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Repositioning of CVADs using high flow flushing technique – practice and cost review

Although it’s a little self-indulgent, I am also very excited. I just had a manuscript accepted for publication on repositioning of CVADs utilizing a high flow flushing technique (HFFT) in the Journal of Vascular Access. This is something I investigated and started monitoring a few years ago (after a discussion on its relatively unknown use) and decided to start writing a more formal paper on this technique. The manuscript has not been allocated an edition currently, but will be available as advanced online publication at the JVA website very soon.


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Updated list of Non-Cytotoxic Vesicants and Irritant medications

Many medications and drug therapies actually cause damage to the vessel wall – the endothelial layer (which in turn is only one cell layer thick) is the prime area that is predisposed to injury during exposure to the administered medication – here are the latest from the Infusion Nurses Society in regards to non-cytotoxic vesicant and irritant medication administration. Be mindful that many of these medications CANNOT be administered via a peripheral device, which includes midline catheters..


Development of an Evidence-Based List of Noncytotoxic Vesicant Medications and Solutions

Something I read recently on the science of teamwork

In today’s healthcare environment, interdisciplinary teamwork IS essential. However, often the driving process of collaboration, and as well as the teams overall diversity, creates a failure to thrive – often stagnating, sometimes buckling under the weight of internal conflict, or sometimes from external influential sources. This failure to thrive is not anyones fault, however, there is a need to understand what we are all to achieve and in doing so, know each team members goal and understand their role within the team. Find the gaps that allow problems to slip through the net. Filling these gaps will allow for greater cohesion within the team, allowing it to succeed.

Understanding the Styles

Each of us is a composite of four work styles, though most people’s behavior and thinking are closely aligned with one or two. All the styles bring useful perspectives and distinctive approaches to generating ideas, making decisions, and solving problems. Generally speaking:

Pioneers value possibilities, and they spark energy and imagination on their teams. They believe risks are worth taking and that it’s fine to go with your gut. Their focus is big-picture. They’re drawn to bold new ideas and creative approaches.

Guardians value stability, and they bring order and rigor. They’re pragmatic, and they hesitate to embrace risk. Data and facts are baseline requirements for them, and details matter. Guardians think it makes sense to learn from the past.

Drivers value challenge and generate momentum. Getting results and winning count most. Drivers tend to view issues as black-and-white and tackle problems head on, armed with logic and data.

Integrators value connection and draw teams together. Relationships and responsibility to the group are paramount. Integrators tend to believe that most things are relative. They’re diplomatic and focused on gaining consensus.

The four styles give teams a common language for understanding how people work.

Knowing how each team member in your team and looking for these traits in them will be an important consideration when creating or implementing teamwork process within an organization. Use it to the teams advantage, as it will give great all-round perspectives.

The difference between success and failure is a great team.

“Teamwork is the ability to work together toward a common vision. The ability to direct individual accomplishments toward organizational objectives. It is the fuel that allows common people to attain uncommon results.”  – Andrew Carnegie

How to be an inspiring leader..

apr17-25-15843859-1200x675A great article in HBR last week, focusing on how to be engaged AND inspirational.

Drawing insight from Eastern philosophy, someone once said, “If you want to change the way of being, you have to change the way of doing.”

Leaders can only change by doing things differently. The more often they behave in a new way, the sooner they become a new type of leader, an inspirational leader.

Go on, go out and be that leader..

New clinical evidence for the use of PICCs in pregnancy.

A new retrospective case series was performed that included all pregnant and postpartum women who received peripherally inserted central catheters (PICCs) at a single institution between 2006 and 2014.

Similar outcomes rates were reported to non-pregnant women populations.

Safety of peripherally inserted central catheters during pregnancy: a retrospective studyLaura Jacques, Megan Foeller, Rahmouna Farez, Kristina Kaljo, Melodee Nugent, Pippa Simpson & Timothy Klatt

The Journal of Maternal-Fetal & Neonatal Medicine

Received 06 Jan 2017, Accepted 22 Mar 2017, Published online: 16 Apr 2017

Fluoroquinolones Are Too Risky for Common Infections

The Food and Drug Administration (FDA) is advising against prescribing fluoroquinolones, a group of antibiotics that includes drugs such as Cipro and Levaquin, to treat three common illnesses —bronchitis, sinus infections, and urinary tract infections. 

The agency issued the new recommendations after a safety review revealed that fluoroquinolones can cause disabling and potentially permanent side effects that affect the tendons, muscles, joints, nerves, and central nervous system.

The new FDA ruling calling for restricted use of fluoroquinolones affects five prescription antibiotics: ciprofloxacin (Cipro), levofloxacin (Levaquin), moxifloxacin (Avelox), ofloxacin (Floxin), and gemifloxacin (Factive). All are also available as generics.

Read more here;