CVME Insider: Nursing Knowledge That Matters

Is a Respiratory Therapist (RT) more than just a breathing treatment provider? So I have had experience in nursing for over 20 years and have specialized in Infusion Therapy for over 6 years.  Recently, I was teaching an IV class in which the facility was using a Respiratory Therapist to insert and maintain their PICC's.  I was a little taken aback by this discovery as I have never heard of such a thing. Well I contacted the California Board for Respiratory Therapist and they responded back fairly quick and the following was their response; "Good afternoon Mr. Stansbury. The Respiratory Care Board of California (Board) often receives inquiries related to PICC and central line insertion.   In its responses the Board has stated that that licensed respiratory care practitioners are authorized to insert and care for PICC lines, so long as appropriate training, guidelines, and competencies are provided/documented by the licensed health care facility ...

By Helen Taylor With all of the advancements in infusion technology during the last hundred years, it’s simply astonishing that the IV pole has remained essentially unchanged in design and function during all that time. Top heavy, “tippy”, noisy, awkward, inefficient, for generations the IV pole has been widely viewed as a challenge rather than asset—something to deal with rather than something that actually improves the quality of care. Finally, however, there’s an alternative. The IVEA is transformative patient-care equipment designed by nurses for nurses to improve mobility, safety, efficiency and storability. The IVEA replaces the IV pole bedside and supports the patient during ambulation. It holds all of the patient’s equipment, including infusion bags and pumps, PCAs, oxygen, chest tubes and catheter bag on a stable platform, and moves easily and securely, promoting early and frequent patient mobility. The IVEA’s award-winning design is also unique in that it folds and stores...

Intraosseous Devices The recognition of   the   intraosseous (IO)  vascular access  device in fluid resuscitation and stabilization of patients has been underrated for quite some time. Intravenous therapy alone has made significant strides in the past forty years. The need to administer a wide variety of fluids and medications to a patient and affect their circulatory system is critical in the resuscitation of patients in an emergent situation regardless of their underlying disease process. Rapid  vascular access  is required for many conditions to include but not limited to hypovolemic shock, trauma,  anaphylactic shock  and cardiac arrest . There have been several “leading national and international organizations” that have published position statements as well as performed research studies to advance the cause of the IO. The IO has served to change the standard of care in the emergency room in regards to the quick need for  vascula...

EBOLA The Ebola virus has been around for quite some time and in fact first appeared in 1976 in the Democratic Republic of Congo. 1 However, with the invention of social media our population has 24 hour news coverage and this news can be brought to us immediately from around the world. We have recently seen an uptick in the discussion of the Ebola Virus due to the recent outbreak in Western Africa. “The U.S. Centers for Disease Control and Prevention said that from 550,000 people to as many as 1.4 million people when under reporting of cases is taken into account could be infected by mid-January in Liberia and Sierra Leone, in a worst-case scenario generated by a computer modeling tool the agency constructed. Around 21,000 cases would occur by Sept. 30.” 2 So with this information at your fingertips; are you ready for the increase in Ebola cases here in the U.S.? Is your hospital and medical staff ready to treat these types of patients? “The current outbreak in West Africa, ...

Giving old mice young blood reversed age-related declines in brain function, muscle strength and stamina, researchers say Researchers in the US are close to proving that a type of infusion therapy can possibly reverse harmful aging processes in the brain, muscles, heart and other organs. It gives hope as three separate reports released by major journals on Sunday that demonstrate in experiments on mice the dramatic rejuvenating effects of chemicals found naturally in young blood. Infusing younger blood reversed age-related declines in memory and learning, brain function, muscle strength and stamina, researchers found. In two of the reports, scientists identified a single chemical in blood that appears to reverse some of the damage caused by aging. Although all three studies were done in mice, researchers believe a similar rejuvenating therapy may work in humans as well. A clinical trial is expected to begin in the next three to five years. "The ev...

Retraction Notice--It was brought to our attention that this article had been published with an error and as such we have retracted the original article and replaced it with this article that has the current and up to date information.  If you would like a copy of the previous article with the errors to compare, please contact us at info@central-valley-med.com Infusion Therapy is an awesome wonder when it comes to saving a patient’s life.  Is it really necessary to give a patient a Colloid versus a Crystalloid? Trauma burns or surgery can cause people to lose large amounts of blood. Fluid replacement, giving fluids intravenously (into a vein) to replace lost blood, is used to try to maintain blood pressure and reduce the risk of dying. Blood products, non-blood products or combinations are used, including colloid or crystalloid solutions. Colloids are increasingly used but they are more expensive than crystalloids and there are many scientific studies that show no e...

  Needleless devices are used for connecting to IV catheters , administration sets, and/or syringes.   They were introduced in the 1990s for the purpose of reducing the risk of needlestick injuries among health care providers.    However, in 2000 the Needlestick Safety and Prevention Act mandated that all employers provider these devices as they have shown to reduce needlestick injuries significantly.   On the other hand; their use has been associated with an increase in complications such as catheter-related bloodstream infection (CRBSI) and catheter lumen occlusion. The reason for these complications are not totally understand and efforts to study their design, user knowledge, poor clinical practices have gotten underway to help reduce or eliminate these complications. The Food and Drug Administration is requiring nine companies to conduct a post market study on positive displacement needleless conne...

  Protect Against It Yahoo news report “The Law Offices of Kenneth A. Wilhelm uses expert testimony to prove medical negligence in the case of a day-old infant who suffered permanent injuries as a result of improper IV administration. The Law Offices of Kenneth A. Wilhelm, a New York personal injury law firm, has successfully obtained an $800,000 verdict on behalf of their client, a day-old infant, who suffered permanent scarring and injury Extravasation malpractice case: Law firm secures $800,000 verdict. The child was admitted to the Montefiore Medical Center in the Bronx on Jan. 13, 2006, a day after he was born. The law firm filed a complaint in the Supreme Court of the State of New York, Bronx County (Index # 8785/2007) against the hospital alleging that the child, who was scheduled to undergo spina bifida surgery the following day, was not properly monitored by nurses at the hospital while he was receiving intravenous fluid in preparation for the sur...