maloneys

maloneys

Member
  • Content

    46
  • Visitors

    3,453
  • Followers

    0

About maloneys

Latest Activity

  1. Internal jugular IV

    Thank you for the very helpful feedback and information. We know the 16 gauge is not a central line, in this case, but there was no consistent documentation on when it was inserted, nor on its care. Again, thank you for your help!
  2. Internal jugular IV

    Hi Sallyrnrrt, thank you for your thoughtful feedback. Do you trendelenburg the pt when d/c'ing the IJ or EJ IV, you mean? How does this prevent air embolus? Thank you for helping me learn!
  3. Internal jugular IV

    Thank you for comments, ArmaniX. Yes, you can have EJ or IJ cannulation. Basically, when protocols are not in place, we want to ensure best practice. Because the 16 gauge periph IV was used, and not a tunneled cath or central line, which we someti...
  4. IJs

    RNs can remove them, but there are no set guidelines in place. Thank you for your reply!
  5. IJs

    Hi everyone! I could really use some help here. I posted in this on another forum and haven't received any replies so I'll try here, if that's ok. Pt had a 16 gauge, jugular IV that was heplocked. In for 4 days, never flushed, nor verified if stil...
  6. Internal jugular IV

    Hi everyone! I could really use some help here. Pt had a 16 gauge, jugular IV that was heplocked. In for 4 days, never flushed, nor verified if still venous return. Pt was febrile, and I wanted to d/c it (he had other access). Staff told me I cann...
  7. Clots related to fast afib

    After about 90 minutes, he went 130-180 and continued til the end of my shift, with me documenting like a madwoman. It was certainly stressful because of , as you stated, I was worried about him really going sour. I would have loved to see his labs...
  8. Clots related to fast afib

    I agree about not anticoagulating someone who is fresh, post-op. We're talking 6+ hours. However, I mentioned that because of the fast afib. The patient is under cardiology which is why the cardiologist was paged, and not the surgeon. My concern ...
  9. Clots related to fast afib

    Hello! I wonder if someone might help here. I work in a med/surg ICU and we monitor telemetries in the hospital as there is no CCU. A post-op cholectomy, 84 years old, not on anticoagulants, with a history of HTN, was on telemetry immediately post...
  10. Bullying

    I hope so, Ruby, thank you!
  11. Bullying

    Thank you, detroitdano. I'll call them tomorrow. So intimidating.
  12. Bullying

    This is an old story, I know, but only now am I experiencing it. I work in a small ICU and only at night when the staff is minimal. 4 nurses for 11 patients and telemetry monitoring. No orderly or extra support staff. We must rely on each other. ...
  13. D-Dimers

    Hesitation to do a scan was lack of docs to read the scan at night, due to absence of docs. Thank you very much for taking the time to do this teaching! I'm very appreciative.
  14. D-Dimers

    I agree, prep8611, and I wasn't using the d-dimer to try to diagnose PE, but without a doc available, it is typical for us to do labs following the physical assessment. That way, if we do need to call the doc, he/she has all the stats. I wonder if, ...
  15. D-Dimers

    Thank you, Juan de la Cruz, for taking the time to answer my questions and for citing those sources. I'm afraid my continued learning is going down the tubes working in a small, peripheral hospital where there are no docs on at night. I appreciate ...