sorlando

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1. Repeat cxr after picc line adjustment?

   sorlando posted a topic in Infusion

   What does your hospital require after a Picc line adjustment? Do you always have to get a repeat cxr? We just started a new picc program at our hospital. When we recieved training we were taught that you can pull back up to 3 cm without getting a rep...

2. What type/ brand of PICC do you use?

   sorlando replied to sorlando's topic in Infusion

   I work at a small hospital and we will be doing piccs for everybody ( ICU, other inpatient, outpatient and oncology). I wanted to pick something that would work universally for all our patients but after reading your comments I guess that is not real...

3. What type/ brand of PICC do you use?

   sorlando posted a topic in Infusion

   We are starting a picc program at out hospital and trying to decide what type/brand of picc to use. They will be used on inpatients and outpatients. I am looking at the Bard power picc and the Bard solo. The hospital I recieved training from uses the...

4. Sutureless devices for PICC securement

   sorlando replied to vascularaccessPA's topic in Infusion

   If my facility does not have any statlocks at time of dressing change, is there something that could be used instead?

5. Wound classification?

   sorlando replied to Kim, HHRN's topic in Wound

   This could be a venous stasis ulcer, your description of bronze brown color sounds like some venous insufficiency. If you have weeping there has to be some openings in the skin so I would call it a wound.

6. Question about PICC insertion experience

   sorlando replied to sorlando's topic in Infusion

   Thanks for the advice. We are using PICCs right now. The patients we have either come to us with them or have to drive 45 to 75 miles away to get them inserted. My estimation of 2 or 3 a month is based on about how many patients we see right now with...

7. I use up all of my compassion at work.

   sorlando replied to TigerGalLE's topic in General Nursing

   I have felt like this before and decided that I needed a change. I transfered to a department of the hospital that was lower stress and a few less hours each week. It was a hard decision to make because I loved the area I was in before, but after I m...

8. Patient 'found' my number on the internet...

   sorlando replied to Da_Milk_of_Amnesia's topic in General Nursing

   Sounds like some people have some anger issues. This poor guy that is calling him just doesn't realize his boundries. I have had this situation happen to me and I just nicely explained to the patient that it would be better if he didn't call me at ho...

9. Question about PICC insertion experience

   sorlando posted a topic in Infusion

   I work in an outpatient department at a small rural hospital (about 70 bed). We do outpatient infusions along with a variety of other procedures. Our director would like to send two nurses to get training to insert PICC lines. The training would be a...

10. IV stop times

    sorlando replied to Josh's mom's topic in General Nursing

    I work in an outpatient department and we have been doing this for about a year. It's for medicare reimbursement.

11. Is this bizarre?

    sorlando replied to mcpnurse's topic in General Nursing

    The hospital I work in is an 'at will' employer. They can fire anyone for any reason. Maybe this hospital that this nurse is working at is the same.

12. DM Heel Ulcer - Wound Care Help!

    sorlando replied to LadyBug52's topic in Wound

    You could try using the Duoderm signal by itself. I don't know if you have Mepilex. I would use Mepilex AG on this type of wound.

13. Rules of the Dr.office

    sorlando replied to prowlingMA's topic in Ambulatory

    Do not show up at 8:30am for your 10:00am appointment and then glare at the nurses walking by because you are waiting so long! Do not show up at 12:20pm for your 10:00am appointment and then get mad because you have to wait so long! Why do people no...

14. bullous pemphigoid

    sorlando replied to Ms.RN's topic in Wound

    There was a show on the other night Mystery Diagnosis and it featured a young girl with this disease. It was pretty interesting. On the show they said the treatment was immunosupresants and steroids. They said her blisters healed pretty quickly afte...

15. Pregnant in Nursing School....

    sorlando replied to proudnurseRN's topic in General Nursing

    Your story is very much like mine. A couple weeks into the second year of nursing school I found out I was pregnant. I feaked out! I had insurance but no OB coverage. I had to go on Medicaid. I went to school full time and worked part time. It was ha...