AnnieOaklyRN

AnnieOaklyRN BSN, RN, EMT-P

Adult and Pediatric Vascular Access, Paramedic

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All Content by AnnieOaklyRN

  1. Strange symptoms after flushing PICC....suspect arterial placement?

    AnnieOaklyRN replied to UnbrokenRN09's topic in Infusion, Intravenous

    I would be more concerned about aCHG allergy, if your catheters are impregnated with them like ours are. We have had an increasing number of patient reacting to the CHG, and sometimes it is vague like...

  2. PICC Line Clarification

    AnnieOaklyRN replied to JayMal's topic in Infusion, Intravenous

    There is no such thing as distal lumen, proximal, medial lumen etc on a PICC line, as we cut them to fit the patient, so all lumens end in the same place. This can be confusing on Epic, because...

  3. Tiny vein tips for IVs

    AnnieOaklyRN replied to mariaconcetta's topic in General Nursing

    Oh I get it, BUT with that being said a good majority of us do vascular access nursing, not just because we like it, but because it's usually a day/evening job with no nights, unless you are at a...

  4. Tiny vein tips for IVs

    AnnieOaklyRN replied to mariaconcetta's topic in General Nursing

    The bevel down allows the most pointy part of the needle to be up, rather than down where it can easily penetrate the back wall of the vein when you advance. Look at a picture of the end of an IV...

  5. Tiny vein tips for IVs

    AnnieOaklyRN replied to mariaconcetta's topic in General Nursing

    Hi, vascular access RN here.... It saddens me that this day and age so many hospitals still don't have someone trained on Ultrasound guided IVs available at all times, or a vascular access team!...

  6. Concussion - What did I miss?

    AnnieOaklyRN replied to BunnyBunnyBSNRN's topic in School

    Just wondering if you read my post? Concussion is a diagnosis of elimination, meaning there are no specific symptoms or tests that can be done to confirm it, and it is often times thought of as a...

  7. Concussion - What did I miss?

    AnnieOaklyRN replied to BunnyBunnyBSNRN's topic in School

    I wouldn't worry too much. A concussion is essentially a dx given after nothing is found by CT scan. There isn't anything you can do for that anyway, regardless, other than symptom management....

  8. Failed NCLEX 3 TIMES-Canada

    AnnieOaklyRN replied to Emmie80's topic in NCLEX Exam, Programs

    I am sorry you are struggling!! Remember NCLEX is mostly a test of critical thinking and common sense, so while you do need to know some nurse type stuff, being able to think critically and...

  9. Seeking suggestions on ancillary jobs

    AnnieOaklyRN replied to Nurse Beth's topic in Career Advice Column

    I think you will find that MOST positions that only require certification and a brief education will be low paying. Rad tech requires an associates degree and it is a heavy load, even including...

  10. PICC certification?

    AnnieOaklyRN replied to FiremedicMike's topic in General Specialties

    Hi OP, I too am a medic turned nurse, although I would jump back on the truck full time in a heartbeat if there were more opportunities for single role Paramedics in municipalities around here!...

  11. CT Guided Biopsy Gastric Mass

    AnnieOaklyRN replied to UpliftingRN's topic in Gastroenterology

    This sounds like maybe a medical advise question, either way the question is more for a physician than a

  12. I HATE cleaning poop

    AnnieOaklyRN replied to Lilrn's topic in General Nursing

    I am with you OP, some nursing roles, including clean up duties, passing out a million medications etc are not for me either!! I do vascular access nursing for that reason; no nights (I am unable to...

  13. Case Western CWRU DNP CRNA 2021 Class

    AnnieOaklyRN replied to NoOrdinaryICU's topic in Ohio Nursing

    Hi all, I know this thread is on the older side, but just wondering what is the total estimated cost for the CRNA program at case western, minus living expenses? Thanks,

  14. Commute from Macedonia Ohio into Cleveland

    AnnieOaklyRN posted a topic in Ohio Nursing

    Hi all, Thinking about a move to Ohio, just wondering how bad is the AM traffic getting into Cleveland from the Macedonia area? Thanks!

  15. How is Akron Children's and UH rainbow?

    AnnieOaklyRN posted a topic in Ohio Nursing

    Hi all, So I am looking to make a possible move from my current state (NE USA) to Ohio for the more affordable cost of living, to be closer to some family that is there, and because I mainly...

  16. Anyone else try urgent care and hate it?

    AnnieOaklyRN posted a topic in Emergency

    Hi all, So I was an ER nurse a few years ago, left to do IV team, which I am ok with, but I feel like my nursing skills are going down because I am not using them. I decided to try urgent care on a...

  17. J tip - Anyone using this?

    AnnieOaklyRN posted a topic in General Nursing

    Hi, I just saw this ,although it may have been out for a while. J-tip syringe that uses gas instead of a needle to put Lidocaine into the sub q space before IV insertion. Is anyone using this? How...

  18. Would you find this annoying?

    AnnieOaklyRN posted a topic in Nurse Management

    Hi, I want desperately to get into pediatric nursing, more so in a NICU than any other area. I have been emailing a nurse manager here and there when I see a position open in one of her units, which...

  19. Would you call in sick?

    AnnieOaklyRN posted a topic in General Nursing

    Hi all, Just want your opinion on whether or not you would call out for this. I took a new job, which I sincerely regret because I hate almost everything about it, except for the kids I care for. The...

  20. New Grad changes Preceptor. Help!

    AnnieOaklyRN replied to MOmama's topic in First Year After Licensure

    Welcome to nursing they are all

  21. Would you call in sick?

    AnnieOaklyRN replied to AnnieOaklyRN's topic in General Nursing

    If you read my post then maybe you would see that j am on orientation ans need no coverage! It absolutely isnt about the commute, whether I had to drive 10 minutes or take the bus (which was...

  22. Would you call in sick?

    AnnieOaklyRN replied to AnnieOaklyRN's topic in General Nursing

    ..and I slept soundly for 12 glorious hours! I felt like a new woman

  23. Would you call in sick?

    AnnieOaklyRN replied to AnnieOaklyRN's topic in General Nursing

    Thank you everyone for the comments. I did call out sick, as again it just wasn't safe for me to care for patients or drive! Alas the applications and resumes are out there, so I am hoping I find a...

  24. Would you call in sick?

    AnnieOaklyRN replied to AnnieOaklyRN's topic in General Nursing

    LOL... Too funny! I never called out sick when I was a full time medic, because I loved it (sigh). Nursing not so

  25. RN volunteering at the border?

    AnnieOaklyRN replied to dinah77's topic in General Nursing

    It's nice of you to want to help, but I think you would need some sort of organization backing you up for both safety, and for licensing and insurance. It is likely if you went alone you would just...