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Live Webcast

IV Troubleshooting Skills: Conquer Infusion Risks and Complications

Amy A. Lutteur
Full Day
Audio and Video
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Live Webcast


While checking on your patient you discover an extravasation of vancomycin. Are you going to call the doctor and wait for 30 minutes for her to call you back with orders? Or are you going to immediately treat it with hyaluronidase to prevent the necrosis that would have occurred had you been waiting for the doctor’s call? If you are not prepared to act immediately when an infusion YOU are responsible for goes bad…then you need to watch this live webcast. This class addresses the best-practice requirements for nurses of all levels of experience; whether you work in ED, ICU, infusion center, med-surg or homecare.

Avoid irreversible and negative outcomes for your patient and yourself by examining how drugs compromise vein integrity, why midlines can be dangerous, and why proper peripheral vein selection – along with proper central line maintenance – is the key to avoiding infiltrations, extravasations, phlebitis, necrosis, and lawsuits. Learn from an IV expert during this training day – what other experienced nurses wished they had attended years earlier! You will leave with effective strategies to confidently address your patient’s infusion risks and complications!



NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after completing and passing the on-line post-test evaluation). 

Continuing Education Information: Listed below are the continuing education credit(s) currently available for this live interactive webcast. This webcast is a broadcast of a live event. You will be able to type questions to the speaker. The speaker will see the questions and address them during the presentation as time allows. Please note, your state licensing board dictates whether web based activities are an acceptable form of continuing education. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, please contact or 800-844-8260 before the event.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals.  As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

CE Information is based on 100% attendance.

Information obtained in this course should be used within your scope of practice.

Nurses, Nurse Practitioners, and Clinical Nurse Specialists

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

Nurses in full attendance will earn 6.3 contact hours.

California Nurses

PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider Number 17118 for 6.0 contact hours. Full attendance is required. No partial contact hours will be issued for partial attendance. 

Florida Nurses

CE Broker

PESI, Inc. is an approved provider with the Florida Board of Nursing, Provider # FBN2858. This course qualifies for 6.0 contact hours. 

Iowa Nurses

PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Full attendance at this activity qualifies for 6.3 contact hours. Full attendance in the activity is required; no partial contact hours will be issued for partial attendance. These contact hours are used for your license renewal. Please email with your license number, include the webcast title, speaker name and date. PESI must have this number on file in order for your hours to be valid for the webcast.


Amy A. Lutteur Related seminars and products:


Amy A. Lutteur, BSN, RN, VA-BC, CRNI, owns and teaches for Home Infusion Nurse®, an educational company that teaches nurses how to perform PICC/Port and PIV care and how to manage infusions. Additionally, she is an active member of a Level 1 trauma center vascular access team. She is board certified in vascular access, as well as in infusion nursing.

Amy has worked extensively with “difficult vein” populations such as those with vascular disease, diabetes, IV drug use disorder and renal disease. Additionally, she was the go-to IV nurse while working in a long-term acute care hospital with patients whose only viable veins were in ankles, feet, knees and shoulders. She has successfully obtained IV access during seizure activity and during chest compressions! From a small community hospital to a level 1 trauma center with a dialysis center and cardiac care between, Amy has witnessed and heard about a myriad of IV complications. She continues to be amazed at how many nurses have not been offered the education they need and deserve for this invasive and high-risk skill.

Amy’s sense of humor will keep you engaged as she eagerly shares her time-proven tricks and tips for IV care. Whether you are a new nurse, or a nurse who has practiced for decades, this course will dramatically decrease your risk of legal action and impact your practice like no other course you have taken!

Speaker Disclosures:

Financial: Amy Lutteur is sole proprietorship of Home Infusion Nurse. She has an employment relationship with Dartmouth-Hitchcock Medical Center. Ms. Lutteur receives a speaking honorarium from PESI, Inc.

Non-financial: Amy Lutteur has no relevant non-financial relationship to disclose.


Additional Info

Program Information


Click here to purchase the DVD or CD recording from our product store. CE hours and approvals on products may differ from live CE approvals.

Additional Resources

To order the book, Laboratory Tests Made Easy, Second Edition, please visit our product store.

To order the book, RNotes®: Nurse’s Clinical Pocket Guide, 5th Edition​, please visit our product store.

Access Period for Live Webcast

For live CE credit, you must watch the live webcast in its entirety at its scheduled time and complete the CE quiz and evaluation within one week. You will have access for 90 days after the program for review.

Webcast Schedule

Please note: There will be a lunch and two 15-minute breaks; one in the morning and one in the afternoon. Lunch and break times will be announced by the speaker and at their discretion. A more detailed schedule is available upon request.


  1. Choose the correct venous line for each IV medication.
  2. Distinguish harmful medications that require a central line to minimize patient risk.
  3. Evaluate the early signs & symptoms of an infusion gone bad to intervene properly.
  4. Examine infusion scenarios and actual photos to avoid negligence lawsuits.
  5. Examine ports, picc and PIVs to develop the rationale behind troubleshooting.
  6. Analyze central lines for placement and life-threatening complications.


High Osmolality, Extreme pH and Cytotoxicity
  • The three harbingers of potential disaster
High Risk IV Medications: How They May Result in ‘Your Day in Court’
  • Pressors
  • Anti-infectives
  • Chemotherapeutics
  • Anti-seizure
  • Anti-nausea
  • Nutrition
  • Prevention/intervention/antidotes & treatments
Peripheral Line Complications: Your Responsibility and Therefore YOUR Fault
  • Vein selection and gauge size: The keys to avoid complications
  • Proven practice tips for successful IV starts
  • Infiltrations/extravasations: Critical skills for early intervention
  • Phlebitis: Chemical/infective/mechanical
  • When to insist on a central line – to increase patient safety and decrease your liability risk
  • Tricks and tips for special populations
  • Anticipate venous limitations of pediatric/geriatric/renal/obese/edematous/CVA patients
Midlines – Anatomy of a Necrotic Disaster
  • The line that is most commonly – and dangerously – misused
  • Midline appropriate drugs
  • Midline appropriate patients?
Central Venous Lines: Ports, PICCs, IJs, Tunneled Lines & the Life-Threatening Complications
  • Function/assessment/maintenance/patency/positional lines
  • Mal-positioned tips
  • Phlebotomy from central venous lines: Risks for clots and infection
  • Central line infections and sepsis: Who is responsible?
  • Common preventable causes of sepsis
  • Extravasations and infiltrations: Necrosis, nerve damage…legal problems
  • Advocating for the appropriate venous access for your patient
  • Professionalism/best practices/national standards

Target Audience

  • Nurses
  • Nurse Practitioners
  • Clinical Nurse Specialists


Satisfaction Guarantee
Your satisfaction is our goal and our guarantee. Concerns should be addressed to: PO Box 1000, Eau Claire, WI 54702-1000 or call 1-800-844-8260.

ADA Needs

We would be happy to accommodate your ADA needs; please call our Customer Service Department for more information at 1-800-844-8260.

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