Issue 01
No Vein? Or Just Bad Geometry?
Why vessel depth, approach angle, catheter length, intravascular dwell, and stabilization matter.
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Issue 02
The Volume
Ordered volume, prepared volume, delivered volume, and received volume are not always the same.
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Issue 2⅔
Catheter Geometry
Inspired by the discussion between Timothy and Dennis: vessel depth, catheter length, approach angle, and why “threaded” is not always enough.
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Issue 04
The Wire
Wire exchange or a fresh start? When preserving good access may be the better move.
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Issue 05
The Culture
Positive here, negative there. What does the culture actually tell us?
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Issue 06
The Chart
Every entry may be true. The final story may still be completely wrong.
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Issue 07
The Skin
Before the needle, before the dressing, before the line: good vascular access starts with the skin.
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Issue 08
The Dressing
Securement, dressings, and CHG: what goes where — and why it matters.
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Issue 09
The Agent
Your files. Your knowledge. Your Agent. When the universal kitchen combine finally learns to do the work. ;)
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Issue 10
The Line
PIV, Midline, PICC, CVC: where the line starts, where it ends, and why size and tip location matter.
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Issue 11
Materials
Catheter materials, vessel walls, surface behavior, and what actually happens when the line meets the vein.
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Issue 12
De-airing
Air belongs in the room, not in the line. A practical look at de-airing before infusion.
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Issue 13
The Triad
Virchow meets catheter geometry: flow, vessel injury, and stasis do not operate in isolation.
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Issue 14
Ceftriaxone + PICC
Five days, five PIVs — or an earlier PICC and home OPAT? Same antibiotic. Very different journey.
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Issue 15
Vancomycin + PICC
The drug has a half-life. The nurse has a schedule. From timed troughs to hidden milligrams — in home infusion, timing is everything!
Read issueNurzilka Comments
One observation. One uncomfortable question.
Comment 01
Nurzilka Comment
A short field observation with one sharp clinical question.
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Comment 02
PICC vs. FICC
Same destination. Very different route. Anatomy, geometry, access sites — and why the easier-looking path may change how we think about vascular access.
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Comment 03
AI Governance: Who Can Open That Safe?
Everyone talks about responsible AI. But who has the keys, the authority, and the time to actually open the safe?
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GLP-1
Should I—or shouldn’t I?
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An independent educational publication created by Tatiana A. Zhdanova, RN, MSN, CRNI®, VA-BC, for infusion nurses, educators, and curious clinicians.
Educational content only. Always follow current prescribing information, organizational policy, applicable standards, and clinical judgment.