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ccakes, BSN, RN 3,036 Views

Joined Apr 15, '07 - from 'Austin, Texas'. ccakes is a Infusion Nurse. She has '7' year(s) of experience. Posts: 112 (29% Liked) Likes: 64

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  • Feb 4

    Thank you and Mavrick has something up his/her ass. lol!!

  • Jan 29

    Thanks! I don't now if it will work out but I just have to try especially after paying all that money!! lol!!! Funny enough I spoke to a friend of mine last night who's at Texas state and she complained that her preceptors had to cancel at the last minute. Tell your friend to join groups on facebook that are related to his/her specialty as well as other nurse practitioner groups and ask for preceptors. Someone also told me to go to clinics, facilities with a copy of my resume and cover letter, ask for the name of the office manager and get their name and details to follow up with them. Will start that soon. Good luck in whatever you do decide to do!

  • Jan 27

    TY Commuter for acknowledging this specialty. It has been my love since 1990 when I left the hospital, beside setting and went exclusively into an IV therapy position. It is a challenging and yet rewarding specialty, and yes, IV therapy has changed over the years.
    In the "early" days, those individuals who needed IV therapy were on their DEATH BED. One did NOT get an IV catheter placed unless you were on your way OUT!... And years ago, in its infancy, only MD's placed IV catheters, with nurses assisting their every need. It wasn't until the world wars when civilian MD's were in short supply did RN's pick up the gauntlet and started performing these activities. As a matter of fact Massachusetts General was the first Hospital to have a designated IV team.
    TY for your wonderful article!

  • Jan 25

    As the acuity levels of hospital patients continue to rise to astronomical levels, the importance of IV nurses truly cannot be understated. The role of the IV nurse is immensely important in modern healthcare, especially since an estimated nine out of ten present day hospital inpatients are requiring IV (intravenous) access due to the treatments that have been prescribed to them. Furthermore, because of the robust push for health care reform and cost containment in the United States, an increasing number of infusion services are now being performed in outpatient settings such as clinics, freestanding infusion centers, and patients' private homes.

    Also known as an intravenous therapy nurse, infusion nurse or vascular access nurse, an IV nurse is one who administers prescribed medications and fluids via the IV delivery route. Infusion nurses also establish certain IV lines, access ports and central catheters, and maintain them in accordance with predetermined standards of care. In addition, they are often charged with the responsibility of observing and monitoring patients who are the recipients of infusions for side effects, adverse reactions, IV site complications, and the overall response to IV therapy.

    Not all IV nurses perform the exact same duties. In fact, many IV nurses work within well defined niches. For instance, some nurses work as part of IV teams at major hospitals for the purposes of starting difficult peripheral IV lines, placing peripherally inserted central catheters (PICCs) and midline catheters, performing venipuncture and blood withdrawal on patients who are enormously difficult to 'stick,' and providing educational and consultative services to the hospital's staff nurses. Other IV nurses work from home-based offices and travel to nursing homes, small specialty hospitals, prison infirmaries, clients' private homes, and other types of settings to insert PICCs, peripheral IV (PIV) lines, and midline catheters.

    In addition, some IV nurses are employed at freestanding infusion centers, clinics, doctors offices, outpatient surgical centers, cancer centers, home health agencies and remote specialty pharmacies to establish vascular access, access ports, administer infusions, and monitor patients' responses to IV therapies. Moreover, a number of registered nurses (RNs) are employed at blood bank centers to function as charge nurses, oversee mobile blood donation drives, perform focused physical assessments on potential donors, supervise the phlebotomy technicians and unlicensed assistive staff members, perform the occasional venipuncture or plasma withdrawal from donors, and inform the occasional unapproved donor that they have HIV, hepatitis C positivity, or whatever bloodborne affliction that prevents him or her from donating.

    Professional certification is available if IV nurses wish to earn it. The Certified Registered Nurse of Infusion (CRNI) certification is, at the present time, the only nationally accredited certification in existence for infusion nurses. Those who wish to earn the CRNI certification must fulfill the following two requirements in order to attain eligibility to take the credentialing exam:

    • An active, unencumbered registered nurse (RN) license that was issued in the United States or Canada
    • At least 1,600 hours of experience as an infusion nurse that has been accrued within the past two years

    Once the aforementioned exam has been passed, the candidate has earned certification as a CRNI and has full rights to utilize the CRNI title for as long as certification is maintained.

    Finally, National IV Nurse Day was first brought into existence in late 1980 when the U.S. House of Representatives set aside every January 25 as IV Nurse Day. Thus, National IV Nurse Day was celebrated for the very first time in January 1981 to recognize the importance and achievements of this unique group of nursing professionals.

    With a tremendous amount of pleasure and gratitude, the staff behind the scenes at Allnurses.com Inc. wishes all of the infusion nurses out there a very happy National IV Nurse Day 2016. The work you do on a daily basis is of massive significance to the medical community and society as a whole, and we thank you from the bottoms of our hearts. Again, thank you for all that you do for your patients and their families!


    References

    Fox-Rose, J. (2014). Infusion Nursing: Specialty on the Rise. Healthcare Traveler. Retrieved from Infusion Nursing: Specialty on the Rise | Healthcare Traveler

    Infusion Nurses Certification Corporation. (2015). Apply for the CRNI Exam. Retrieved from Apply for the CRNI® Exam - Infusion Nurses Certification Corporation

    Stewart, S. (2014). My First "Real" Nursing Job. NurseTogether. Retrieved from My First "Real" Nursing Job

  • Jan 24

    Unfortunately, OP, the bad is just part of the job, as it is in just about every nursing specialty I've encountered. You'll see it everywhere in varying degrees. While larger hospitals are generally going to see more in the way of stillbirths, birth defects, and antepartum disease processes that affect both mom and baby, that's not to say that kind of thing won't show up in a smaller hospital setting, and in my experience, when it does, it's often even more traumatic as many smaller hospitals aren't equipped to handle those kinds of problems and the potential for really, really bad outcomes is much higher. As far as abuse and other social issues? Beyond L&D and even nursing, that's everywhere. You'll see your fair share of that wherever you go.

    I was an infusion nurse once. It is in fact the lower-acuity, repetitive (and yes, sometimes mundane) nature of the outpatient setting that can seemingly shield nurses from "the bad", but that's only because we're not there when our outpatients are admitted for treatment when their disease process(es) worsen beyond what can be managed in an outpatient setting. So in short, "the bad" is always there; it's just a matter of how close you are to it.

    As far as how to approach stillbirths, fetal demises, neonatal loss, maternal deaths, miscarriages, and all the bad things that can happen in pregnancy, I can tell you that unless you've experienced something that yourself, you will not know how to handle the situation, and even if you have experienced something like that in your personal life, it's still different when you're the nurse and not the patient. It's normal to feel uncertain and out of place in those situations, especially when starting out. You will likely rely heavily on your preceptor/senior nurses/charge nurses to guide you through the process and draw from their experience in how to comport yourself, what to say, what not to say, etc.

    Personally, despite my own experiences with loss, when I was orienting on L&D and encountered these types of situations, I watched my preceptor like a hawk and said very, very little. I watched everything from her body language to what she said to how she approached the patient. I saw things I liked, things I'd change, and things I wanted to add to my approach. And of course, people handle things differently, so not only do you need to find your own way to approach patients experiencing these events, but you also need to learn to approach appropriately for their emotional state/phase of grieving/religious beliefs/overall feelings toward the event. It really is a process. Don't put undue pressure on yourself and expect to go into this field feeling confident in this particular area. You almost certainly won't, and that's OK. Give yourself the freedom to learn.

    People handle "the bad" in different ways, but I'd suggest that you minimally start with professionalism, compassion, and a healthy dollop of self-awareness (which, based on the fact that you posted on this topic in the first place, I'd say you already have!). Working in this field is very different from having your own pregnancies and babies. It is much less personal--except, of course, when it's not (and those moments can often pop up when you least expect them in the midst of both good and bad). If you can't take the bad with the good, you may not be cut out for the job, and there's no shame in that. It's something that's good to find out early.

    https://cervixwithasmile.wordpress.c...-job-on-earth/
    10 Things You Should Never Say to a Woman Who's Had a Miscarriage | What to Expect
    Helping Someone After a Miscarriage

    PS: the web is full of stories and blogs from women who have miscarried, experienced still births, and all kind of problems in pregnancy. I found it useful to read about their experiences and try to understand their perspective so that I could better meet their needs.

    Also, try doing a search on AN (top right of the page) for fetal demise, miscarriage, etc. There is a lot of experience and expertise here from which you can gain a lot of wisdom!

  • Jan 15

    Big schools with in-class programs (nothing online), like University of Texas Austin for example, find your preceptors/schedule your rotations for you. It is my understanding that any distance program whether completely online or partially it is mostly left up to you.

  • Nov 1 '08

    Okay, first the A&P part. So your body naturally creates corticosteroids in your adrenal gland. They are part of the Hypothalamic-Pituitary-Adrenal Axis which is a negative feedback loop. At night your hypothalamus creates corticotropin-releasing hormone (CRH) which causes your pituitary to create adrenocorticotrophic hormone (ACTH). In the morning this causes the adrenal gland to create a bunch of corticosteroids which are slowly released through the day and are really low towards bedtime. These steroids are responsible for decreasing the inflammatory and immune response, for your water and electrolyte balance, for increasing the glucose level in your blood, and for decreasing protein production, for the storage of fat, and there are some sex hormone stuff too. When the Sympathetic nervous system is stimulated, a bunch of these corticosteroids are released, regardless of the time of day, because if helps the body save energy by blocking the protein formation and inflammation response and by making fat and glucose available to the body for use. Also, aldosterone secretion causes the body to retain water, raising the blood pressure.

    So, that being said, when you administer exogenous corticosteroids you are continuously causing all of those things to happen all the time. It messes with the negative feedback loop of the HPA axis and causes no CRH or ACTH to be secreted and therefore no corticosteroid release from the adrenals. The whole system sorta withers because there is no need for it.

    Therefore, when you pull steroids away quickly after high doses or a long treatment, the body has no steroids to rely on. The HPA axis is still withered and you can go into adrenal insufficiency or even adrenal crisis. This means you have none of those beneficial things that steroids do, hence the side effects. So the withdrawal symptoms that you read about are directly in relation to absence of them in the system - most notably the hypotension!

    Anyways, hope this was helpful.

    Darci, Student Nurse.



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