picclineman

picclineman

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About picclineman

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  1. Habit

    Thanks for the passionate response. I definitely appreciate it. I see where you are coming from. I am just trying to understand where a non IV nurse come from, how they rationalize there actions and so i will know how to help them. I respect their re...
  2. Habit

    I think i also know what you have just lectured me on. I have a CRNI certification and familiar with the INS Guidelines. I appreciate your lecture. What i was looking for was a rationale why looping would not be acceptable if the nurse does the 15 se...
  3. Habit

    I realize it is an unacceptable practice, however i have not found a good rationale why it is unacceptable. When nurses clean that injection site using the 15 seconds scrub, leaves it to dry before flushing it and it is found acceptable, why not loop...
  4. Habit

    i need some help from the expert infusion nurses. There is a habit i notice from a lot of nurses regarding IV tubings. After disconnecting the IV tubing from the access, i.e PICC, the tip of the tubing is reconnected to one of the hubs of the same IV...
  5. Preventing infections during ultrasound guided PIV

    You can use a sterile glove to cover the transducer with gel on it.. You also use saline flush vs sterile gel, it gives you the same clear picture of your veins...
  6. Making a picc line a Midline

    Has anyone taken the Vascular Access, Board Certification exam? Were the questions really for a board certified vascular access professional?
  7. Making a picc line a Midline

    In the 15 years i have done PICCs and midlines, i have used PICC catheters and trim them to become midlines per INS definition. The PICC catheters are trimable catheters , so i do not see any reason why not. Of course, your rep is going to tell you n...
  8. Chlorahexadine and PICC management

    That is an inservice in and of itself. Thanks
  9. The pharmacy that provides IV infusion products usually have their own IV nurses as employees. They earn a salary much like working in a hospital. Most hospitals have their own vascular access team. It is extremely difficult for us registered nurses ...
  10. Clinical Nurse Specialist degree in Vascular Access

    I think the best way to do it is to take the nurse practitioner program and concentrate on interventional radiology where your internship will be in interventional radiology and concentrate on IR proceudres which would include vaccular access.
  11. PICC insertion post Pacemaker placement

    As long as the line is placed contralaterally to the pacemaker, i guess is okay and i do it all the time. Cardiologists can give you an order but if it is your policy not to do it then i guess you are right. You should have shown the cardiologist the...
  12. sherlock

    i was given a memo from navigator that says it is not contraindicated for pacemaker. I did try it on a patient with pavemaker and the aptient was ok. So update your info.
  13. sherlock

    AAchoa1, It is good that you are able to identify the tip in the azygous vein but other bard users say that the sherlok does not identify when the tip is in the azygous vein. I do not doubt that you know what you are doing but as far ar Bard is conce...
  14. a couple picc questions

    it depends on where the tip of this PICC was originally. If the tip was SVC/RA junction and it migrated 3 cms, you still will be in the SVC area. If you were left sided PICC and the tip was proximal SVC 3 cms will place your tip in the innominate vei...
  15. Question about drawing blood from PICC lines

    There was an article about blood draws from the INS magazine about changing the caps first prior to blood drawing. Part of the reason wasm the old cap could be harboring bacteria. But yes i think drawing with the use of ten /twelve cc syringe is a be...