nurhmb

Latest Activity

1. PICC Lines in Radiology

   nurhmb replied to angiorn's topic in Radiology

   You can check your state practice acts. Ours in PA say no. Here is my very biased opinion on this topic as a nurse in full time action for 27 years. This is an RN skill level procedure that involves assessment, intervention and patient education. Man...

2. We make as much as maids

   nurhmb replied to TRN's topic in General Nursing

   There are so many advantages to nursing. I am in a rural area and I have an MSN and work as a CNS and make about that much....I feel lucky. This hospital is one of the few places left where people have steady work, good benefits, health care and the ...

3. PICC Lines in Radiology

   nurhmb replied to angiorn's topic in Radiology

   Are you just involved with PICC stats or do you also get involved with other central line stats? How many outpatient PICCs do you see, say, in a month (just curious). Your job sounds sort of like what we had visualized might be a full time position. ...

4. PICC Lines in Radiology

   nurhmb replied to angiorn's topic in Radiology

   I agree that a PICC is not an emergency intervention. I am assuming that you do not do PICCs on weekends. What are your Mondays like? How big is your hospital? Are you doing the 24 hour and regular dressing changes consistantly? Who handles the Frida...

5. PICC Lines in Radiology

   nurhmb replied to angiorn's topic in Radiology

   The Friday afternoon PICC seems to be a common problem. Unless you have a 24/7 team, someone has to hang into Friday night etc. We are looking at admission criteria (Atlas Computer Program) that might ID patients who should have PICC from day 1 becau...

6. Radiology Techs practicing Nursing?

   nurhmb replied to Evagall's topic in Safety

   It is my suggestion that if a nurse who witnesses these behavours perfrom a quick check of state practice acts. If staff are not within their state "job descriptions", there could be hell to pay when your certifying organizations come through or get...

7. PICC line/radiology workshops, need one fast!

   nurhmb replied to paisano's topic in Radiology

   I have been PICC certified since 1990. There is a learning curve with this skill and it is not as easy as it seems at first.......you do not become an expert overnight. The overall basic knowledge base is big and things like troubleshooting and the l...

8. PICC line/radiology workshops, need one fast!

   nurhmb replied to paisano's topic in Radiology

   Go to the INS (Infusion Nurses Society) Website. There will probably be links to companies who educate in PICCs there or some way to find someone. PICC's are not exactly just long IV's. There is a fair amount of things to know to be considered experi...

9. Picc

   nurhmb replied to radnurse2001's topic in Radiology

   What are your hours; who is your boss; how do you get your patients; who backs you up if you are sick; what if you have trouble with an insertion-who backs you up? Our hospital is looking at something similar to what you do. Where do you work? Is you...

10. PICC Independent Contracting

    nurhmb replied to mattsmom81's topic in Entrepreneurs

    I have been PICC certified since 1991. Inserting and maintaining PICC's is really sort of an art and experience is a big part of doing this well. I am having a little trouble with the cavalier attitude that you get certified and go off as an independ...

11. PICC Lines in Radiology

    nurhmb replied to angiorn's topic in Radiology

    Tell me about your position. What hours and days do you work, who is your back-up, how are patients referred to you and by whom, how big is your hospital? We are discussing a PICC nurse to place piccs with US or flouroscopy as needed. How many do you...

12. Duramorph (intrathecal)

    nurhmb replied to smmc's topic in Orthopaedic

    We use narcan IV for itching. It is titrated to a rate that controls the itch but continues to maximize the analgesia. In a pinch at night, if things are caught up in pharmacy, we will use a dose of nubain IV IV (2.5mg) every 15 minutes until things ...

13. Duramorph (intrathecal)

    nurhmb replied to smmc's topic in Orthopaedic

    We use narcan IV for itching. It is titrated to a rate that controls the itch but continues to maximize the analgesia. In a pinch at night, if things are caught up in pharmacy, we will use a dose of nubain IV IV (2.5mg) every 15 minutes until things ...

14. Do you have Pressure Bags available on crash carts?

    nurhmb replied to nurhmb's topic in General Nursing

    Thanks for the idea of the disposable for the crash carts. We are a small community rural hospital and when the time comes and we get our first power injector, I am sure it will go to the ER.....but I will start awareness on power injectors now for t...

15. Do you have Pressure Bags available on crash carts?

    nurhmb replied to nurhmb's topic in General Nursing

    Thank-you so much. We need to look into this piece of equipment. Do you know how I can contact someone involved in sales or manufacturing of this product?