cameraman007 445 Views
Joined: Aug 11, '05;
Posts: 3 (0% Liked)
I don't know, but would love to learn more if you find out. It looks like a great place to live. When I worked in Fort Collins CO as an RN it seemd that all the CRNAs had 100% oversight and at my hospital did not do Neuro surgery or CABG cases.
We use the clo-sur pads, which I think is very similar to what you're talking about. As far as MD order for pulling sheaths, it depends on what unit/what MD. In the SICU, we use the clo-sur pad almost exclusively, don't need a MD order, they don't care as long as the line gets pulled and the site looks okay, or they are notified if there are problems. In our CCU, sometimes the docs write specifically to use manual pressure, sometimes femstop, sometimes they leave that line on the order set blank and it's the RN's choice what to use.
I can tell you I see much less hematoma formation with the clo-sur pad and it would be great for your arthritis. We usually hold about 15 minutes (requires a lot less pressure too), I have never had any site problems with it, pt is mobile much quicker. In CCU I floated first femstop I ever used was horrible, pt had huge amount of bruising, hematoma formation, I would have rather used manual pressure than the femstop, but MD wanted femstop.
I have had my NM tell me that she will not give me a good review untill I have worked as an ICU nurse for 2 years. I am a good nurse and she says my skills are were they should be at this point, but does not feel any icu nurse should go to CRNA school with out 2-3 years experance. what to do, what to do?
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