PUDGY with no chance of veins!!!

A nurse colleague on twitter asked me for tips on starting IV’s in pudgy toddlers. This tweet was followed by another, stating “I have trouble with pudgy at any age”. Yes, I agree. Even to the most experience infusion nurse, pudgy is always a challenge and usually means no chance of finding veins or easy…

Should Flu Vaccinations be mandatory?

On August 13th, the New York State Hospital Review and Planning Council adopted a regulation recommended by the New York State Health Department making approved annual influenza vaccinations mandatory, unless medically contraindicated, for health care workers in hospitals, outpatient clinics and home care services. Legislation applying the same standards to nursing home workers has also…

Dry Heat improves Peripheral IV Insertion

For as long as I have been an infusion nurse, I have always used heat to help me find a suitable vein for peripheral venipuncture. The application of heat to the patient’s skin during vein assessment has been very helpful in my practice and prior to insertion has contributed to my “one stick” success. As…

IO made easy!

IO as in intraosseous access. An old concept that is now getting more attention as an alternate access for infusion therapy in emergent and non-emergent situations. IO access uses the intraosseous space that contains thousands of non-collapsible intertwined blood vessels that absorbs any fluids. In situations where the peripheral vascular system shuts down, the IO…

New RNs with no experience need not apply!

Over the past few months, I have received numerous calls from new RN colleagues wanting to attend our infusion training programs so they can get a job. As more calls come in, one thing became obvious, the new RN’s don’t get hired because they lack the clinical experience and in most cases, don’t have the…