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…

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…

Wouldn’t it be nice….

..if we see veins like we had X-ray vision and insert IV catheters with one stick in patients with difficult to find veins?? Well, now there are several devices that can make the “venipuncture” experience much more tolerable, improves patient satisfaction and eliminates sticking patient’s veins blindly. They are called “vein-detecting” devices that use different types of technology and…

A second look at Midline catheters

Midline catheters have been around since the 1950’s and with the increasing popularity of other venous access like PICCs, many have forgotten about this viable option for venous access. So let’s take a second look… A midline catheter is approximately 3-8 inches long and is inserted in the antecubital area and advanced into the peripheral…

One of these things is not like the others…

Sounds familiar? Growing up, it’s my favorite Sesame Street segment. At several recent meetings with physician groups and administrators who were getting ready to open up an infusion center, it became very obvious they were confused about the following. 1. An infusion nurse (aka IV nurse) is not the same as a phlebotomist. An infusion nurse…

In case you missed it…

Just a few interesting articles… 1.  “Poppy Pocket” – a safe and discreet way for patients to manage their infusion pumps. What a great idea! How many times have our patients complained of having to carry their pumps and nowhere to put it? This was designed by a daughter of a patient who battled cancer and…