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bettycat

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  1. I have seen nurse high on drugs doing some dangerous stuff, I repoted them and they got suspended and the board required them to go to rehab. I had a nurse tell me to hang blood with D5W because there was no NS on the floor, reported her and nothing was done. I worked with a nurse who was mentally unstable, she got fired. I had a nurse attack me at work, she also got fired. I see dangerous nursing almost everyday, it is scarey, but all you can do is report them.
  2. I was 32 when I got my associate dregree in nursing, and 42 when I git my BSN. I have been a nurse 30 years and never thought I was too old. There was a women in my Associate class who was 58 when she graduated.
  3. I am an Vascular Access Nurse in the State of OHIO, our state board does not let us sign off the PICCs because an RN in the state of Ohio is not allowed to read x-rays. However, we do look at the x-ray before we send it to the radiologist. Once it goes to the radiologst he/she reads it immediately and signs off on the PICC. We do all but our ICU patients in a special room for PICC insertion and we will not sand a patient back to their room with a PICC that can not be used. I was at the last two INS national meetings and both times they had lectures on reading tip placement. So, yes the INS as well as AVA supports nurses reading for tip placement, but it all depends on the state that you live in.
  4. I have been an IV nurse for 28 years and a PICC nurse for 4 years, no cleaning anything except the arm I am working with:p
  5. I would get rid of your boyfriend. There are more men out there who would be more supportive.
  6. When I took my boards they were just that State boards, everyone took the same test. 5 sections of 250 questions per section. You had to get a passing sore in each section to pass, if you failed on section you had to repeat the test. It has been 30 years but if I remember correctly the 5 sections were: OB, Peds, Medical, Surgical, and General nursing. The test took 2 full days to complete and then you waited 2 months for the results. All of you who take the NCLEX are lucky and I bet a lot of you would not pass the old Ohio State boards. Yes, the BSNs and the ADN took the same test. Like I stated earlier I am a ADN who went back to school for a BSN.
  7. The hospital where I work which is one of the Cleveland Clinic hospitals only pays more if the job requires the degree. So all bedside nurses are paid the same. I have a BSN, I had an ASN and went back to school just for my own satisfaction, not for more money. I work with a MSN who is making less money then myself. The hospital I work for pays by experience.
  8. Why would you leave an IV in that is showing the first signs of Phlebitis? It is only get worse. In this case no IV is better than one that is phlebitic.
  9. according to the ins the latest policy for infiltrated vesicants is, to aspirate as much as you can through the iv angiocath , then remove the catheter. the antidote should not be given through the angiocath but injected percutaneously around the area.
  10. The standard that the courts go by is the Standards set by the INS (Infusion Nurses Society) the standard says that an IV will be removed as soon as there is a problem with it such as infiltration, clot, pain, redness. So what would a prudent nurse do? Of course remove the IV. There have been times I have left the IV in and before restarting and this is if I am going to use the same arm and go above the old site, I do this so the patient does not get a hematoma from the pressure of the tourniquet.
  11. I have been a nurse for 30 years and an IV nurse for 20, I have seen a lot of changes in the past 10 years. 10 years ago PICC lines were new, most patients with long term needs had a port, Groshong, Hickman or Broviac. When an IV could not be started the doctor would do a cut down to find the vien. TPN was not given by a central line. Most hospitals had large IV teams and because of this staff nurses did not have to do IVs. Betty
  12. No way, I could work at a job with less risk. Just for kicks when I started nursing almost 30 years ago I was making $6.60 an hour and I thought I was making a fortune.
  13. Hi, I have been a nurse for 30 years and an IV nurse for 20. I had 10 years of med-surg before doing IV Therapy. I love IV nursing because of the autonomy. The hospital I work at right now I do PICC line insertions using the modified Seldinger technique, when I am not inserting PICCs I am starting IVs on the patients that the nurses and the house doctors could not get. Betty
  14. I have been an IV nurse for 20 years. You said the viens roll from you, this is a problem that a lot of nurses have, the secret is to make sure you have good tension of the skin which will hold the vien in place. I never have a problem with rolling veins using this technique. I lhave always loved starting IVs in old people with fragile viens. You have to stick very gently like you are sticking an egg shell. Also have you ever tried sticking with the bevel down, this works will with older people with fragile veins. Betty

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