Vesicants and Extravasation

These two terms defined by the Infusion Nurses Society means: Vesicant – an agent capable of causing blistering, tissue sloughing or necrosis when it escapes from the intended vascular pathway into surrounding tissue. Extravasation – the inadvertent infiltration of vesicant solution or medication into surrounding tissue. There are several chemotherapeutic agents with vesicant properties, and…

SPC Insertion Guide Card Deck

There is a great resource available to nurses and other healthcare providers. It is the SPC insertion guide card deck. The Short Peripheral Catheter (SPC) Insertion Card Deck provides step-by-step instruction for successful venipuncture in children and adults. The deck highlights proper site selection, insertion techniques, as well as care and maintenance methods. It also…

Short Peripheral Catheter Checklist

This great resource in available free to download to INS members from the INS website – SPC  Checklist. SPC means short peripheral catheter, which man y of us call “peripheral IV catheter” or “PIV”. This checklist was part of the IV Safety Task Force position paper project on Recommendations for Improving Safety Practices for Short…

Think Safety, Insert Safely

In June of 2013, I was honored to chair a national task force for the Infusion Nurses Society’s (INS) project on Short Peripheral Catheter Safety (SPC).  Along with five other colleagues, we embarked on a task  to identify the safety and practice issues and  look at ways to promote safety in the insertion and management…

Q&A: Tips to improve IV insertion skills

Q: Do you have any tips on how to improve my IV insertion skills? A: This is one of the FAQ and often comes from new blog readers. I have blogged about this many times before but I thought I’d post it again. To some of my long time readers, this may not be new…

Q&A: PIV insertion

Q: I know I’m in the vein but get no blood return and when I flush with saline to check it blows. Can it be pt is dehydrated. A: The presence of a blood return during the insertion of a peripheral IV catheter is an indication that the tip of the catheter has entered the…

Q&A: How can I be “IV certified”?

Q: How can I be IV certified? If I attend an IV program, will I be IV certified? A: If I get a dollar every time I get asked this question, I would be a very rich infusion nurse!!  But seriously, the confusion about IV certification have been in existence for as long as I…

Q &A : AC PIVs

Q: I know not to but reality is, many nurses use the AC (antecubital fossa) to start and dwell a peripheral IV. It is the easiest place to find a vein so why not use it? A: The antecubital fossa is in front of the elbow, bounded laterally and medially by the humeral origins of…