Accuracy of the Data of Biochemical Parameters in Blood Collected Above the Infusion Insertion Site
The authors aimed to investigate the possibility of collecting blood samples from above patient intravenous infusion sites by temporarily stopping the infusions while collecting the blood. A hypotonic infusion solution was administered to 5 male patients through the cephalic veins in the forearms of their left upper limbs. The biochemical data of blood collected from the median cubital veins of both patients' arms were compared. The results showed that infusions could change some biochemical test parameters, such as potassium and glucose, to higher levels, even if the infusion was interrupted temporarily during the blood c...
Source: Journal of Infusion Nursing - March 1, 2022 Category: Nursing Tags: Features Source Type: research
A New Force-Activated Separation Device for the Prevention of Peripheral Intravenous Restarts
The high failure rate (46%) of peripheral intravenous catheters (PIVCs) is well-documented. There is limited research examining the effect of forces/pulls on PIVC complications. New breakaway connectors called force-activated separation devices (FASD) separate when a damaging force is placed on a PIVC. In a randomized, controlled trial, patients were assigned 1:1 to a control group receiving PIVC standard of care (SOC) or SOC with FASD added to the catheter. The primary outcome was total mechanical complications requiring a PIVC restart. Secondary outcomes were delay in therapy, PIVC restarts, and adverse events. Outcomes ...
Source: Journal of Infusion Nursing - March 1, 2022 Category: Nursing Tags: Features Source Type: research
COVID-19 Vaccine Hesitancy: Why Wait?
No abstract available (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - March 1, 2022 Category: Nursing Tags: Departments: Editorial Source Type: research
Implementation of an Emergency Department–Embedded Infusion Center for the Administration of Monoclonal Antibody Therapy in Patients With Early COVID-19 Infection
This article describes the deployment of an emergency department–embedded infusion center set up for the purpose of supporting community members and providers electing for this treatment option. (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - December 28, 2021 Category: Nursing Tags: Features Source Type: research
Inadvertent Arterial Peripherally Inserted Central Catheter Insertion With Corresponding Electrocardiographic Tracings: A Case Report
Electrocardiographic (ECG) tip confirmation is a validated technique to place the distal tip of a peripherally inserted central catheter (PICC) in the distal superior vena cava at or near the cavoatrial junction during point-of-care insertions. This case report discusses an inadvertent arterial PICC placement despite navigation technology demonstrating similar confirmatory ECG changes seen in standard venous insertions. The findings demonstrate that ECG navigation technology should not be used to rule out arterial PICC placement. (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - December 28, 2021 Category: Nursing Tags: Features Source Type: research
Why the Utilization of Ready-to-Administer Syringes During High-Stress Situations Is More Important Than Ever
The COVID-19 pandemic has led to a high-stress environment causing a significant impact on frontline workers, including pharmacists and nurses. In addition to the increased workload, scarcity of resources, and emotional challenges, the frontline health care workers are required to wear additional personal protective equipment that can further limit their range of movement and decrease efficiency. The potential for errors can increase in these types of high-stress situations. One way to reduce the risk of errors is to use manufacturer-prepared, ready-to-administer (RTA) prefilled syringes, when appropriate. The use of RTA p...
Source: Journal of Infusion Nursing - December 28, 2021 Category: Nursing Tags: Features Source Type: research
Developing a Nurse-Driven Vascular Access Device Order Set Using the Electronic Medical Record
The creation of an electronic order set to identify appropriate vascular access device utilization was the basis of this prospective quality improvement investigation, at a Level 1 trauma center in southeastern Pennsylvania. The data used in this investigation were gathered over a 36-month time frame from January 2017 through December 2019. This patient-centered approach utilized the evidence-based guidelines developed from The Michigan Appropriateness Guide for Intravenous Catheters and recommendations from the Infusion Therapy Standards of Practice. The algorithmic approach developed by vascular access nurses led to stat...
Source: Journal of Infusion Nursing - December 28, 2021 Category: Nursing Tags: Features Source Type: research
Standards of Practice: The Path to Publication
No abstract available (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - December 28, 2021 Category: Nursing Tags: Departments: Editorial Source Type: research
A Comparison of Local Anesthetics for Intravenous Catheter Insertion in Hospitalized Pediatric Patients: A Randomized Clinical Pilot Trial
This study aimed to investigate feasibility and potential efficacy of local anesthetics on pain intensity during PIVC insertion in an unblinded, single-center, randomized clinical pilot trial. Between March 2017 and February 2020, 88 hospitalized children aged 12 months to 18 years in an acute pediatric unit at an academic medical center were randomized to 1 of 3 local anesthetics: 1) lidocaine/prilocaine cream, 2) lidocaine/tetracaine patch, and 3) unbuffered lidocaine needle-free injection. Feasibility outcomes were recruitment and protocol adherence. Pain intensity was measured using the Face, Legs, Activity, Cry, Conso...
Source: Journal of Infusion Nursing - November 1, 2021 Category: Nursing Tags: Features Source Type: research
Effectiveness of Vapocoolant Spray on Venipuncture Pain in Young Male Donors: A Randomized Controlled Trial
The aim of this single-blinded, randomized controlled study was to determine the effectiveness of vapocoolant spray in reducing pain related to venipuncture in young, healthy male blood donors. The participants were separated into 2 groups by randomization. The donors in the control group (n = 44) were not given any intervention during the blood collection process. Vapocoolant spray was applied to the donors in the vapocoolant spray group (n = 44). The pain score was 1.90 ± 1.47 for the vapocoolant spray group and 3.23 ± 2.21 for the control group, and the difference between the groups was found to be statistically signi...
Source: Journal of Infusion Nursing - November 1, 2021 Category: Nursing Tags: Features Source Type: research
Infusion Center Guidelines for Teprotumumab Infusions: Informed Consent, Safety, and Management of Side Effects
Teprotumumab was the first and only medication approved by the US Food and Drug Administration for the treatment of thyroid eye disease in January 2020. Thyroid eye disease is a complex autoimmune inflammatory disease that can be sight-threatening, debilitating, and disfiguring to affected patients. Although biologic therapies are a preferred treatment option for many complex immunologic and oncologic conditions, their use in ophthalmology and endocrinology may be more novel. The goals of this article are to introduce this new therapeutic option; discuss its mechanism of action, indications for use, administration protocol...
Source: Journal of Infusion Nursing - November 1, 2021 Category: Nursing Tags: Features Source Type: research
Assessment of Reflux From Needleless Connectors: Blinded Comparison of Category Designation to Benchtop Function Using a Venous Simulator
Needleless connectors (NCs) for vascular access have limited needlestick injuries, but complications including occlusion, thrombosis, and infections have increased despite reduced needlestick injuries. These complications relate to the ability of an NC design to limit volume fluctuations that can lead to fluid reflux with potential for microbial contamination. Different NC designs requiring specific usage protocols and training, a lack of clarity in NC function relative to manufacturer-designated categories, and confounding results from a limited number of studies comparing different NCs have resulted in confusion, ultimat...
Source: Journal of Infusion Nursing - November 1, 2021 Category: Nursing Tags: Features Source Type: research
Intravenous Cetirizine vs Intravenous Diphenhydramine for the Prevention of Hypersensitivity Infusion Reactions: Results of an Exploratory Phase 2 Study
Pretreatment with antihistamines for the prevention of hypersensitivity infusion reactions is recommended for certain biologics and chemotherapies. Cetirizine is the first injectable second-generation antihistamine recently approved for acute urticaria. A randomized, exploratory phase 2 study evaluated intravenous (IV) cetirizine 10 mg versus IV diphenhydramine 50 mg as pretreatment in patients receiving an anti-CD20 agent or paclitaxel. In the overall population (N = 34) and an elderly subgroup (n = 21), IV cetirizine was as effective as IV diphenhydramine in preventing infusion reactions (primary outcome) and associated ...
Source: Journal of Infusion Nursing - November 1, 2021 Category: Nursing Tags: Features Source Type: research
Reflections
No abstract available (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - November 1, 2021 Category: Nursing Tags: Departments: Editorial Source Type: research
Nursing Continuing Professional Development for Nursing Contact Hours and CRNI® Recertification Units
No abstract available (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - September 1, 2021 Category: Nursing Tags: Departments Source Type: research
