tbpmom

tbpmom has 25 years experience and specializes in Med-Surg, ICU.

Latest Activity

1. CNS clinical rotations

   tbpmom replied to Madriver's topic in CNS

   I like the work til 70! I am considering doing primary Adult- Gero NP & going to Senior Clinic or ECF when I retire from my 40 years in acute care. I also want to teach water aerobics to those seniors!

2. Which CNS certification?

   tbpmom replied to mursej's topic in CNS

   I am ACNS-BC from ANCC as that is what my program offered in 2010. Now it is the the Adult-Gero of course.

3. New Grad Nurse hospital orientation process - how do you do it at your facility?

   tbpmom replied to tbpmom's topic in Educators

   I am looking for how other hospitals do staff nurse orientations- new grads vs experienced nurse. yes, probably would be better suited for staff/ professional development. But I am. CNS and I am utilized heavily in the onboarding & orienting of n...

4. New Grad Nurse hospital orientation process - how do you do it at your facility?

   tbpmom posted a topic in Educators

   Would you please share how your hospital does nurse orientation please? How do many days for general orientation and how many for RN's? How is it done? In simulation lab and copmuter labs? before going to the unit for precepotr orienttaion? Is is a...

5. How to draw blood cultures from a PICC line.

   tbpmom replied to mibbycat's topic in Infusion

   Coluld you please send me any polices and literature you may have supporting the practices you mentiond please? I am having trouble finding any literature regarding guidelines/best practice with drawing blood cultures fro the pICC line. Our system ...

6. Adult CNS-EXAM

   tbpmom replied to ER823's topic in CNS

   I took the ACNS exam Dec 31st and passed ! I felt the ANCC study Group was helpful. I also used several NP review books, as well as my pharmacolgy and A&P books. I had a lot of questions related to leadership, learning theories, consultations, i...

7. post-op cabg care

   tbpmom replied to jetty's topic in CCU

   In our CVICU--we have very different treatments depending on the surgeon, and it appaers that this inconsistent trend is everywhere from reading the above posts. Does anyone know of any evidence-based literature that will validate or provide standar...

8. Use of peripheral inserted central catheters ( PICC )

   tbpmom replied to TREBORICUNURSE's topic in MICU

   Also i just read on the Bard Power PICC web site that vamps and CVP monitoring are OK for these lines. I just do not believe that is in the step-down policy though for our facility. Maybe that is something the unit needs to look into as a vamp would...

9. Use of peripheral inserted central catheters ( PICC )

   tbpmom replied to TREBORICUNURSE's topic in MICU

   The PICC's in our hospital are placed only by specially trained RN's, and placement is verified by PCXR. Staff RNs change the dressings per policy q week or as needed. I work in a CVICU, but some of our long-term patient's will go out to the step-dow...

10. Use of peripheral inserted central catheters ( PICC )

    tbpmom replied to TREBORICUNURSE's topic in MICU

    But these are patients on the step-down where vamps are not used. Plus I have never seen vamps used on PICC's. These are power point PICC's and are Vamps OK to use with them? Thanks. :typing

11. Use of peripheral inserted central catheters ( PICC )

    tbpmom replied to TREBORICUNURSE's topic in MICU

    I have a question regarding PICC use? What is best practice regarding checking glucose levels q 2 hrs ( or more often) because the patient is on an insulin gtt? A nurse was telling me she thought another nurse was lazy because she would do finge...

12. What's your story? Why did you take up nursing?

    tbpmom replied to Joe V's topic in General Nursing

    I had no desire or thoughts about being a nurse in HS, but at 25 yrs. old, I decided it was silly not to try Nursing, and I have been at it now for 24years. I tell all the new nurses that hospital nursing is very hard: whether in an ICU or on a floo...