JHUBRAIN

Me too! That is why I love this board!

Great response - Thank you so much!!

We do a lot of sclerosing - and getting the talc back out. Also we get a lot of the pyothorax folks. Sometimes it is so thick. We see it more once suction has been turned off (like going to Rad or something) and when suction gets reattached.

To prevent it from clotting off. Sometimes they icky stuff gets caught in thoraic cath. They had a PA doing it and he just recently quit. I have only had to have it done twice.

Hi everyone - The interventional Rad group is wanting to start having the floor nurses start flushing their chest tubes they place. I have never done this and the others on our floors are not real happy about either. There is no policy in place as well. Do any of you flush chest tubes - if so - is there a policy for you to refer to? Thanks

i knew it!!! hey two thumbs way up to allnurses for doing what they did!!

Well said

I think you are way off - and your anger towards the nurses show. If I may - what dept to you work in?

Good Luck to you all!

I am following this with much awe - Good luck to all of you - Fight for your rights!

The job of an IRB is to protect the study particpants no matter were they are (even in prison). Most IRB study presentation paperwork has a part on it about "special populations" and prison inmates fall into that. I don't think any IRB would allow study particpants to be used against their will (even prision inmates-no mattter what they did) Just a thought

I have to agree with this. There should be a limit - or there are no standards. If someone could just retake - retake - retake until on the 12th time they pass - maybe nursing is really not for them. The same should hold true for MDs as well. I can see failing it a couple of times, but after 3 - 4 times, there should be some major retraining in store for that person before they take it the 5th time.

All great points. The nurse will have to be ACLS to do these. Inservices will be done with a yearly compentencies as well. Great conversation. Thanks to all

Hello everyone - I have a question and am hoping you can help. Do any of you know what your policys are regarding "critical Meds" on a medsurg floor. The meds I am interested in are Amiodarone - Diltiazem - Dobutamine-Eptifibatide. Now the patients will have on a Tele (tele room on another floor). I just came from a meeting and they are wanting to start doing this meds on the Medsurg floor when the ICU stepdown is full (ICU stepdown is also shrinking in beds) Do any of you see this situation in your hospital? Thanks to all JHUBRAIN

Hi - Was wondering if any of you Nurses working in hospitals do 10 hour shifts. We are considering them at my hospital and I was wondering what folks thought about them. Thank you - Gary

Our policy states that nose piercings must covered (eyelid as well) - Most nurses use a plug, take it out, or for the eye lid, cover it with a bandaid. Tats are not to be seen and covered in clinical areas. Although it is a personal choice about tats and piercings, many patients (and Adm) don't care for them, and it seems sadly they make the rules. I have seen a CNA not hired at a hospital I worked at due to a valgur tat that went on his neck (nudity and skull).

Hello all! I was called old school today by a nurse because I was going to use a petrolatum dressing around chest tube insertion site. I was told that was out and now a dry gauze with large op site (or just tape) works just as well. I was always taught the other way, but I am open for better care, so I was wondering - what is everyone else doing? Thanks & God Bless - Gary

That is kinda foolish because all credit problems don't mean your irresponsible, some cases your a victim of circumstances - I know your not saying that, but I think I would work elsewhere

They sell them at my hospital and I bought a pair about 2 weeks agoa and I love them!!! Light and feels good to the feet. I paid $30 for mine Good Luck

At our hospital in OKC we have to have the RN sign off on all LPNs Physical assessments (not orders) - It says in the LPNs state laws that they may contribute to the Physical assessment - Prior we let the LPNs do there own -Then we got hit by the State on that one and they read us the riot act and ticked us for it. The LPNS were not very happy about it, I mean we have some great LPNS - but neither were the RNS - Good Luck - GP

My Hospital in Oklahoma allows the LPNs to draw blood, start IVs, Do IV Push (with training class) and carry a patient team. However, due to the oklahoma law - they must have their assessments sign off on by RN

Initials are case study numbers with a master list (which number is which patient) - when all done sherd or put in a sherd box

I got to agree with you on the quote - Bottem line is that it is my patient and if the student came up and said that to me - I would be talking to her teacher. I love students in fact I work in educ - but I have seen some very bad outcomes by to eager students "sticking up for them selves". It is a time to learn and watch - and you can ask about doing other things as they come up - Good Luck & God Bless - GP

It does kill me to hear about this 1:9 ratios - ours is usally 1:5 on all shifts (nights included) it is very nice, but $$$$$ to keep that ratio we have had to use more agency. Thanks