greenterra

greenterra

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All Content by greenterra

  1. Pre-filled saline syringes and checking central line blood return

    greenterra posted a topic in Patient Safety Issues

    Elsewhere on allnurses.com, a poster pointed out that one of the reasons why nurses shouldn't use prefilled normal saline syringes for diluting IV medications was that, in many cases, only the saline...

  2. Infection control problems using single use vials?

    greenterra posted a topic in Patient Safety Issues

    During orientation for my hospital system's, the IV nurse educator said that the single use vials of normal saline we use are manufactured with porous plastic caps, so after breaking off the plastic...

  3. Nurse's Discretion Dilemma

    greenterra replied to BizzieRN's topic in Patient Safety Issues

    Hi BizzieRN! It sounds to me like you are a great patient advocate. Your Doc sounds like his priorities are not screwed on quite right-- a minor setback in whatever research is being done is...

  4. Infection control problems using single use vials?

    greenterra replied to greenterra's topic in Patient Safety Issues

    Thanks for doing the research, 3rdCareerRN! Especially thank you for including citations, although they muddy the water a bit. For instance, although the first article concludes that disinfection...

  5. Pre-filled saline syringes and checking central line blood return

    greenterra replied to greenterra's topic in Patient Safety Issues

    Yes, in an ideal world nurses would be able to maintain aseptic technique in the midst of poo. As a final note, some facilities do prohibit aspiration using pre-filled flushes, though it isn't clear...

  6. Pre-filled saline syringes and checking central line blood return

    greenterra replied to greenterra's topic in Patient Safety Issues

    Well, if you are aspirating to verify the central line is correctly placed, you are bringing the sterile saline in the syringe back over an area of the barrel interior which was just below the...

  7. Pre-filled saline syringes and checking central line blood return

    greenterra replied to greenterra's topic in Patient Safety Issues

    Thanks for all the information in your posts, lpnflorida! Additionally, I've looked around the internet some more. It looks like many nurses are OK with using prefilled syringes to aspirate, and (if...

  8. Infection control problems using single use vials?

    greenterra replied to greenterra's topic in Patient Safety Issues

    Actually, I've been searching the manufacturer's site to get their recommendation, and I can't find anything. I couldn't even find any mention of single use NS vials on Hospira's

  9. Pre-filled saline syringes and checking central line blood return

    greenterra replied to greenterra's topic in Patient Safety Issues

    Yes, it's true we're not talking about pulling blood into the syringe. The question is whether microbes would "fall off" the plunger and contaminate the barrel when you push, and then contaminate the...

  10. Droplet oozing from subcutaneous administration?

    greenterra posted a topic in First Year After Licensure

    Hi all! I am in my first month of nursing. This week I was giving a subQ insulin-R shot (8 units) and when I withdrew the needle, a droplet of insulin came out with it. I wondered if I got the insulin...

  11. Droplet oozing from subcutaneous administration?

    greenterra replied to greenterra's topic in First Year After Licensure

    Thanks so much for the help. I will definitely count to 3 after giving insulin. Regarding the lovenex, my hospital's policy is to only give it in the love handles, not in the anterior abdomen around...

  12. New PhD Student

    greenterra replied to dianacs's topic in Post Graduate Students

    Thanks for the replies! At least some of the time I'd like to remain by the bedside. Infection control interests me, too... I need to try to collect my thoughts and determine long term goals. The one...

  13. New PhD Student

    greenterra replied to dianacs's topic in Post Graduate Students

    Hi Guys! Congratulations on entering PhD programs! I am hoping you won't mind answering a question: do you know if a PhD can help a clinical nurse's career goals? Or is a PhD solely for nurse...

  14. Air Embolism

    greenterra replied to Nellie Nurse's topic in Infusion, Intravenous

    Also take a look at the allnurses air_embolism_iv_therapy thread: https://allnurses.com/forums/f27/air-embolism-iv-therapy-96687.html, it has a references that explicitly talks about how much is too...

  15. Lower % of passing students on newer NCLEX?

    greenterra posted a topic in NCLEX Exam, Programs

    I was just at a student meeting at my college, and the subject of passing the NCLEX came up. The Chairwoman of the nursing school said that data is showing that the national failure rate on the NCLEX...

  16. Lower % of passing students on newer NCLEX?

    greenterra replied to greenterra's topic in NCLEX Exam, Programs

    Thanks, Suzane4 and IIG . Yes, I hope that the evidence for the cause of poorer NCLEX performance after a delay is not simply because one is losing the information one has crammed. However, the...

  17. How are students doing at your school since the NCLEX passing standards were raised?

    greenterra replied to calhoun220's topic in NCLEX Exam, Programs

    The passing standard was raised by 0.07 logits, whatever that is. You can read more about the decision to raise it here: https://www.ncsbn.org/1090.htm. The effect nationally for BSN and diploma...

  18. Lower % of passing students on newer NCLEX?

    greenterra replied to greenterra's topic in NCLEX Exam, Programs

    Never mind, the data showing the historical NCLEX passing rates is here: https://www.ncsbn.org/1237.htm and it looks like the passing rate is about the same, 89-90% for BSN and diploma RN programs...