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You have a what on your where?
We used to joke with new nurses and give them the information on a fake new admit. Our favorite diagnosis was "penile erectus circumspectus"...Totally made up, but it was funny seeing the nurses expressions when we handed them the admit...especially the guys!
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Oddest things found in a patient!
This board is so funny! The worst thing I saw was a guy who had a long butane lighter up his rectum. Like the ones you use to light a grill. He said his girlfiend and him were fooling arround and she just stuck it up there!!! He had to go to surgery to have it removed, and the docs were realy nervous that the butane would leak out and get into his system. He was fine though discharged in a day. Pretty wild Xray though!
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Help! Interview tomorrow!
I agree with dressing professional. If you don't have a suit, black pants will do with a long sleaved blouse. I would not offer up the information about the second job, but if they do ask, tell them that you are seeking out different hospital experiences in order to decide where you would like to specialize. This way it looks like you are planning for your future, and goal setting. Interviewers love this. They cannot fire you because you have two jobs. That is your business. Other tips: Make good eye contact with your interviewer, give a good handshake, and over all be yourself, be human ,and take your time answering questions.
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Placing midlines on same side as pacemaker
I had a patient the other day who had a mastectomy on her left side and a pacemaker on her right side. So initially I thought she was not a candidate for PICC placement. She needed 4-6 weeks of IV antibiotics, so her doctor sugested placing a midline in the right arm instead since it would not interfere by staying in the axillary vein and not in the SVC. I went ahead and placed the line thinking, there was really no other choice because putting in a groshong tunneled catheter or port would not be possible for the same reasons of the mastectomy and pacemaker. What do you guys think about this? I am having trouble finding any kind of online information related to contraindications for midlines or PICC's. Thanks!
- Mnemonics and Memory Aids
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The new site-rite 5 for PICC placement
We had the Bard rep out a couple of weeks ago trying to pitch us the Site Rite 5. I didn't like it, I thought it had too many bells and whistles, but like anything, I am sure using it, you get used to it. We have a Site Rite III and IV. I like the IV the best, the screen is recessed a little and it has a nice picture. We are thinking of upgrading our III to a IV. We are going to pass on the 5 for right now.
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The new site-rite 5 for PICC placement
We had the Bard rep out a couple of weeks ago trying to pitch us the Site Rite 5. I didn't like it, I thought it had too many bells and whistles, but like anything, I am sure using it, you get used to it. We have a Site Rite III and IV. I like the IV the best, the screenin recessed a little and it has a nice picture. We are thinking of upgrading our III to a IV. We are going to pass on the 5 for right now.
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PICC and Blood transfusion
In double lumen PICC the 2 lumens are actually separate, so you can infuse incompatible drugs through them, similarliy to a central line. So while they are "riding" to the SVC they are not mixing. A PICC (peripherally insterted CENTRAL catheter) should be centrally located in the SVC. You can check the radiologists confirmation of placement on the CXR. You were not "wrong" in using the saline lock, but there are less complications when infusing through a central line because of increased blood flow. Hop ethis helps. :)