brent_25 replied to Transitiontime's topic in International
Hey there - send me a PM - I can help you with this - I moved from Canada (Vancouver) to NYC 3 years ago and I am familiar with the process. I can't promise I will have all the answers but I'm sure I still help. A lot to write - easier to pm. Brent.
As previously mentioned - a midline catheter is a peripheral IV (ie not a central line). The tip (or end - where the medication infuses) - is in the mid basilic/cephalic vein - it does not extend past the axilla. They usually are about 20cm long - an...
brent_25 replied to kmoonshine's topic in Emergency
I have seen patients 'play' with their IV's too many times..it is so easy for a roller clamp to get opened (or closed)..I think what everyone is saying is that infusing KCL without a pump just isn't safe. If your confused patient opened the roller cl...
brent_25 replied to peds_cna's topic in Uniform/Gear
I work in a peds ER and a co-worker of mine has the stethescope you want to get - the 'blazing sun' one..she LOVES it, and I have used it a few times and I can really hear well with it - they really work well..and cute too! We see newborn - 21 year o...
brent_25 replied to Uptoherern's topic in Emergency
Just interested as to the reason a CVC 'didn't happen'? I'm assuming it was attempted multiple times without success? That is really the solution here - obviously this type of fluid resus patient needs large bore central access - or if that wasn't av...
I should have added to my last post that I work in a 60 bed ED in NYC. Trust me when I say we're busy - and in the last year I've only gave a written report ONCE! Every other time has been verbal handoff. It is the safest way to endorse patients. Pat...
A phone report is ALWAYS the best way to endorse a patient - but occasionally our ED will have to give a written report - if the receiving nurse is unable to come to the phone. Of course, we have 'guidelines' on which type of patient we can send a wr...
Flushing with anything less than a 10cc is syringe is a big no-no. It has to do with the pressure exerted from the syringe - and the smaller diameter syringe you use - the more pressure it exerts. Most PICC's are 4Fr or 5Fr (in adults) - smaller in p...
We run CVC's to gravity all the time (mainly because we simply don't have enough pumps in the hospital for all the CVC's we have!)..but when we do - it is our policy to hang micro-drip tubing instead of macro, to decrease the chance of the pt inadver...
brent_25 replied to karensflowers's topic in General Nursing
Is this really true? All I can say is that I am a "foreign nurse" (educated in Canada - BSN) who is now licensed in multiple states - and of course I had to write the NCLEX (as well as undergoing extensive and lengthy credential evaluation) before ob...
brent_25 replied to rnewmanjunkie's topic in General Nursing
I have drawn blood from PICC's for years on an IV team - and we always use vacutainers - and have no problems. A syringe actually creates more pressure than the vacutainer we find - we will use a syringe when the blood will not come vacutainer method...
brent_25 replied to rnewmanjunkie's topic in General Nursing
My 2 cents again..at my hospital (every institution has different policy of course) I work on the IV team and we do all the blood draws from lines - we draw from all lines - groshong ended or open ended (we use Bard lines) - and Bard states that it i...
brent_25 replied to rnewmanjunkie's topic in General Nursing
HI all - I agree with all of the responses thus far - I just wanted to add that I am aware of 2 different 'systems' for this - the yellow vacutainer and the needle is usually a 2 piece system - where you would add the needle to the vacutainer by scre...
Hi all, Hope I can help - I am a Canadian RN who recently moved to NYC. I already have a MN RN license, and looked into getting my NY state RN license through endorsement. As a foreign educated RN (this will apply to any nursing school other than NY...
brent_25 replied to rsmit02's topic in International
HI all, Just need to vent a little about CGFNS too! Ironically enough I did the VisaScreen (CES) certification through them (from Canada) and it didn't take too long (about 3 months from start to finish) - and that was even with a couple of screw up...