To Infuse or Not to Infuse: The Importance of Blood Return

Recorded On: 11/03/2018

The misplacement of central vascular access devices (CVADs) frequently results in the absence of blood return. At times, clinicians are encouraged to use an established CVAD without a blood return to save time and/or to lessen treatment-related stress for patients receiving intravenous (IV) fluids, chemotherapy, or parenteral nutrition, to name a few. This presentation will discuss the rationale for obtaining a blood return before the administration of IV fluids in relation to what contributing factors there may be and whether it's worth the risk.

Learning Outcomes 

After the session, attendees will be able to list potential complications related to a lack of blood return from CVADs and discuss appropriate interventions for troubleshooting and resolution.

​Denice Gibson, DNP, RN, CRNI®, BMTCN, AOCNS®


Denice Gibson, DNP, RN, CRNI®, BMTCN, AOCNS®, is a clinical nurse specialist for HonorHealth, based in Scottsdale, Arizona. She has been a clinical nurse specialist for more than 20 years on a bone marrow transplantation, a leukemia, and an oncology service line at a community hospital. In addition to working in 3 spheres of patient care, the profession, and the community, she also works with a 5-hospital network to consultant for peripheral and central catheter care and administration. She is government affairs officer for the Arizona Nurses Association and the Oncology Nursing Society's health care policy liaison.

Disclosure: No conflict of interest to disclose

CRNI® RUs: 2                                                                       
This entire program has been approved for 2 CRNI® recertification units and meets the INS Meeting criteria.                                                                 
*Note: Participants who attended the live version of this program at INS National Academy 2018 in Washington, DC are not eligible to receive CRNI® recertification units through this online program.

Contact Hours: 1        
To receive contact hours for this educational activity, you are required to attend the entire educational activity and complete the evaluation.                                                           
*Note: Participants who attended the live version of this program at INS National Academy 2018 in Washington, DC are not eligible to receive contact hours through this online program.

Expiration date for receipt of contact hours: November 3, 2021

INS is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.


Session Evaluation
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