IngyRN

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 just pushing it slowly though a small length of the...

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 could dislodge. I was under the impression that PE...

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 me..& I have been a nurse for 10yrs. I feel like suc...

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 mixing the blood w/ med or is this reasonable??

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 inr by how many numbers?

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). Unfortunately, following the advise of my nursing advisor ...

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

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

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 questions.

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 protocol)??

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 order?

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 only 6months.

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 medication. 2 questions> what if you inject a...

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 returned to bedside after 7years) , it seems like 8units...

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 (250 to 370's), so they added the prandial dose. Aft...

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 DCP. They are the ones who meet w/pt, discuss dc opti...

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. Some stop fluids for 1 hr other stop for 1minute. ...

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 clamp if it is saline locked. Could you give me any ...

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. 1. how long (years) have you been a nurse? 10 year...

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 flushed immediately??

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 and NS flushed thru the catheter. That syring is lef...

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 push the lasix directly because she was getting a 2...

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

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 your hospital case managers what their experience ...

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 you referring to what they are communicating to yo...