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…
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…
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…
I am always delighted to get IV questions from colleagues on social networks. Occasionally, I post them on this blog in the spirit of learning. Here’s one on IV needle insertion. Q: Tell me do you insert a needle up or down? A: I am assuming the question you are asking pertains to the bevel…
The goal when selecting the proper gauge of an peripheral IV catheter is to ensure that the best device meets the patient’s needs. This means taking into consideration many factors such as: Prescribed therapy/type of solution Duration of treatment Peripheral vein availability/vein integrity Diagnosis /Age Known complications of the device The Infusion Nurses Society standards of practice states…
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…
By now, we should know the difference between a vein and an artery, right? I hope so, because we’ve learned this in nursing school unless you’ve forgotten those trivial matters, like names of veins and arteries. This could be the case especially when you don’t often use the names of the veins and arteries in…
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…
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…
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