IngyRN

IngyRN

Med/Surg, Homecare, UR, Case Mgt

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All Content by IngyRN

  1. IV push meds

    IngyRN posted a topic in General Nursing

    These may be stupid questions....... We give IV push meds all the time. So for example 4mg of morphine=1ml. We push this through a PICC over 1 minute. since the catheter is so long aren't we really...

  2. PEG tube placement checks

    IngyRN posted a topic in General Nursing

    Hi All, At my hospital, RN's check placement of PEG by inserting 30cc of air and listening w/stethoscope. Is this common practice? I thought this technique was done to check placement of NGT since it...

  3. Advice anyone??

    IngyRN posted a topic in General Nursing

    So after many years outside of bedside, I have returned and its been 7 LONG months. Its not any easier. I feel more anxious and self doubt than ever. It's quite humbling to have new grads teach...

  4. Lasix post transfusion.

    IngyRN posted a topic in General Nursing

    Post PRBC, you run the NS to flush the line-how clear is the line prior to pushing lasix thru the port. My preceptor states that as long as the line is "pink". However, arent you still techically...

  5. Blood products

    IngyRN posted a topic in General Nursing

    Is there some kind of formula to determine or estimate how many units required to meet a certain level. for example how many units of prbc will bring up h/h 1 gram. how many units of ffp will lower...

  6. need to find my niche

    IngyRN posted a topic in Ob/Gyn

    When I was in NS-my favorite rotation was L&D. Sometimes I would even stay hours after my clinical was over to stay with the pt ( of course w/the permission of the pt, instructor and RN)....

  7. Understanding PCA settings

    IngyRN posted a topic in General Nursing

    I never have pt w/PCA. Can somebody please explain settings/terms. IE lockout, basal, etc. thanks so

  8. Semi solid foods and their equivalent fluid content

    IngyRN replied to jnette's topic in General Nursing

    Have you contacted your RD (dietician)? They usually have these

  9. Insurance nurses

    IngyRN replied to Epona's topic in General Nursing

    I worked as an insurance nurse in the past. Most insurance companies require bedside experience (usually 2-3 yrs). However, it is best to got to their website. Let me know if you have other

  10. ASA for CP

    IngyRN posted a topic in General Nursing

    How important is it for the patient w/CP to get ASA stat if pt is on heparin gtt. The patient was nauseous and could only tolerate taking 2 baby asa instead of 2 ( as per

  11. ASA for CP

    IngyRN replied to IngyRN's topic in General Nursing

    This may be a stupid question but I am assuming MONA is for Morphine, O2, Nitro, ASA. Are these the top 4 prioroities or should these be done in this

  12. To tell or not to tell? Opinions please!

    IngyRN replied to abracadabra2886's topic in General Nursing

    I would not say anything until your plans are definite. You don't want to burn bridges. However, be prepared, although your NM may seem nice, she may not like the idea of training and hiring you for...

  13. questions about IM injections

    IngyRN posted a topic in General Nursing

    I know the usual needle length for IM is 1-1 1/2 inch needle. I was taught in NS to hold skin taut ( ?sp), inject at 90 degree angle, withrdraw to assure no blood return, if no blood return>inject...

  14. Understanding Novolog

    IngyRN posted a topic in Diabetes, Endocrine Nursing

    For all you diabetes pro;s I had a pt with a fasting BS 123. He was on 6u prandial humalog , along w/novolog algorithym which indicated an additonal 2u of novolog. Novolog is new to me ( I just...

  15. Understanding Novolog

    IngyRN replied to IngyRN's topic in Diabetes, Endocrine Nursing

    Thanks for the replies. The pt was actually just on Novolog ( apparently I was sleepy when I started the thread-sorry). The patient initially had very high BS despite being on a high dose algorithm...

  16. Question for Hospital DC Planners

    IngyRN replied to bossynurse101's topic in Case Management

    I too worked for an insurance company as a DCP. Although the insurance DCP has the final say re: authorizing rehab LOC and payment, the first line of communication with the patient is the hospital...

  17. Drawing blood from PICC

    IngyRN posted a topic in Infusion, Intravenous

    I have been taught how to draw blood from PICCS in several different ways. Some RN's tell me t flush prior to, others say no need. Some flush w/10cc then waste 5cc. Some flush w/20cc then waste 10cc....

  18. HELP! My periepherals always leak after flush

    IngyRN posted a topic in Infusion, Intravenous

    It seems like everytime I flush a peripheral or connect it to running IVF ( even if it has been 100% perfect for the previous nurses) they almost always, start leaking on me. I flush w/5cc NS then...

  19. Survey for my Sociology Paper!

    IngyRN replied to EMT_to_RN's topic in General Nursing

    just a thought. is your survey taking account demographics. i only ask because the pay scale varies so differently depending on area of the country. should this be one of your questions?? i am in oh....

  20. HELP! My periepherals always leak after flush

    IngyRN replied to IngyRN's topic in Infusion, Intravenous

    Why is it that PIV's clot off when a running IV completes infusion and is left connected. Like when an IV abx (Vanco in particular) completely infuses but the line is not detached and line line...

  21. Drawing blood from PICC

    IngyRN replied to IngyRN's topic in Infusion, Intravenous

    more questions 1) If you flush w/20cc is it ok to waste only 10cc? 2) I was taught to use the same prefilled NS syringe used for flush for the waste. In other words, a prefilled syringe is attached...

  22. Lasix post transfusion.

    IngyRN replied to IngyRN's topic in General Nursing

    Sorry if I wasnt clear. The Y-connected NS had not completely cleared the blood, hence the line was still "pink"-would you still push thru this running IV even if it wasnt completely clear. I didnt...

  23. Non-blood products for raising hemoglobin

    IngyRN replied to blondy2061h's topic in General Nursing

    Good point. But the answer is no. This is according to hospital policy & procedure. At my hospital the RN gets

  24. Question for Hospital DC Planners

    IngyRN replied to bossynurse101's topic in Case Management

    Being nice, donuts, cards...helps to put your name out there but if your facility's reputation is questionable its not going to get you anywhere. How long have you worked for them? Get a feeling from...

  25. UM/CM Interqual Fraud

    IngyRN replied to RobCPhT's topic in General Nursing

    I am not quite sure I am understanding. Is this a nurse reviewer for an insurance who you are referring to? Why do you feel there is "false documentation"? Are you privy to their documentation or are...