LACrn

LACrn has 15 years experience and specializes in infusion.

Latest Activity

1. picc lines in children

   LACrn replied to hansenbitten@ao's topic in Nebraska

   The standard is to measure from elbow to "shoulder bone" and measure at the half way point between the two. I currently only place adult piccs (50+ a month) but this is the standard for measuring arm circumference since no standard amount can accomod...

2. IV piggyback question

   LACrn replied to pmy7741's topic in Medications

   Unless the pump has two different chambers to thread 2 different tubings thru you still have to place the IVPB higher than the primary fluid. The pump can be programmed with 2 rates but gravity still determines which bag will be emptied first. The hi...

3. "Looping" IV Tubing

   LACrn replied to RN CRNI's topic in Infusion

   This really is the only acceptable method to store tubing. The looping method IS "lazy" and 90% of the nurses who do it DO NOT wipe the port with alcohol before storing it in this manner. In our facility any tubing found stored in this manner is to b...

4. Elevated INR and RN PICC placement

   LACrn replied to regnifne's topic in Infusion

   Our PICC team also has no cut off. I have placed a picc on a pt whos INR read as >12 with no complications. Of course great care was taken to keep it that way.

5. On call PICC nurse? Does such a thing exist?

   LACrn replied to KEVIN88GT's topic in General Nursing

   WE actually placed piccs successfully in the basilic vein for many years before we got our ultrasound machine 8 months ago. We place 130/month.

6. On call PICC nurse? Does such a thing exist?

   LACrn replied to KEVIN88GT's topic in General Nursing

   just wondering. you dont have fluoro but do you utilize a portable ultrasound to assist with vein location?? southern picc nurse.

7. Crazy Thing Pts Say or Do

   LACrn replied to Pepper The Cat's topic in General Nursing

   Indeed these statements are often valid.. The fda requires meds to be chemically the same but they do not dictate that the binding agents be the same. Patients are often sensitive to the binding agent and not the drug itself, so it is possible to be ...

8. Doctors that think they are god...

   LACrn replied to DebRN06's topic in General Nursing

   I think that this is the closest answer to the problem presented. The true problem here is Doctors that seem to feel like they are in a contest to keep a patient alive the longest. Ultimately GOD always wins this contest and takes the patient home wi...