pauls-gal

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1. Lidocaine use/ IV starts

   pauls-gal replied to 2rntish's topic in Infusion

   We are permitted to use lidocaine without a physician order. For our midline/PICC insertions we use Elamax. We wait 20-30 minutes after it has been applied.

2. Blood administration

   pauls-gal replied to 2rntish's topic in Infusion

   We use the same primary tubing for all units of blood hung in a 24 hour period. We do change the secondary filter with each unit that is hung. This has been a recent change to our policy. Prior to that, we hung two units per tubing.

3. Tkvo

   pauls-gal replied to zebidee101's topic in Infusion

   Prior to the introduction of IV contol devices, we had to calculate drip factors and manually set them using the roller clamp. At that time 20 cc/hr was considered kvo rate. (much easier to calculate) At the hospital I work at, all fluids are on pump...

4. Nurses week Cheap gifts from admin.

   pauls-gal replied to nilepoc's topic in General Nursing

   At the hospital I work at we will be treated to dry cake and coffee. However, my immediate supervisor just took all of us out to a 5 coarse Italian dinner, which was fabulous. I also got a $25.00 gas card and $10.00 Bath and Body works certificate. A...

5. ports

   pauls-gal replied to micky's topic in Infusion

   It has always been the accepted practice to use 10 cc syringes on central lines because of the lower psi, however it is now permissable to use a smaller syringe if you know that the catheter is open and not sluggish. New products are always coming ou...

6. central line flushes

   pauls-gal replied to MQ Edna's topic in General Nursing

   At my hospital, routine flush is 2 cc nss followed by 10 units of heparin qd. After blood draws or transfusions we use 10 cc nss/10 units heparin.

7. Carotid Endarterectomies

   pauls-gal replied to susanmary's topic in General Nursing

   Our patients go to a med-surg floor that handles most of the vascular surgeries. Vitals are usually q 15 min x4, q 30 x 4 q hour x 4 then q 4 hours. 99% of the patients go home the next day.

8. ADN or BSN?

   pauls-gal replied to futrnurse's topic in General Nursing

   I do not have a degree. I went to a diploma program (probably extinct by now). I would however encourage anyone entering this field to get at least a BSN. If you want to advance, a degree is a must