{"title":"Certification and credentialing to define competency-based practice.","authors":"S M Weinstein","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>One of the challenges that healthcare organizations face today is how to effectively establish, document, and evaluate competency in intravenous practice. The process used to define practice parameters based on national certification and credentialing versus organizational policies is described. Key attributes, the role of mentoring, and adverse outcomes are addressed.</p>","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"23 1","pages":"21-8"},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21845476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cellular effects of cancer chemotherapy administration.","authors":"P Moran","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Cancer chemotherapy drugs (CDs) exert a cytotoxic effect by altering one or more aspects of the growth kinetics of cancer and malignant cells. The pattern and extent of cytotoxicity determines in part the scientific rationale of various CD regimens and accounts for many of the common side effects of treatment. This article provides an overview of the behavior of cancer at the cellular level and the impact exerted by CDs on normal and malignant cell growth. Examples are provided of how these scientific concepts affect treatment outcomes and clinical decisions. The nurse's role in monitoring and managing the related side effects of treatment also is discussed.</p>","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"23 1","pages":"44-51"},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21846113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Ethics and total parenteral nutrition: issues for intravenous nurse professionals.","authors":"S J Breier","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Healthcare ethics is a hot topic these days. Decisions to withhold or withdraw various forms of medical therapy are daily events in most hospitals and long-term care facilities. Intravenous nurse professionals do not need to be bioethicists; however, they do need to be able to identify problems quickly and know how to address them. Some of the ethical issues that could be encountered by i.v. nurse professionals involved in the provision of total parenteral nutritional support in various clinical settings are examined and explored.</p>","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"23 1","pages":"52-7"},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21846115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Efficacy of ultrasonography in peripheral venous cannulation.","authors":"G D LaRue","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A retrospective study of 431 patients who had peripherally inserted midclavicular or central catheters placed during a consecutive 13-month period using the conventional landmark method for placement was compared with a second group of 326 patients, who during a 12-month period had such catheters placed using ultrasonography. The data demonstrate a 42% decrease in the number of needle penetrations needed to successfully cannulate veins when ultrasound was used during placement. There is a 26% greater chance of successful cannulation of the vein on the first attempt with ultrasound-guided placements than with those using the traditional landmark method.</p>","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"23 1","pages":"29-34"},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21845475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Tracking catheters: the care continuum.","authors":"D Richardson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Care coordination and development of a plan to track vascular access devices (VADs) is presented. The article discusses how to establish criteria so that central venous catheters can be monitored. Specific areas of focus for monitoring outcomes are reviewed, as is the process of obtaining invaluable information. This information can be used to support policy and procedure changes and clinical practice changes to provide quality outcomes.</p>","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"23 1","pages":"35-43"},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21845478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Controversies in the treatment and management of Lyme disease.","authors":"B Connolly-Taylor","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Lyme disease is an infection caused by the bite of the deer tick. It is the most common vector-transmitted disease in the United States. Past treatment practices included the administration of oral and/or i.v. antibiotics. Today the question is \"to treat or not to treat.\" The etiology, signs and symptoms, and current treatments and management of Lyme disease and its associated somatic complaints are discussed.</p>","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"23 1","pages":"15-20"},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21845473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"CytoGam infusions at home.","authors":"D Hammond","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>CytoGam is a hyperimmune globulin created specifically for prophylactic use when a cytomegalovirus seronegative patient receives an organ from a seropositive donor. CytoGam is derived from human pooled plasma rich with cytomegalovirus antibodies, immunoglobulin G, and trace amounts of immunoglobulin A and immunoglobulin M. Clinical studies show a marked decrease in the development of cytomegalovirus when transplant recipients are treated with CytoGam. CytoGam also has undergone trial testing for use in decreasing the instance of cytomegalovirus in patients with human immune deficiency virus (HIV). CytoGam therapy may continue for several months, making home intravenous care essential.</p>","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"22 6","pages":"331-5"},"PeriodicalIF":0.0,"publicationDate":"1999-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21709294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Infection control principles and practices in the care and management of central venous access devices.","authors":"C E Ray","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Infectious complications occur in a significant percentage of patients with central venous access devices (CVADs). This article reviews the recognition and treatment of CVAD-related infectious complications and suggests methods to decrease the risk of such complications. In addition, algorithms for prevention and treatment of CVAD-related infections are presented.</p>","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"22 6 Suppl","pages":"S18-25"},"PeriodicalIF":0.0,"publicationDate":"1999-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21709296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Reducing home nursing visit costs using a remote access infusion pump system.","authors":"M Chung, M Akahoshi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The use of a remote access infusion pump system in patients receiving intravenous therapy in the home provided a method to monitor patients and to reduce the number of unscheduled and after-hours nursing visits. Option Care of Rockwall, Texas, a locally owned IV company that is part of a national network, was able to avoid 13 nursing visits during a 4-month period with patients receiving pain management or continuous heparin therapy with the use of an infusion pump system that allowed remote access by telephone. An appreciable cost savings was documented with the use of this device.</p>","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"22 6","pages":"309-14"},"PeriodicalIF":0.0,"publicationDate":"1999-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21709288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Understanding the obstacles to consistent intravenous catheter-related infection reporting by home health providers.","authors":"M Hanchett","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A variety of formulae have been used by home health providers to obtain consistent and accurate reporting of intravenous catheter-related infections. This article describes the most widely used statistical formulae, their advantages and disadvantages, and their relevance to the home health setting. However, because of the numerous and complex intervening variables that influence these statistical applications, epidemiological measurement in nonhospital settings remains an unresolved dilemma for most providers.</p>","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"22 6","pages":"320-4"},"PeriodicalIF":0.0,"publicationDate":"1999-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21709290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}