48-72hours. Since INS 2011 Standard for Infusion Nursing revised it to site rotation based on clinical indications, PIV site assessment is even more important now. So how frequent should you assess the patient’s peripheral IV site? According to the latest Position Paper from the Infusion…

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…

Vein Palpation: gloves vs no gloves – Take a poll

This is one of the frequent question I get when I am teaching a peripheral IV class. Of course, I have an answer (and opinion – no surprise there..:-) ) but before I share mine, please take this very short poll and let me know what you do or what you think.   The poll…

INS 2012: Exhibit Hall Experience

At each INS Annual Meeting, I am always looking forward to the exhibit hall. The exhibit hall was huge and to see every booths and exhibits, one needs a strategy to get through without missing any booth or presentation. My strategy is simple and that is…. to go down the numbered aisles and look around…

IV hydration – a cure all?

As nurses and healthcare providers, we have seen the dramatic effects of infusing IV fluids to patients who are dehydrated, needing fluid replacement/supplement or those with symptoms resulting in electrolyte imbalance, and other cases when taking oral intake of foods/fluids is not enough, and the list goes on…. Now that list includes…HANGOVER! The movie? Well,…

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…