terryalbright

terryalbright has 23 years experience and specializes in Internal Medicine, IV Therapy, Emergency.

Latest Activity

1. Anyone here tried this littmann on for size?

   terryalbright replied to Nurse212's topic in Uniform/Gear

   Had a Littman and found it so heavy around my neck that I actually went out and bought a cheaper model!

2. IV size

   terryalbright replied to danger's topic in Emergency

   Yes, of course, each patient is different and at the end of the day that is what must be remembered--- just giving my general rule of thumb. I work in my provinces only Level One Trauma Centre but central lines are really a final option for us, only ...

3. IV size

   terryalbright replied to danger's topic in Emergency

   The only time I go A/C (any size) is when the pt is crashing and it's the easiest access or there is nothing else periprheral. One can usually track the basilic vein (in "averge veins") far down enough as to not occlude a pump due to arm flexion. I b...

4. getting rid of LPN's?

   terryalbright replied to char1976's topic in International

   I guess the other reason I wouldn't go back to school was the fact that we didn't ( and still don't) have a bridge programme here in N.B. I think now that the entry to practice is Bn, you may be able to challenge some labs but that is about it. At th...

5. getting rid of LPN's?

   terryalbright replied to char1976's topic in International

   In some areas where I work there is still a real "turf war" going on but I also see growing acceptance as the RNs learn we are not out to replace them, rather to complement them in a way that is in keeping with our training. When I was first hired fu...

6. getting rid of LPN's?

   terryalbright replied to char1976's topic in International

   Well, we are not allowed to use the word "nurse" without using the qualifier "practical" in front of it. I am part of a pilot project using LPNs on the IV team but I have worked in Specimen Collection as an LPN- Phlebotomist for the last 18 months. A...

7. getting rid of LPN's?

   terryalbright replied to char1976's topic in International

   Hi, I'm an LPN in Saint John and that old (very old) story about getting rid of LPN's is just that... a STORY. There is such a shortage of nurses now that our scope of practice has increased to the point of giving meds on some floors in hospital, ini...

8. Coagulation and ivs

   terryalbright replied to solmar's topic in Infusion

   I don't think those are stupid questions! As far as the pressure on the lok while flushing, I will usually try to draw back first. If there is a LITTLE resistance when flushing, I don't worry but I wouldn't force it. The small amt. of blood in the lo...

9. Who wears gloves when starting an IV?

   terryalbright replied to DutchgirlRN's topic in Infusion

   I wear gloves if my skin is really dry, if the pt. is on precautions, (yes, we still gown, glove and mask for MRSA although most of us consider it a waste of time and equipment), or if I have any (even minor) superficial cracks. The way I see it, a g...