BFly85

Hey our hospital is having a lot of trouble with the huber needles that we have. We are looking to possibly look at new ones. What are your favorites? We are looking for a needle that is easy to access with, doesn't have issues with the needle coming up if you press on the butterfly pieces (3 & 4 yos keep deaccessing themselves) and can fit both needles when using a double port. Thanks in advanced.

I'm sorry you are going through this. I don't have a lot of advice except for maybe your niche will be being an awesome travel nurse. You can take 6 week contracts here and there and if you have a relapse, just don't pick up the next contract and you can take all the time you need knowing there is a contract right around the corner. You also will always be changing things up to keep you on your toes. That is one thing I love about nursing is that there always seems to be something for everyone and we can always fold ANY weakness into our ranks.

"The evidence really does point, at this point in time, to PPE being used appropriately as being sufficient to prevent cross contamination." Thank you as it does help me feel a little better. Do you happen to know of any of the studies?

I have used Alaris pumps at 2 different hospitals for over 5 years and something like this did happen once, but we never figured out the reason. Other than that one instance, I have never heard of this and love the Alaris pumps. They are easy to use and we have very little issues with them except the air bubble sensor is way too sensitive sometimes.

I am not sure how it is on other floors, but I am not sure what is expected to be done as if patient's need to be hospitalized, they need it. Insurance won't typically pay if there is a long term care facility that can handle the demands of the patient. On the unit I am currently on, we do have many patients that are long term. Some have stayed over a year (though that is more uncommon). We just do our best to rotate them through the nurses. It is hard to compare though because I am on a pediatric unit and while a couple are in their teens, they are easier to control most of the time.

On my unit we are a pediatric med/surg and oncology unit. The assignments frequently have us taking care of a patients with active infections such as C.Diff or Influenza and an oncology patient with an ANC of 0. I feel that we should try to keep the patients separate as possible, but am told as long as I am using my PPE, they are safe. Question: Does anybody have any studies that would help me support my case or does the evidence really show that PPE is enough to keep cross contamination occurring?

I work on a med/surg Peds flood and within the last 6 months we have suddenly been getting orders for "gastric decompression" q6 hours. Orders state to insert a 24French Red Robin into orifice 6-8 inches and slowly removed. Complete 3x. None of the nurses in our unit have done this and we have no idea why or how it helps except for beyond torturing our kids. I am am unsure if decompression is the correct terminology, but I can find anything on it on google either. Could you help shine some light on this? I would love some teaching on how and why it's done, resources and/or articles showing evidence based practice on outcomes of this. It is extremely traumatic to our children more so than any IV start or injection I have ever done. Thanks.