Great advice Deb!
I love that you referred back to the American Association of Heart Failure Nurses. They will have all of the industry data and standards. This will guide you in an evidence-based direction, but I love the part about "taking the time to call out the RN specific practice involved here, capturing the data and outcomes from these visits." This is important work that can add to the body of knowledge that ambulatory is lacking.
Bassem, track away: financial, ER visits, readmissions avoided, and patient satisfaction! Compare your data with like offices in your system, other systems, and publish! Before you know it, you will have an industry standard and a trackable and meaningful metric that is entirely nursing sensitive! GO!!!
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Annette
Annette Hamlin, MSN, Ed., AMB-BC, RN
Nursing Professional Development Specialist
Ambulatory, Medical/Surgical Administration
Akron Children's Hospital
Akron, OH
330 618 6357
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Original Message:
Sent: 01-13-2026 14:41
From: Deborah Cantlin
Subject: Furosemide IV Push
As a Certified Heart Failure Nurse, we have administered IV Lasix as ordered by Nurse Practitioner (also Certified in Heart Failure). We never got to developing a protocol as leadership and priorities changed, as they often do.
We used guidelines from the American Association of Heart Failure Nurses (AAHFN) and the Heart Failure Society of America (HSFA) which highlighted the need to assess the status of several things:
Electrolytes
Kidney function
Voiding post IV Lasix
We provided education and routinely outreached to these patients following their visit.
As well we ascertained they knew who to call, when/what symptoms, etc.
I will say that Nurses providing IV Lasix (either with protocol or provider support) are doing much more than pushing an IV drug.
I recommend taking the time to call our the RN specific practice involved here, capturing the data and outcomes from these visits. Important to include financial ir; yhe number of ER visits and avoidable admissions. Then, speak to it. Publish it, contribute to research, write a business plan for your organization.
There is so much opportunity for RNs to lead these visits and be supported in doing so!
Thanks for the post/question.
Deb
Deborah L. Cantlin, MSN, RN, CHFN, AMB-BC
She/Her
Nurse Educator-Professional Practice
Dartmouth Health Daisy Coordinator
Department of Nursing Excellence
Tel 603 650 6746
Dartmouth-Health.org
Original Message:
Sent: 1/13/2026 2:13:00 PM
From: Bassem Fakhouri
Subject: Furosemide IV Push
Hi all! Curious if anyone here has experience with ambulatory clinics administering IV push Lasix. I come from an ER background before I transitioned to ambulatory where we typically observed patients 30–60 mins post-dose for hypotension/liability, and I know ambulatory is very different (or has different regulations because the acuity is also different). Would love to hear if any clinics do this, what safeguards or protocols you've used, and how you've thought about risk/liability. Appreciate any insight or resources you may be able to share, thank you so much!
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Bassem Fakhouri, RN He/Him
Senior Nurse Manager – RZ Clinic
O: 512.978.8130 C: 346.225.1700
2800 Webberville St., Austin, TX 78702
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