2shihtzus

2shihtzus

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About 2shihtzus

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  1. Designated port for PPN/TPN

    I wonder if the same applies to PICC lines? There are no proximal, medial, or distal ports.....?
  2. Designated port for PPN/TPN

    What is the rationale behind it? I mean I know that once it is infusing, it is a designated line; nothing else should be placed into it. But if its disconnected and flushed, shouldn't it be ok to switch lumens?
  3. Designated port for PPN/TPN

    I had a patient with a triple lumen central line who had PPN infusing. Anesthesia wanted it disconnected before the patient went to surgery so we disconnected it and flushed the line. The nurse in PACU wanted to know which port (red, white, or blue) ...
  4. Port in the arm instead of the chest

    I have only seen 2-3 ports in an arm.....and they should not hurt when being flushed. When accessing them, it is not much different than accessing a chest port. Hold it securly and use the right guage and length of needle. The only pain the patient s...
  5. PICC Line Clarification

    The PICC lines I put in are cut. They are either double or triple lumen (5FR for double, 6FR for triple). They are also power piccs. The lumen that can take contrast is labled. There are no distal or proximal ports. Most of the PICCs I place are betw...
  6. blood cultures after antibiotics

    They "should" be taken before abx are given. However, there is always a chance that the culture may grow something that is resistant to the abx that the pt is currently on. Also, it takes a while before the abx get rid of the current infection.
  7. getting back into patient care

    Hmmm.....sounds like you have a reputatation that you are going to have a hard time getting rid of. Statements like: ...In that role I could do 95% of the things that RN could do but was paid less ...I did not like this hospital. It was basically a ...
  8. Do you ALWAYS do the right thing?

    Out of curiousity, what were you supposed to call the doctor about? I would have been annoyed at the unit manager as well. Its always nice to be told to your face what you did wrong instead of hearing it 2nd or 3rd hand. It rarely happens though.
  9. Messed up with a transfer request

    Update: I went and talked to the manger of day surgery and she said that yes, it had all been set up and that I had a position! I am SO relieved!! :)
  10. Messed up with a transfer request

    I feel so stupid because before I even gave any thought to the possibility that there wasnt a position in day surgery, I emailed the director asking her what my start date would be! (Talk about presumptuous on my part) I honestly thought that it was ...
  11. Im a charge nurse on a med/surg unit. I have been wanting to get out of med/surg for a long time (ive been doing it for 5 years and wanted a change.) I worked on Day Surgery the other day for PICC line training and loved it! So much that I enquired a...
  12. Reporting to ICU

    Yep...we see it all the time. But it goes both ways. Ive had to give report to ICU nurses who take out their stress on the wrong person and are just plain RUDE about it.....for the massive GI bleed that we had to transfer to ICU I got, "This pt shoul...
  13. Written up for this???

    I think that speaking quietly in the med room with a few peers is a far cry from "trashing" your employer. If someone overheard, what were they doing? Standing as close to the door (that was open a crack) eavesdropping? It would have been nice if "t...
  14. Written up for this???

    Hmmm......your on their "list" now. Watch your back.
  15. Happy Flippin' Nurse's Day

    We got a muffin, a cup of fruit, a cranberry juice, and a breakfast taco for breakfast. ( I heard that last year it was made to order omlettes) For a gift we got a fanny pack thing you can use for workouts...I kept the pen and post-it note pad that w...