Journal of intravenous nursing : the official publication of the Intravenous Nurses Society
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Successful individuals speak and write effectively. Effective speakers know their subject, convey a message, and understand their audience. Guidelines to enhance speaking skills, identify adult learner/learning style strategies, and use audiovisual aids more successfully in presentations are presented. The professional career benefits of presentations are discussed.
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Review Case Reports
Positive outcome after looped peripherally inserted central catheter malposition. A case study.
Tip malposition of peripherally inserted central catheters (PICCs) is a frequently encountered problem. Invasive and noninvasive techniques for resolution of malpositions described in the literature are reviewed. A positive outcome using non-invasive techniques after a looped malposition in the axillary vein is discussed.
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A descriptive comparison study was conducted to determine if there were any coagulation, immune, nutritional, or insertion-related differences between 64 adult hospitalized clients who experienced phlebitis after insertion of a peripherally inserted central catheter (PICC) compared with a matched group of 64 adult hospitalized clients who did not develop phlebitis. Factors that significantly decreased the development of phlebitis in this study included smaller catheter gauge, placement in the basilic vein, tip location in the superior vena cava, no manipulation or movement at the exit site, and higher platelet levels.
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Obtaining i.v. access in children during an emergency situation is a challenge to nurses. It is important for the infusion nurse specialist to understand which devices and sites are appropriate in different circumstances. This article addresses the access sites and devices demanded in pediatric emergency situations and offers an approach to managing the anxiety of children requiring emergency infusion care and their families.