Tourniquet Time for PIV Blood Draw

Questions are often posed about whether to wait until all blood samples are collected before releasing the tourniquet and applying the dressing to the IV site. The 2016 Infusion Therapy Standards of Practice does state that tourniquet time should be limited to 1 minute. Find out more information about why from Cora Vizcarra in her Infusion Nurse…

Taking Steps to Prevent Infiltrations in Children

The incidence of infiltration can occur quickly and cause a great deal of damage. Complications of infiltration can include localized swelling and discomfort, compartment syndrome and necrosis. In an effort to reduce the incidence of infiltration an evidence based practice change project (EBPCP) was tested. The EBPCP included a comprehensive education plan focused on guidelines…

Considerations When Selecting an IV Needle

One of the of the important considerations when starting an IV is the needle size. IV needles are sized by gauges, and the smaller the gauge number, the bigger the needle. “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…

Long Term Care Hospital Readmissions An Issue… Adopt Vein Illumination!

At long term care facilities access to veins can mean the difference between keeping the patient in the facility and being forced to readmit them to the hospital. Venipuncture is the most common invasive medical procedure and is increasingly difficult on the elderly. Attempts for access can fail and in the geriatric patient group these attempts…

FDA Suggests Injectors Familiarize Themselves With The Patient’s Anatomy

“The FDA is alerting health care providers and consumers about the possibility of rare, but serious, injuries that may occur due to unintentional injection of soft tissue filler into blood vessels in the face”. New labeling requirements have been implemented by the FDA regarding soft tissue fillers and with these changes the FDA suggests: “Make…

Don’t Touch Your Face

Touching your face is a common behavior and it can be difficult to realize it is happening. By touching your face you can be exposing yourself to contaminants from your surroundings and/or exposing your patients to illness if you are not well. ” A behavioral observation study was undertaken involving medical students at the University of…

IV Needles That Are Too Small Can Be Unreliable

Fred Mihm M.D., a Stanford doctor who is involved in Global Health medical missions just returned from India where he and a surgical team provided free surgical care for children with cleft lip/palate defects. Dr. Mihm brought along an AccuVein AV400 device to not only help on patients with difficult to find veins but also to…

Heat Use During Peripheral IV Insertion

The Journal of Infusion Nursing reported in their November/December 2014 issue that a survey was completed that looked at the common practices regarding heat use during PIV catheter insertion. Of the 907 healthcare workers who responded, 73% reported using heat at least sometimes to facilitate IV insertion. Only 6% reported always using heat. When veins…

Tips for Avoiding CLABSIs

Reducing the the number of unnecessary central lines done at your facility is the first step in avoiding central line associated bloodstream infections or CLABSIs. This can be done by improving IV insertion techniques through training and enforcement or standard operating procedures. Vein illumination has also been proven to reduce IV access escalations by 45% thereby…