IngyRN

IngyRN

Med/Surg, Homecare, UR, Case Mgt

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All Content by IngyRN

  1. 48 Pre-Discharge Notification of Right to Appeal

    IngyRN replied to NurseRotten's topic in Case Management

    Both. But primarily the case managers. Most of the units didnt even inservice the staff

  2. Checking Placement of PEG

    IngyRN replied to BluntForceTrauma's topic in General Nursing

    Sorry if that was a stupid question. Please dont make me feel so terrible, I was simply asking if there is some standard where you no longer need to check placement.

  3. Checking Placement of PEG

    IngyRN replied to BluntForceTrauma's topic in General Nursing

    How long is this necessary? Patients who have had them for a long time do not check placement at home, yet once they are admitted is it expected to chk

  4. Withdrawal of blood from piccs

    IngyRN replied to cannulation's topic in Infusion, Intravenous

    I find that many times labs are off when drawn off PICC lines. what is the proper amt of blood to waste when fluids are running? Also could you draw coags thru a PICC which has heparin running? What...

  5. Administering blood w/meds via PICC

    IngyRN replied to IngyRN's topic in General Nursing

    I realize you cannot administer anything thru the SAME port. Per the educator, you find another access. It just doesnt make any sense to me either since our hospital ONLY places double lumen PICC's,...

  6. Administering blood w/meds via PICC

    IngyRN posted a topic in General Nursing

    Hi All, There was quite a heated discussion at work and was wondering what you guys have seen in your experience. Can you transfuse PRBC thru a double lumen PICC through one port and meds thru the...

  7. Administering blood w/meds via PICC

    IngyRN replied to IngyRN's topic in General Nursing

    Thank you all for your replies. I will look into the P&P. Instead I asked the unit manager as well as the Head of Nursing Education, both who said "absolutely cannot" administer anything...

  8. Administering blood w/meds via PICC

    IngyRN replied to IngyRN's topic in General Nursing

    This is what I thought. However, does it matter which port? Is this a policy in your facility is there some literature ( ie manufactorer's ) ? Thanks

  9. Need Advice - People Asking for advice..

    IngyRN replied to Luvelyone's topic in General Nursing

    What really annoys me is when people make you feel incompetent when you are a med/surg nurse and cant answer their pedi questions. Hello, there's a reason why there are so many specialties, you...

  10. DC planning for new trach

    IngyRN posted a topic in Case Management

    I am so anxious about sending this particular patient home w/trach ( I am literally losing sleep!). He is a 46 yo male w/HIV and laryngeal Ca. His caregiver is his sister in law who is a physical...

  11. DC planning for new trach

    IngyRN replied to IngyRN's topic in Case Management

    Thank you all for your replies-they were all greatly appreciated. Just to give an update, pt ended up staying in the hospital an additional 2 weeks secondary to other complications. In that time, the...

  12. Most interesting Micro-organism!!

    IngyRN replied to kcstudentnurse06's topic in General Nursing

    Community acquired- MRSA. The CDC is a great resource and it would an interesting topic as it has become so

  13. 1st Med Error

    IngyRN replied to Eilana's topic in General Nursing

    I have been out of the clinical setting for a long time. The reason I got out was due to a med error, the patient thankfully was fine but I never forgave myself. I wish I had the support you all offer...

  14. shift ends at 7, but you leave at 9? Why?

    IngyRN replied to RNDreamer's topic in General Nursing

    If you have had a very busy shift, you may be tying loose ends and documenting which can take you this long-even if you have already reported off to the next

  15. New here and venting already

    IngyRN replied to Butterfly Faery's topic in General Nursing

    You did the right thing. If the MD doesnt want to "bothered" he shouldn't be on call-conference or

  16. DC planning for new trach

    IngyRN replied to IngyRN's topic in Case Management

    I cant believe 20 viewed this and no one had any insight to share. Are there any hospital case managers out there? If yes, is this situation this rare or just not worth your time to give some...

  17. A little confusion re: some people's thoughts about LPNs

    IngyRN replied to megananne7's topic in General Nursing

    When I was a new RN grad, my preceptor (a RN) was very disorganized and flustered all the time. Consequently, I felt the same ( on top of feeling clueless as a new gad). It was an LPN who helped me...

  18. D/C planning for new trach

    IngyRN posted a topic in General Nursing

    Hi All, Recently we have had alot of pt's w/trachs. We expect the pt/caregiver to be independent w/trach care/suctioning prior to d/c home. But we have no writtten guidelines/teaching tools. Also,...

  19. Any nurses out there work for insurance companies?

    IngyRN replied to Purdue_Nurse's topic in General Nursing

    I did utilization review for an insurance company Basically reviewed charts and determined if pt fit the criteria for hospital level of care. I also authorized rehabs, nursing home placements, etc....

  20. D/C planning for new trach

    IngyRN replied to IngyRN's topic in General Nursing

    Not eligible for hospice as he will still be undergoing chemo next few

  21. D/C planning for new trach

    IngyRN replied to IngyRN's topic in General Nursing

    He is set up w/homecare. But as I explained to family, pt/family must be independent w/care as nurse is not readily available in the middle of the noc lets

  22. D/C planning for new trach

    IngyRN replied to IngyRN's topic in General Nursing

    Thanks for all the replies! I am the case manager- and have ordered the equipment thru a resp company w/assistance from their RT. However, I keep getting mixed suggestions form other case managers...

  23. RN CM and MSW background

    IngyRN replied to loriann's topic in Case Management

    CM involves d/c planning and setting up the appropriate services for your pt post hospital. The barriers to accomplishing this, many times, are social issues, ie difficult family dynamics, knowledge...

  24. PASV PICC line care

    IngyRN posted a topic in Infusion, Intravenous

    I have read the manufact. recomendations& have confirmed this with certified IV RN's that line care is flush/dressing change q weekly when line not in use. We recently had a pt admitted w/?PICC...

  25. Problems with VAC dsg/KCI

    IngyRN replied to mackrn's topic in Wound, Ostomy, Continence

    I am a case manager on a surgical unit. We work very closely with plastic surgeons and they will ONLY order KCI due to poor wound healing with other manufactorers like Blue Sky or Specialty Medical...