The practice criteria in the INS standard 35 on vascular access site preparation and device placement states: “No more than 2 attempts at vascular access placement should be made by any 1 nurse, as multiple unsuccessful attempts limit future vascular access, and cause patients unnecessary pain. Patients with difficult vascular access require a careful assessment…
If you are a registered nurse inserting short peripheral IVs , would you be interested in answering a short survey on peripheral IVs? The survey is open to registered nurses, whether you are part of an IVteam/PICC/Vascular access team or not, and actively inserting short peripheral IVs in all healthcare settings. The survey results will be integrated in…
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…
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,…
Recently, I have had a few questions regarding implanted ports so I decided to post it here in the spirit of sharing and learning . Q: A patient asked: why is it that sometimes my nurse wears a mask to access my port and sometimes they don’t? Should they or should they not wear a…
Peripheral IV (PIV) placement is one of the common IV procedures performed by nurses (and other healthcare practitioners) in hospitals and other healthcare settings, including long-term care, outpatient, and home care. Perhaps because of its simplicity, many nurses have underestimated the risks involved with PIV placement, care and maintenance. I often hear them say, “it’s just a…
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…
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,…
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…
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…
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