luvrn

Wouldn't it be nice if hospitals had a team of Admitting and discharge nurses, that would go and do all the paper work to admit and discharge, and get the paitent settled in, then pass off report. Just getting them settled in and the paper work, not all the critical things would help tremendously.

Thanks everyone for their help. I just didn't think it was right to insert it, but the MD said it would be OK...still didn't insert the midline. Thanks again everyone.

Thanks Smoo, hard to find information on the internet re: different scenerios on PICC/Midline placements. Thanks again

If a patient's arm you were going to use to insert midline was slightly swollen and bruised right below the shoulder would you still insert the midline. This patient is at home, not the hospital. The arm is also painful to move so patient has to assist it with the other arm. Unable to use the other arm r/t IV infiltrates.

The Bomb!!! MOM 30cc Lactulose 15cc Cascara 15cc Mix. Shake. Administer and then stand back.....

Okay...have a question...you say she went in at 5am to sit with the patient, and at 7am somebody had to wake her up. Why do you all assume that she immediately fell asleep? Did anyone check on her and see her sleeping? She could have just nodded off at 6:59 for all we know. I am not saying it is right, but if we fire every nurse that makes a mistake, we would have no nurses.

Thanks everyone, Karen I used that diagram, and I will check with BD on that CEU and poster. Thanks again everyone for their help.

Thanks Susan, I went there but they didn't have the veins.....but it is a neat site....I liked the lab enjoyed looking at the different organs....I know I must be sick...LOL Thanks again.... Cathy

I was wondering if anyone knows of a site on the web that lists all the veins of the arm. Not just the bascilic and cephalic veins. Any vein that we put an I.V. in we have to document what vein it was inserted in. I can find the major ones but not all the superfical veins. Thank you

Hi.. I work for a Home Infusion Service. I have done everything in the home from Chemo to Antibiotics. I know a lot of things are insurance driven, but the home infusion company can check your benefits to see if it would save you money. The nurse could teach you how to access you port, we do it all the time for people who require infusions for life...i.e.....TPN, Aralast ect.

I am salary paid. Very rarely do I work less than 40 hours. I would never take another salaried position unless you factor in 10-15 hours of overtime. Sometimes you get out on time, other times you don't. Just weigh your options. Find out if the others at the salaried job work over some, or alot and go from there.

16 and 11 yr old left alone. What if there was an emergency and EMS found out they were left alone...cops called and she loses her kids??? Because they were left alone. I would loose the job before my kids.. I have been lucky not to have to make a choice....but it would be easy....family first...I remember staying at our hospital a couple nights during major snowstorm....maybe it was the nurses I worked with....but the ones without kids volunteered to stay so that the others could be with their kids, to me, a night is too long without parental supervision.....but thats my opinion, and how I was raised...

I am wondering what the single parents did when they work 7-3p, storm comes in, and they mandated you to stay, no family in area, child in daycare that will close, how have you handled that??? Daycare isn't staying open, you don't know anybody.....and manager doesn't care its not her problem....

I also have had IV starts with and without Lidocaine. If the person who is sticking is good.....NO lidocaine, I had more pain with the lidocaine from the burning vs. just sticking me for the heplock.

Our policy is to use a sterile dressing kit for central lines. Our kits include mask, sterile gloves, betadine and ETOH. We don sterile gloves and clean site with ETOH then betadine maintaining sterile technique. Flush with 5-10cc saline. BTW the needle is primed prior to sticking. At another hospital they clean with ETOH and then stick. No mask No sterile gloves. Our policy for flushing is 10cc NS 5cc 100unit heparin unless Groshong then its 10cc NS. Labs we flush with 20cc NS then 500units heparin

Charleston WV area here!!!!!!

At the hospital where I used to work MRSA patients were always either private or with another MRSA patient. If you were pregnant we always made sure you didn't have to care for the MRSA patient, but according to our ID Doc, no harm if you were healthy and young ect, only concern would be if high risk for baby born with spina bifa (spelling check here) and you would have to care for that wound. He gave few other examples, but we just simplied it and assigned any contagious patient to non pregnant staff. Other floors didn't follow us though.

If mind is still here....IV Line Maintainence was coded as V58.1 Cathy

Thank you very much....I read some articles on the net but just didn't understand them fully....I thought NOT having the Philadelphia chromosome was a good thing, but after reading some articles and your reply I guess it isn't. The young man didn't even know what it meant. I blame the Drs. for not explaining things better. Again thank you for the articles and I will pass them along to the family.

Hi....I was wondering if anyone knows what it means when they can't find the Philadelphia Chromosome? Patient is 25yr male, dx with CML about 1 month ago...been taking Gleeve. I have a cardiac background so I can't help the family and was hoping someone on here knew what it meant... Thank you Cathy

I think what she was saying that there are only 12-14 weeks for summer vacation and yes there are more times to take off but not if you have children in school. That is there vacation too, can't take them out of school, well yes, but then you have the school to deal with. When I worked in the hospital everyone was given 3 choices, hospital seniority ruled over floor seniority for vacations....Usually everyone got off, may not have been their 1st or 2nd but you did get a vacation. People were then asked to work overtime to make sure shifts were covered and then everyone got a vacation....most people were willing to help, they wanted their vacation too....never mandated... I was seniority but I still felt EVERYONE deserved a vacation.....

I just had a colonoscopy last week and they used Diprovan for the sedation. Don't know the amount but I will tell you I was out in a second and woke up feeling great!!!! Oh...CRNA administered the Diprovan.

The company I work for gives the drug Aralast to people with the alpha deficiency. Their symptoms vary, from tired and SOB, multiple respiratory infections, to home bound and on O2. Aralast doesn't cure the disease but is suppose to slow down the disease process. You shouldn't be smoking with this disease, and I think in order to get the medication you have to stop smoking. Also try the Baxter site for more info....

The article says only 2 cases of VRE in the country....I have seen VRE at our hospital over the past 2 years or more....has anybody else???

Don't work in the hospital any longer....but still friends with the nurses there and yes they have blocked beds when short staffed...