PICC ACE

PICC ACE

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All Content by PICC ACE

  1. pop technique

    PICC ACE replied to skibird's topic in Infusion, Intravenous

    Never heard of it--does p-o-p stand for

  2. Teen dies from Med Error in Labor

    PICC ACE replied to htrn's topic in Ob/Gyn

    This is a horrific tragedy. A lapse in care by one nurse has taken one life,devastated many others and sullied the reputation of an otherwise excellent hospital. The scanning of medications and a...

  3. Portocath Hell

    PICC ACE replied to elena15's topic in Infusion, Intravenous

    By "accessed" do you mean that the needle set is changed every day!? I don't think you need to look for any more evidence-based research than to have the MD and your supervisor assess the port site to...

  4. Diluting IVP meds

    PICC ACE replied to maolin's topic in MICU, SICU

    Your hospital's P&P and Formulary should dictate your practice. You might want to make sure your preceptors go over thes with you

  5. Abnormal lab results

    PICC ACE replied to KR's topic in MICU, SICU

    I would have dragged my feet until I got a confirmation on the labs. The key point in your post--"pt is asymptomatic". Labs are only numbers. Great looking labs from a patient that looks like crap...

  6. How do I chart this one?

    PICC ACE replied to DutchgirlRN's topic in Infusion, Intravenous

    As important as what to chart is what to do the next time you need to change the needle set. What exactly is the infusion? The reaction sounded a little odd,but maybe it was real. Next time when you...

  7. would you insert midline if

    PICC ACE replied to luvrn's topic in Infusion, Intravenous

    Mickey--some very good points. I wouldn't give this patient any line without a more in-depth asssessment,including some sort of study of the veins in both arms,even if it's just with portable...

  8. Size matters!

    PICC ACE replied to dsgrandmarn's topic in Infusion, Intravenous

    10ml syringes for the central lines-they create less psi in the lumen during the flush and won't rupture t he catheter. Smaller syringes can be used for peripheral IV's (3's or 5's),but a 10ml would...

  9. Drawing blood from periph art line

    PICC ACE replied to littleonion's topic in Cardiac

    1. "Wash yer darn hands and wear yer darn gloves" (my old infection control nurse's mantra) 2. Make note of current wave forms and art. pressure readings 3. Turn the stopcock to 'all off' position 4....

  10. Rapid A. Fib or PACs?

    PICC ACE replied to harley_fan's topic in Cardiac

    "but once you see a p wave present (and it's probably best to be in lead II for this particular rhythm interpretation) you no longer can call this Afib.....you put them on Amiodorone, Cardizem, or...

  11. Rapid A. Fib or PACs?

    PICC ACE replied to harley_fan's topic in Cardiac

    PAC's in AFib? Simple answer,no. What are the characteristics of PAC's? Conduction originates in SA node,usually have a measurable PR if the P isn't buried in the T,and occurs earlier than the next...

  12. Insulin drips on the floor!

    PICC ACE replied to jackieRN03's topic in Cardiac

    "I am trying to find statistics from the "top hospitals" using insulin drips" Not sure how you'd define 'top hospitals',but we're up there--Magnet status,JCAHo-accredited,and we've won a few state and...

  13. SAVE That Line campaign

    PICC ACE posted a topic in Infusion, Intravenous

    Every year,thousands of patients receive vascular access devices that in many cases are their life-saving lines. Unfortunately,catheter-related blood stream infections are a constant risk for these...

  14. Purple Power PICC by Bard

    PICC ACE replied to wacajrn's topic in Infusion, Intravenous

    Power PICC's for ALL Chemo patients? That's much too general and simplistic. What do your Oncologists say? Not every chemo patient has frequent CT's and they don't all have limitted-term,frequent...

  15. Maximum Heparin doses with Central Lines

    PICC ACE replied to dmrn722's topic in Infusion, Intravenous

    First of all,what are the manufacturer's directions? PICC flushing depends on the style of catheter. A valved catheter should not need to be heparinized (i.e Bard's Groshongs or Boston Scientifics...

  16. Upset!!! write up and patients marijuana

    PICC ACE replied to RNGINA's topic in Home Health

    MYOB on the POT. If you had no evidence that this patient was in immediate medical danger,there was no need to tattle to the MD. If the doc's personality is such that he'd threaten to sue over this,I...

  17. Informed Consent/ Authorization for PICC Placement

    PICC ACE replied to IVT-G's topic in Infusion, Intravenous

    From the 2006 INS Standards of Practice "The nurse shall verify that the patient's informed consent was obtained,and shall document the information given and the patient's or legally authorized...

  18. I need HELP!! with IV starts

    PICC ACE replied to Jasano's topic in Infusion, Intravenous

    Try the link www.nova.edu/~stmartin/IV/IVTherapyPrintout.html for a nice review and plenty of tips and suggestions. IV starts,like all skills,take time to master. There seems to be an aura of...

  19. IV Drug Abusers

    PICC ACE replied to morrisonrn's topic in Infusion, Intravenous

    Obviously,wear yer darn gloves. I have heard of some health-care workers telling their 'shooters' to save a vein for the hospital--if they ever OD,the Narcan has to go somewhere. Don't know how much...

  20. PICCS and DVTS

    PICC ACE replied to beaglelover's topic in Infusion, Intravenous

    PICC's can start to get a build up of fibrin from almost the moment they're placed,and depending on the source you find,up to 60-some % of PICC's develop some thrombus on them,though most are never...

  21. The new site-rite 5 for PICC placement

    PICC ACE replied to PICC chic's topic in Infusion, Intravenous

    I got to try out the Site-Rite 5,as well as about 8 others, last month at a convention and it was pretty slick. You would find it a large improvement over the S-R

  22. Diff b/w PICC and Central Line

    PICC ACE replied to angelique777's topic in Infusion, Intravenous

    KTWLPN-- Could you please cite your reference for the informative explanation? Thanks. Jessica--Institution policy will dictate dressing change procedures,which in turn will vary depending on the...

  23. IV meds that crystallize when mixed??

    PICC ACE replied to Anjann's topic in Infusion, Intravenous

    Your drug book should tell you if there's an incompatibilty with dextrose. There are a few--Ertapenam comes to mind and I know there's a few others,so you'd need a NS system to run it. But will it...

  24. Interesting Patient Scenario--Can you guess what's going on?

    PICC ACE replied to PICC ACE's topic in Infusion, Intravenous

    She developed a big thrombus on her left side--jugular and subclavian were plugged,and the clot extended to her axilla. Three days of TPA and Heparin opened things up and I think Angio sucked out some...

  25. Interesting Patient Scenario--Can you guess what's going on?

    PICC ACE posted a topic in Infusion, Intravenous

    Discharged a patient a few days ago--here's her story. 58-year old female,had a TAH/BSO about 4 years ago. At the time they put in an abdominal/peritoneal PortaCath as well as a Subclavian PortaCath...