My mom has been on hospice with advancing alzheimers. She had an incidence of aspiration pneumonia in 11/2010, which was quite severe and resulted in her physician suggesting hospice. She was eating and drinking very little, weighed about 65 pounds, ...
cannulator replied to rawoysteraddict's topic in General Nursing
I do not have any statistics regarding nursing salaries in countries with a universal healthcare system, but I do have personal experience. I worked in the NHS in England, and my salary was much less than I had made in the Washington D.C. area prior ...
Even though you have had 4 cases using the affected arm, I might suggest that as an ER nurse, you may not have known about lymphedema that occurs as a subsequent result of an action. The pt may be discharged from the ER by the time such an event occu...
Roy,Would never use an arm from a bilateral mastectomy for BP or venous access....I have seen a lymphedema twelve years out from mastectomy. We always use the calf for BP and foot vein for blood draw. But, I would feel ok using the same arm as a PICC...
cannulator replied to hemenurse's topic in Medications
I've seen it done both ways...it doesn't matter. But if you do have a primary line running, just be sure your solution is compatible with the brand of IVIG that you are using.
To those infusion nurses and Hem-Onc nurses who perform therapeutic phlebotomy for p.vera or hemachromatosis.... In your organization, what sort of equipment do you use.. here are 2 choices: (1) an empty blood collection bag which has attached tubing...
He noticed that the port on the patient's CENTRAL LINE was off. Sorry, even though I have been working with central lines and ports for years, I have no idea what the above sentence means.....could you be more specific?Do you mean that the huber nee...
cannulator replied to FireStarterRN's topic in General Nursing
Skrawberri- "although God says we are all destined for hell without Jesus"..... could you please cite the exact Bible location of this quote? Thanks...
I love your quote - "nursing served me well, I served it well"....helps to put in perspective the difficulty of leaving/retiring from a profession which calls on our "duty to serve". I have the tendency to work longer than I need to due to the shorta...
cannot think of any prohibition against running a central line to gravity . We always try to run platelets to gravity, and it's often through a port, PICC or hickman. However, often it doesn't work too well...just meets too much resistance and a pump...
I wonder if I may ask for some input from experienced Hospice Nurses... I am a chemo nurse in an outpt university infusion center, and as a result, see many people who become Hospice pts at a point when their oncology treatment has not succeeded. Of ...
cannulator replied to cannulator's topic in Hospice
Thanks for your replies. I am sorry if I implied that telling a pt he/she would die a "horrible death" would ever be appropriate..no,no,no! But to prepare them for an event that may not pass as expected.....just was wondering, that's all. I do agree...
cannulator replied to captain morgan's topic in Oncology
Ti be honest, I cannot imagine anyone accessing, using, or dc'ing a portacath wothout extensive training - not how-to instructions on a message board. This procedure needs not only to be taught by a preceptor well-versed in the use and care of centr...
I was wondering if the triage nursing world could shed some light... I have recently started taking call at our large university cancer center outpt unit. This is not call where you actually go in to the hospital to see pts, but where you take a page...
cannulator replied to EricJRN's topic in Excelsior
I graduated in 1998 (LPN for the previous 20 years), and have worked in outpt oncology, administering chemotherapy, ever since (both in the U.S. and Europe). I am an OCN, and train lots of new nurses in the field...
The first day I was on the floor in nursing school, I walked into a pt room where a nurse was starting an IV on a pt. I have never seen anything like it to this day - she must have hit an artery, because blood spurted out all over the place. I felt d...