NurseCollins799

Latest Activity

1. Triple Lumen Cath anatomy

   NurseCollins799 posted a topic in CCU

   So I have a question... I'm pausing Lido and heparin gtts to draw lido and ptt levels off of a tlc. Lumen 3 is clotted off. I d/c'd heparin gtt because it had best blood return. Our policy says pause gtts for 3 minutes, flush whichever lumen, was...

2. Diagnosis help and priority with renal failure

   NurseCollins799 replied to tnstudent21's topic in Student Assist

3. Would you hold Metformin fot a BS level of 149

   NurseCollins799 replied to Nola009's topic in Safety

   Agree, although if a nurse refused to give metformin because they thought 149 was too low, they better have really solid evidence and be able to articulate this to the team, because on face value this is stupid medicine/nursing. I've never met a pat...

4. Preventing phlebitis with Amiodarone

   NurseCollins799 replied to baylordave16's topic in CCU

   What rate do you run the nss? Is there any concern with dilution decreasing efficacy? I wish I could make the picc team appear every time I needed to emergently start amio! We run through piv's all the time, our policy suggests central or large bo...

5. why so many puncture sites with tavr and ablations?

   NurseCollins799 replied to NurseCollins799's topic in CCU

   Thanks Jonathan, I figured it wasn't missed sticks because I see approximately one post ablation patient per week and they almost always have multiple bilateral venous sticks. Your explanation helps me visualize everything, thanks!

6. why so many puncture sites with tavr and ablations?

   NurseCollins799 posted a topic in CCU

   can somebody explain this to me? More specifically, what are they using them all for? If they end up with a right IJ, right radial, and bilateral venous sites, what are they using each site for?

7. Any known connection between urination and VT?

   NurseCollins799 replied to NurseCollins799's topic in CCU

   In my experience, it's more men than women that get the "pee-tach" (love that) and in many cases the patients are merely sitting up in bed, not necessarily standing to pee. As an aside, brushing teeth is another adl that creates a convincing VT on t...

8. Any known connection between urination and VT?

   NurseCollins799 posted a topic in CCU

   I work in a CCU stepdown, almost everyone has an electrical problem. I've been on the unit for almost a year (new to practice) and I can't count the number of times someone has a run of non-sustained VT and as the nurse heads to the room he or she s...

9. when to start compressions?

   NurseCollins799 replied to NurseCollins799's topic in CCU

   I just want to add that compressions were started by the attending, this us at a major university hospital in Philadelphia. I take ACLS next month, so can someone walk me through the thought process here so I know how a more advanced practitioner wou...

10. when to start compressions?

    NurseCollins799 posted a topic in CCU

    I was just told a story about a patient who went into torsades. the patient was conscious with a pulse, mental status intact, but I can't tell you about pressures. at what point does a ACLS protocol say to start chest compressions? Would you ever ...

11. Early prandial administration to hyperglycemic patient?

    NurseCollins799 replied to NurseCollins799's topic in General Nursing

    Hi Sara, So it's not about convenience for the CNA's. They are required by nurse management to do fingersticks at 0800, 1200 and 1700 during my shift. The problem lies with Food Services, whose department is being overhauled by new management due t...

12. Early prandial administration to hyperglycemic patient?

    NurseCollins799 replied to NurseCollins799's topic in General Nursing

    Hi SaoirseRN, You would give them together...but would you wait for the trays? Policy is "15 minutes before or during meal."

13. Early prandial administration to hyperglycemic patient?

    NurseCollins799 replied to NurseCollins799's topic in General Nursing

    Hi turn, They are not always delivered at 1830. Thats the problem, they are always inconsistent. I am new to this major university hospital, but I asked the same question you did and apparently the CNAs tried to coordinate a "finger-stick upon tra...

14. What really happens to applications submitted online?

    NurseCollins799 replied to SuzieVN's topic in Job Hunt

    If you have been a nurse since the 80s, you know a lot of nurses. The best bet is to use those connections. Online applications are generally a waste of time. It's all about telling everyone you know that you need a job. As a new grad, I did this...

15. Early prandial administration to hyperglycemic patient?

    NurseCollins799 posted a topic in General Nursing

    Hello all, I have a scenario I'd like to run by all the great nursing/medical minds here. A patient with DM I, post MI and major open heart VAD installation has a blood glucose of 332 at 1700 (patient had been on an insulin drip earlier in the week ...