justdeda

justdeda has 38 years experience and specializes in Home IV infusion.

Latest Activity

1. Flush and blood return

   justdeda replied to nursemomof3boys's topic in Infusion

   Keeping in mind the potential hazards involved in a slow flushing PICC, I considered asking the doc to prescribe cathflo when my 6-month plus, weekly dressing change patient presented with a stiff flush on the Vaxcel PASV. Then I asked for a trial o...

2. Please help identify cheesy, tan residue on PICC

   justdeda replied to justdeda's topic in Infusion

   Never seen it before or since, but then...now that I've seen it, I will know it next time (-: Thanks

3. PPE for empty chemo bags?

   justdeda replied to Sailingshoes's topic in Oncology

   Hi- I just started working outpatient oncology infusion, rotating between three sites. In all three, the nurses just use gloves to take down chemo infusions. In one, a pharmacy assistant prepares all chemos under the hood with full PPE. In the oth...

4. IV starts, umm help

   justdeda replied to DIVA_NURSE405's topic in Infusion

   dear diva, i think the best thing you can do is hit the books! read, read, and re-read anatomy charts, phlebotomy websites, hints, tips, war stories and anything and everything you can get your hands on that will give you more information on what to...

5. Please help identify cheesy, tan residue on PICC

   justdeda replied to justdeda's topic in Infusion

   thanks for the response :) pt asymptomatic of any systemic or even localized infection. the pharmacy to which i was subcontracted declined to permit me to do a TPA at home, but never contacted the MD to have it done in hospital, and recommended i s...

6. New IV nurse need help

   justdeda replied to amy1197's topic in Infusion

   As noted by earlier respondents, experience will bring easy competence, and delving into written and visual aids prepared by experienced "stickers" will bring you the tools and the confidence to accumulate that experience. One of the things that I f...

7. Please help identify cheesy, tan residue on PICC

   justdeda posted a topic in Infusion

   Hello, all Tonight, I removed a dual-lumen PICC in the upper brachial that was in place for just over 5 weeks. (I never received the info on the PICC, nothing visible on the cath, do not know the manufacturer, but it was not one of the newer Power o...

8. "Looping" IV Tubing

   justdeda replied to RN CRNI's topic in Infusion

   The first time I saw this practice on a busy med-surg floor, I thought someone had forgotten to bring a cap with them, and used this odd connection mode for an emergency. After a while, at this and other hospitals I worked in the metro NY area, I sa...

9. Question about PICCs and syringe size

   justdeda replied to SteveNNP's topic in Infusion

   This is a very interesting question, and there are some very interesting, conflicting and non-conflicting responses! Using the 10ml syringe with 0.1ml of medication and nothing else, to prevent fluid overload, may result in undermedicating the patie...

10. PICC lines and ?Infecton

    justdeda replied to JailRN's topic in Infusion

    dear jailrn, regarding how long you can go between flushes, it depends on the type of picc. certain types can go several days without flushing. really, really basic cleaning of the site and the extension per the most picky aseptic protocol you can ...

11. home care phoenix from ltc ashes

    justdeda posted a topic in Agency

    hi, all. just wanted to drop a note -- haven't posted in a couple of years! my last post concerned a temporary fill-in position as supervisor at a ltc facility, where the last night but one had me feeling such chilly hostility from licensed, unlice...

12. Nursing Home Staff Educator, Brand New

    justdeda posted a topic in Educators

    It's true. If you work as an agency nurse long enough, a job you can bear will happen. Through a night supervision stint at a local nursing home, I got noticed and recruited to part-time night supervisor in a nearby state. Soon after, the Staff Devel...

13. Expectations of agency nurses

    justdeda replied to mattsmom81's topic in Agency

    it seems i forget the lessons ive learned from the years of working agency: staffing, visiting nurse, private duty, school nurse, office nurse, flu clinic shooter, etc... after a while, i find myself double checking, double thinking, wondering if im ...