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-
Certified Nursing Assistants, CNAs
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Related Categories:
Certified Registered Nurse Infusion (CRNI),
Conscious Sedation,
Heparin Administration,
Commercial Infusion Pumps,
Home Infusion,
Intravenous, IV Drug Therapy,
IV Fluids,
Intravenous Therapy Humor,
Nursing Consultants,
Nursing Societies,
PICC Lines,
Professional Associations,
Starting An Intravenous IV Line, Venepuncture,
Steroid Therapy
******************************************************
Articles:
I.V. Therapy and Liability Issues, Deborah Buchanan, RN, MS, CLNC, Medical/Legal Consultants of Colorado:"There are many potential complications associated with the use of intravenous therapy. These include damage to the nerves, either by the actual needle stick or by compression caused by infiltrated I.V. fluid, phlebitis, nosocomial infection, allergic reaction to the indwelling cannula, air embolisms, speed shock, a severed catheter, and circulatory overload. While this may seem like a daunting list, most law suites arise from just two of these complications: infiltration of I.V. fluids and phlebitis. These are two complications that most juries feel are preventable."
31 N. Tejon St., Suite 300, Colorado Springs, Colorado 80903
719-444-0544 • 888-594-6973 • Fax 719-635-9391 info@medical-legal-consultants.com
http://www.medical-legal-consultants.com/newsletter/dec99.htm#1
******************************************
The Practice of IV Therapy by Licensed Practical Nurses in Acute Care Settings, Current Issues in Nursing:"In response to numerous inquiries concerning the role of the licensed practical nurse (LPN) in the administration of intravenous therapy in acute care settings, the New York State Board for Nursing provides the following guidance document.
The role of the LPN in providing intravenous therapy is determined by a number of factors including the complexity of the procedure, the degree of direction, the setting, as well as the skill and competence of the licensee. A Registered Professional Nurse (RN) may delegate select activities associated with the administration of intravenous therapy to an appropriately competent LPN. The delegation of these activities is based on the RN's professional judgement, the competence of the LPN, policy and procedures of the institution and standards of nursing practice."
Office of the Professions
State Education Building
2nd floor, Albany, NY 12234
Voice: 518-474-3817
Email: op4info@mail.nysed.gov
Fax: 518-474-1449
TDD/TTY: 518-473-1426
http://www.op.nysed.gov/nurse-lpn-iv-acutecare.htm
******************************************************
******************************************************
Intravenous Medications: A Handbook for Nurses and Allied Health Professionals, by Betty L. Gahart, Adrienne R. Nazareno:"This best-selling handbook has been revised with hundreds of new drug facts and approximately 10 to 15 new monographs for FDA-approved IV drugs. More than 350 drug monographs are presented in a clinically useful format notable for its consistency, comprehensiveness, and accuracy. Revised annually, INTRAVENOUS MEDICATIONS gives health care personnel quick access to accurate IV drug information in an easy-to-use format."
******************************************
I.V. Q & A: Drawing Blood Samples from Lines:"Standard of Practice #33 addresses blood drawing from pre-existing cannulae and IV administration lines/sets. As you’ll see, indwelling devices aren’t recommended for routine blood draws. But obtaining blood while inserting the cannula is perfectly permissible. The device is “virginal,” if you will, in that no medications or infusates have been infused via the device."
******************************************
Choosing a Site:"If you have a patient who does not have any accessible sites in the upper extremities, what are the pros and/or cons to insertion of a peripheral catheter in the lower extremities?"
******************************************
Priming/Flushing the Secondary Set:"we are reviewing the implementation of a policy using back priming/flushing the secondary set with the primary fluid. Some clinicians are questioning the capability of drugs, primarily antibiotics, due to the possibility of drug leaching into IV tubing and subsequent untoward reactions."
******************************************
Site Checks:"Observation of IV cannulation sites certainly is dependent on many factors including patient population (pediatrics, geriatrics, critical care), infusates being administered, electronic-versus gravity-assisted infusions, competency levels of professional staff, etc."
******************************************
I.V. Access for Obese Patients:"Short of blind sticks, what’s the best method of obtaining large-bore I.V. access in mildly and morbidly obese patients?"
******************************************
Guideline For Prevention
Of Intravascular Device-Related Infections: National Center for Infectious
Diseases Centers for Disease Control and Prevention
http://www.cdc.gov/ncidod/hip/iv/iv.htm
******************************************
Hospital Infections
Program (HIP): Dedicated to assisting the Public Health Service, state
and local health departments, hospitals, and professional organizations
worldwide in the prevention and control of nosocomial infections.
http://www.cdc.gov/ncidod/hip/default.htm
******************************************
Mantoux Tuberculin
Skin Test (Tuberculosis Screening Test): Adapted from the CDC.
http://www.nurse.net/clinical/tb/index.html
******************************************
Preservative- Free Normal Saline:"The current practice of oncology nurses is the use of preservative-free normal saline for flushing VADs. My previous experience in this type of setting has involved the use of bacteriostatic normal saline for flushing (except, of course, for patients with sensitivity to benzyl alcohol). In an outpatient setting, the volume of patients treated dictated preparation of normal saline flushes well in advance. Preparation and use of preservative-free normal saline over several days raises concern about sterility."
******************************************
Intravenous therapy, Wikipedia.org:"Intravenous therapy or IV therapy is the giving of liquid substances directly into a vein. It can be intermittent or continuous; continuous administration is called an intravenous drip. The word intravenous simply means "within a vein", but is most commonly used to refer to IV therapy. Therapies administered intravenously are often called specialty pharmaceuticals.
Compared with other routes of administration, the intravenous route is the fastest way to deliver fluids and medications throughout the body. Some medications, as well as blood transfusions and lethal injections, can only be given intravenously."
http://en.wikipedia.org/wiki/Intravenous_therapy
******************************************
Home I-V instructions, Jeffrey J. Wine:"Check with your doctor and Home Care Professional for changes to these instructions. These are based on experience with home IV done in 1996. Send email if you have additional questions.
Start by removing the antibiotic packet from the refrigerator so it can be warming. Do this about 1 hour in advance if possible."
Jeffrey J. Wine
Professor of Psychology, Human Biology (director),
Neurosciences, Pediatrics
Molecular and Cellular Physiology
(by courtesy)
Jordan Hall, Bldg 420, Main Quad
Stanford University
Stanford, CA 94305-2130
Phone:(650) 725-2462 Fax: (650) 725-5699
wine@stanford.edu
http://www.stanford.edu/~wine/HomeIV.html
******************************************
Intravenous Therapy Nursing Consultants:
Lucille "Lou" Addington, RN, CLNC, Florida:"We do medical-legal consulting for attorneys, insurance companies and HMO's, and private individuals. Presuit investigations and affidavits. Expert witness location. Special interest in vaccine damage cases and long term care/elder care issues. My associate and I bring a combined 42 years of professional nursing practice to our cases."
Specialty Areas:
- Emergency Room/Trauma care, http://www.nursefriendly.com/emergency/
- Expert Witness Location, http://www.nursingexperts.com
- Home Care, http://www.nursefriendly.com/home.care/
- IV Team, http://www.nursefriendly.com/intravenous/
- Legal Nurse Consultant, http://www.legalnursingconsultant.org
- Long Term Care, http://www.nursefriendly.com/ltc/
- Managed Care Organizations, HMO's, http://www.nursefriendly.com/hmo
Psychiatric, http://www.nursefriendly.com/psych/
Vaccine Injury Issues, http://www.nursingexperts.com/vaccines
Nursing Administration
******************************************************
Randy Ross R.N., B.S.N IV's Etc... LLC.
ER, ICU
Infusion Therapy,
documentation,
IV Therapy,
Nursing Education,
PICC,
http://www.nursingexperts.com/ross/
******************************************************
Perivascular Nurse Consultants, Inc.:"Perivascular Nurse Consultants, Inc. is an independent educational training and legal consultation firm. PNC is nationally recognized for excellence as a provider of infusion therapy education programs. Faculty includes nurses with over ten years hands-on IV therapy experience in hospitals, homecare, long term care and out-patient settings. To their credit they have over 100 printed journal articles. The main goal of PNC is to educate other healthcare providers, attorneys, and the community in the proper initiation, administration and maintenance of intravenous therapy and vascular access devices."
http://www.pncnurse.com/
******************************************************
PICC Excellence Inc.:"PICC Excellence provides professional instruction in all aspects of Peripherally Inserted Central Catheters (PICC), midclavicular and midline catheters. Since 1994, PICC Excellence has trained over 3000 IV and vascular access professionals throughout the U.S. and Internationally. PICC Excellence has the experience and knowledge to design custom training programs to meet your IV and vascular access educational needs."
2399 Birdwood Drive, Orange Park, FL 32073, Toll Free 888- 714-1951 or Office 904-278-5208, Fax: (904) 264-6887,
email:picc@mediaone.net
http://www.PICCExcellence.com
******************************************
Canadian Intravenous
Nurses Association:"We are a national association with representation in each Canadian province and the Territories. Our membership has also extended to the United States, United Kingdom, and other parts of Europe."
Canadian Intravenous Nurses Association
P.O. Box 66572,
685 McCowan Rd.,
Toronto, Ontario
M1J 3N8
Phone: (416) 696-7761 Fax: (416) 696-8437, cina@cina.ca
http://www.cina.ca/
Category: Canadian Nursing Associations, Healthcare Organizations, Intravenous (IV) & Infusion Drug Therapy,
Nursing Associations
******************************************************
Intravenous Nurses Society:
http://www.ins1.org/
******************************************************
League of Intravenous Therapy Education:
http://www.lite.org
******************************************************
OSHA:
Bloodborne
Pathogens Final Standard: Summary of Key Provisions
http://www.pp.okstate.edu/ehs/modules/bbpsum.htm
******************************************************
Lidocaine and Prilocaine Cream (EMLA) for Topical Anesthesia in Children:
http://www.vh.org/Providers/Publications/PTNews/1994/11.94.html
******************************************************
Position Statements:
Post-Exposure Programs in the Event of Occupational Exposure to HIV/HBV:
http://www.ana.org/readroom/position/blood/blpoex.htm
******************************************************
Total Parenteral Nutrition, TPN:
http://critcare.lhsc.on.ca/icu/cctc/procprot/nursing/protocols/tpn.htm
The Uniform Resource Locator (URL) or Internet Street Address
of this page is
http://www.intravenousnursing.com
Send comments and mail to Andrew Lopez, RN
See Also:
******************************************************
Articles:
I.V. Therapy and Liability Issues, Deborah Buchanan, RN, MS, CLNC, Medical/Legal Consultants of Colorado:"There are many potential complications associated with the use of intravenous therapy. These include damage to the nerves, either by the actual needle stick or by compression caused by infiltrated I.V. fluid, phlebitis, nosocomial infection, allergic reaction to the indwelling cannula, air embolisms, speed shock, a severed catheter, and circulatory overload. While this may seem like a daunting list, most law suites arise from just two of these complications: infiltration of I.V. fluids and phlebitis. These are two complications that most juries feel are preventable."
31 N. Tejon St., Suite 300, Colorado Springs, Colorado 80903
719-444-0544 • 888-594-6973 • Fax 719-635-9391 info@medical-legal-consultants.com
http://www.medical-legal-consultants.com/newsletter/dec99.htm#1
******************************************
The Practice of IV Therapy by Licensed Practical Nurses in Acute Care Settings, Current Issues in Nursing:"In response to numerous inquiries concerning the role of the licensed practical nurse (LPN) in the administration of intravenous therapy in acute care settings, the New York State Board for Nursing provides the following guidance document.
The role of the LPN in providing intravenous therapy is determined by a number of factors including the complexity of the procedure, the degree of direction, the setting, as well as the skill and competence of the licensee. A Registered Professional Nurse (RN) may delegate select activities associated with the administration of intravenous therapy to an appropriately competent LPN. The delegation of these activities is based on the RN's professional judgement, the competence of the LPN, policy and procedures of the institution and standards of nursing practice."
Office of the Professions
State Education Building
2nd floor, Albany, NY 12234
Voice: 518-474-3817
Email: op4info@mail.nysed.gov
Fax: 518-474-1449
TDD/TTY: 518-473-1426
http://www.op.nysed.gov/nurse-lpn-iv-acutecare.htm
******************************************************
******************************************************
Intravenous Medications: A Handbook for Nurses and Allied Health Professionals, by Betty L. Gahart, Adrienne R. Nazareno:"This best-selling handbook has been revised with hundreds of new drug facts and approximately 10 to 15 new monographs for FDA-approved IV drugs. More than 350 drug monographs are presented in a clinically useful format notable for its consistency, comprehensiveness, and accuracy. Revised annually, INTRAVENOUS MEDICATIONS gives health care personnel quick access to accurate IV drug information in an easy-to-use format."
******************************************
I.V. Q & A: Drawing Blood Samples from Lines:"Standard of Practice #33 addresses blood drawing from pre-existing cannulae and IV administration lines/sets. As you’ll see, indwelling devices aren’t recommended for routine blood draws. But obtaining blood while inserting the cannula is perfectly permissible. The device is “virginal,” if you will, in that no medications or infusates have been infused via the device."
******************************************
Choosing a Site:"If you have a patient who does not have any accessible sites in the upper extremities, what are the pros and/or cons to insertion of a peripheral catheter in the lower extremities?"
******************************************
Priming/Flushing the Secondary Set:"we are reviewing the implementation of a policy using back priming/flushing the secondary set with the primary fluid. Some clinicians are questioning the capability of drugs, primarily antibiotics, due to the possibility of drug leaching into IV tubing and subsequent untoward reactions."
******************************************
Site Checks:"Observation of IV cannulation sites certainly is dependent on many factors including patient population (pediatrics, geriatrics, critical care), infusates being administered, electronic-versus gravity-assisted infusions, competency levels of professional staff, etc."
******************************************
I.V. Access for Obese Patients:"Short of blind sticks, what’s the best method of obtaining large-bore I.V. access in mildly and morbidly obese patients?" ******************************************
Guideline For Prevention
Of Intravascular Device-Related Infections: National Center for Infectious
Diseases Centers for Disease Control and Prevention
http://www.cdc.gov/ncidod/hip/iv/iv.htm
Hospital Infections
Program (HIP): Dedicated to assisting the Public Health Service, state
and local health departments, hospitals, and professional organizations
worldwide in the prevention and control of nosocomial infections.
http://www.cdc.gov/ncidod/hip/default.htm
Mantoux Tuberculin
Skin Test (Tuberculosis Screening Test): Adapted from the CDC.
http://www.nurse.net/clinical/tb/index.html
Preservative- Free Normal Saline:"The current practice of oncology nurses is the use of preservative-free normal saline for flushing VADs. My previous experience in this type of setting has involved the use of bacteriostatic normal saline for flushing (except, of course, for patients with sensitivity to benzyl alcohol). In an outpatient setting, the volume of patients treated dictated preparation of normal saline flushes well in advance. Preparation and use of preservative-free normal saline over several days raises concern about sterility."
******************************************
Intravenous therapy, Wikipedia.org:"Intravenous therapy or IV therapy is the giving of liquid substances directly into a vein. It can be intermittent or continuous; continuous administration is called an intravenous drip. The word intravenous simply means "within a vein", but is most commonly used to refer to IV therapy. Therapies administered intravenously are often called specialty pharmaceuticals.
Compared with other routes of administration, the intravenous route is the fastest way to deliver fluids and medications throughout the body. Some medications, as well as blood transfusions and lethal injections, can only be given intravenously."
http://en.wikipedia.org/wiki/Intravenous_therapy
******************************************
Home I-V instructions, Jeffrey J. Wine:"Check with your doctor and Home Care Professional for changes to these instructions. These are based on experience with home IV done in 1996. Send email if you have additional questions.
Start by removing the antibiotic packet from the refrigerator so it can be warming. Do this about 1 hour in advance if possible."
Jeffrey J. Wine
Professor of Psychology, Human Biology (director),
Neurosciences, Pediatrics
Molecular and Cellular Physiology
(by courtesy)
Jordan Hall, Bldg 420, Main Quad
Stanford University
Stanford, CA 94305-2130
Phone:(650) 725-2462 Fax: (650) 725-5699
wine@stanford.edu
http://www.stanford.edu/~wine/HomeIV.html
******************************************
Intravenous Therapy Nursing Consultants:
Lucille "Lou" Addington, RN, CLNC, Florida:"We do medical-legal consulting for attorneys, insurance companies and HMO's, and private individuals. Presuit investigations and affidavits. Expert witness location. Special interest in vaccine damage cases and long term care/elder care issues. My associate and I bring a combined 42 years of professional nursing practice to our cases."
Specialty Areas:
Randy Ross R.N., B.S.N IV's Etc... LLC.
ER, ICU
Infusion Therapy,
documentation,
IV Therapy,
Nursing Education,
PICC,
http://www.nursingexperts.com/ross/
******************************************************
Perivascular Nurse Consultants, Inc.:"Perivascular Nurse Consultants, Inc. is an independent educational training and legal consultation firm. PNC is nationally recognized for excellence as a provider of infusion therapy education programs. Faculty includes nurses with over ten years hands-on IV therapy experience in hospitals, homecare, long term care and out-patient settings. To their credit they have over 100 printed journal articles. The main goal of PNC is to educate other healthcare providers, attorneys, and the community in the proper initiation, administration and maintenance of intravenous therapy and vascular access devices."
http://www.pncnurse.com/
******************************************************
PICC Excellence Inc.:"PICC Excellence provides professional instruction in all aspects of Peripherally Inserted Central Catheters (PICC), midclavicular and midline catheters. Since 1994, PICC Excellence has trained over 3000 IV and vascular access professionals throughout the U.S. and Internationally. PICC Excellence has the experience and knowledge to design custom training programs to meet your IV and vascular access educational needs."
2399 Birdwood Drive, Orange Park, FL 32073, Toll Free 888- 714-1951 or Office 904-278-5208, Fax: (904) 264-6887,
email:picc@mediaone.net
http://www.PICCExcellence.com
******************************************
Canadian Intravenous Nurses Association:"We are a national association with representation in each Canadian province and the Territories. Our membership has also extended to the United States, United Kingdom, and other parts of Europe."
Canadian Intravenous Nurses Association
P.O. Box 66572, 685 McCowan Rd., Toronto, Ontario M1J 3N8
Phone: (416) 696-7761 Fax: (416) 696-8437, cina@cina.ca
http://www.cina.ca/
Category: Canadian Nursing Associations, Healthcare Organizations, Intravenous (IV) & Infusion Drug Therapy, Nursing Associations
******************************************************
Intravenous Nurses Society:
http://www.ins1.org/
League of Intravenous Therapy Education:
http://www.lite.org
-
******************************************************
OSHA:
Bloodborne
Pathogens Final Standard: Summary of Key Provisions
http://www.pp.okstate.edu/ehs/modules/bbpsum.htm
Lidocaine and Prilocaine Cream (EMLA) for Topical Anesthesia in Children:
http://www.vh.org/Providers/Publications/PTNews/1994/11.94.html
******************************************************
Position Statements:
Post-Exposure Programs in the Event of Occupational Exposure to HIV/HBV:
http://www.ana.org/readroom/position/blood/blpoex.htm
******************************************************
Total Parenteral Nutrition, TPN:
http://critcare.lhsc.on.ca/icu/cctc/procprot/nursing/protocols/tpn.htm
http://www.intravenousnursing.com