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IVOPINION
PICC to vein ratio
October 24, 2015 0
First of all I fully support the idea of small catheters and large veins. However, I must mention that vein diameter may not be a static measurement. Do we need to consider issues such blood pressure and the hydration status of the patient? Do we need to consider the clinical impact of reliable vascular access? […]
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IVOPINION
Blood culture contamination prevention
August 27, 2015 0
Blood culture contamination reduction is the goal of many healthcare organisations. Hospitals have recently been encouraged to reduce blood culture contamination rates in this article. The Rotherham NHS Foundation Trust have an interest in this challenge and have recently produced two videos aimed at helping clinicians update on blood culture contamination reduction. Thank you to the […]
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IVOPINION
The language of vascular access
May 19, 2015 0
I believe that the language of vascular access is an import gauge of how well quality infusion and vascular access standards are embedded within an organisation. Ask yourself how well any recent conversations or educational sessions were accepted at your place of work. Did the conversation flow easily? Or did you have to explain the […]
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IVOPINION
Time to question central venous catheter tip location
March 9, 2015 0
Take a short stroll through the IVTEAM pages and you will discover a number of articles that describe ideal tip location with respect to patient safety. York (2012) reminds us that the lower third of the superior vena cava is the ideal location for a central venous catheter tip. It is also suggested by York (2012) that […]
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IVOPINION
IVTEAM upgrade
November 16, 2014 0
Recently we have updated the IVTEAM website. Not that you may have noticed. We have tried very hard to stay within the format that our visitors have found so appealing over previous years. The changes will not detract from our philosophy of providing visitors with a premier service that has no financial or subscriber based restrictions. […]
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IVOPINION
My last comment on health & safety
August 18, 2014 0
I promise I will stop now… “The use of gardening tools at household waste recycling centres is not prohibited by health and safety law or by the HSE. Instead of forking out excuses, the site operators should either allow the individual to use their garden fork to transfer thorny green waste or dig up the […]
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IVOPINION
Health and safety ‘beef’
August 18, 2014 0
On a daily basis I search sources for information that may be of use to IVTEAM visitors. One news feed that regularly updates in my NewsBar is the news feed from the HSE. If I’m lucky, an item of interest will appear. When an item does appear it is often related to sharps injury prevention […]
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IVOPINION
Midline local site complications
July 27, 2014 0
Qian et al (2014) recently published an article on “the use of 8-cm 22G Seldinger catheters for intravenous access in children with cystic fibrosis” in the Journal of Vascular Access. The abstract in available here. In this small study the authors investigated the use of midline catheters for children. I read with interest in the […]
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IVOPINION
The three components of reliable vascular access and infusion therapy
July 22, 2014 0
I have spent a few years now talking about the concept of reliable vascular access. Also, I often recommend that we cannot initiate change in practice or invest in innovation unless we count. The aim of counting is to indicate how close we are to the goal of reliable vascular access. We should count what […]
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IVOPINION
Variable PICC tip location
July 20, 2014 0
PICC tip location is a variable point during patient position, activity etc. I was recently reflecting on the clinical condition of the patient and its effect on PICC tip location. In particular I was thinking about abdominal distention that may alter the normal anatomical geography. One example I considered was ascites… will ascites alter the […]
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