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…

Q&A: Syringe re-use

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.…

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…

In case you are the IV patient…

I have now confirmed my blog readers are not only healthcare providers but are ‘actual’ patients. I get questions/emails/comments from them and they made it known to me that they are watching and noticing what we do to their venous access!!  LOL.. So in the spirit of sharing and learning, without revealing anything about them,…

It’s Q&A Time…..

On a regular basis, I get questions from readers and from Twitter colleagues. Here are some of the Q’s and my A’s which I thought I’d blog about it in the spirit of sharing and learning. 1. Vancomycin Q: We give Vancomycin IV on a regular basis through an IV site in the arm at…

Nurses and Off Label Drug Use

At a recent meeting,  I was asked by an RN what her liability is if she administered an approved intravenous drug for an non-labeled indication prescribed by a physician to her patient and does she have the right to refuse to give the treatment even with the patient consent? A very interesting question and one that…

Just another day…

I am very grateful that we only got rain, cold temperatures and high winds where I reside, but I was closely monitoring the events in the East Coast where Hurricane Sandy was predicted to hit. The TV coverage and social media was quite extensive that unless you didn’t want to know, you wouldn’t miss anything.…

DC a CVAD…

as in discontinuing (removal) a central venous access device. Certainly, many of us have discontinued a central venous access device (central line) before. No big deal, right?  One key element to remember when discontinuing a CVAD is to include precautions to prevent air embolism. Air embolism from removal of central lines can occur when a…

In case you missed it…

here are a few FDA recalls you might want to know…. 1. Class 1 Recall for Carefusion Alaris Infusion Pump Model 8015  – read notice here  The issue: FDA notified healthcare professionals of a Class I Recall of the Alaris PC unit, model 8015. A component on the PC unit power supply board is causing…

Got Pain? There’s IV Acetaminophen for that…

Yes, if you haven’t heard yet, that over the counter acetaminophen in a bottle you have in your medicine cabinet, is now available as an intravenous infusion . IV acetaminophen (Ofirmev) is indicated  for the management of mild to moderate pain; the management of moderate to severe pain with adjunctive opioid analgesics; and the reduction of fever. It…