2shihtzus

I had a patient with a triple lumen central line who had PPN infusing. Anesthesia wanted it disconnected before the patient went to surgery so we disconnected it and flushed the line. The nurse in PACU wanted to know which port (red, white, or blue) ...

I wonder if the same applies to PICC lines? There are no proximal, medial, or distal ports.....?

What is the rationale behind it? I mean I know that once it is infusing, it is a designated line; nothing else should be placed into it. But if its disconnected and flushed, shouldn't it be ok to switch lumens?

Tentatively accepted to the RN-BSN through WGU's online program. Lalalalala yay for me! Nervous as hell about going back to school....but its gotta be done! Anyone have any experience with WGU? Negative or positive?

I had a pt who stated she fell over a week (on her knees coming down a step.) Turns out she has a hairline fracture of her tibia and didnt even know it? I have never heard of such a thing....can a person really do that and not notice it until a week ...

I have only seen 2-3 ports in an arm.....and they should not hurt when being flushed. When accessing them, it is not much different than accessing a chest port. Hold it securly and use the right guage and length of needle. The only pain the patient s...

The PICC lines I put in are cut. They are either double or triple lumen (5FR for double, 6FR for triple). They are also power piccs. The lumen that can take contrast is labled. There are no distal or proximal ports. Most of the PICCs I place are betw...

So Ive been acccepted to the RN-BSN program at Western Governors University. Tentative start date March 1. Now Im having second thoughts as to whether it is a respected degree or not. I know it depends on a lot of factors....at first I felt good abou...

They "should" be taken before abx are given. However, there is always a chance that the culture may grow something that is resistant to the abx that the pt is currently on. Also, it takes a while before the abx get rid of the current infection.

Hmmm.....sounds like you have a reputatation that you are going to have a hard time getting rid of. Statements like: ...In that role I could do 95% of the things that RN could do but was paid less ...I did not like this hospital. It was basically a ...

Out of curiousity, what were you supposed to call the doctor about? I would have been annoyed at the unit manager as well. Its always nice to be told to your face what you did wrong instead of hearing it 2nd or 3rd hand. It rarely happens though.

Im a charge nurse on a med/surg unit. I have been wanting to get out of med/surg for a long time (ive been doing it for 5 years and wanted a change.) I worked on Day Surgery the other day for PICC line training and loved it! So much that I enquired a...

Update: I went and talked to the manger of day surgery and she said that yes, it had all been set up and that I had a position! I am SO relieved!! :)

I feel so stupid because before I even gave any thought to the possibility that there wasnt a position in day surgery, I emailed the director asking her what my start date would be! (Talk about presumptuous on my part) I honestly thought that it was ...

Yep...we see it all the time. But it goes both ways. Ive had to give report to ICU nurses who take out their stress on the wrong person and are just plain RUDE about it.....for the massive GI bleed that we had to transfer to ICU I got, "This pt shoul...

I think that speaking quietly in the med room with a few peers is a far cry from "trashing" your employer. If someone overheard, what were they doing? Standing as close to the door (that was open a crack) eavesdropping? It would have been nice if "t...

Hmmm......your on their "list" now. Watch your back.

We got a muffin, a cup of fruit, a cranberry juice, and a breakfast taco for breakfast. ( I heard that last year it was made to order omlettes) For a gift we got a fanny pack thing you can use for workouts...I kept the pen and post-it note pad that w...

1: Pt arrived to floor demanding something to eat (at 2300). All we have is soup, crackers, juice, pudding, peanut butter, cereal and sodas. Pt requests a sandwhich. I tell her we dont have sandwhiches. She said, "Thats just awful. I cant believe you...

Interesting....I would have thought that a person would have known right away. She said it didnt start hurting until a few days after! Ive never heard of such a thing!

I was all set to start the RN-BSN program on March 1st. Had a great experience with my enrollment counsellor...at the start. They were very helpful. Then it came time for tuition....the wanted the tuition up front, and this was BEFORE they even evalu...

Socal....Ive already been an RN for 5 years. The program I am enrolled in is RN to BSN....however you are right for those that are still a nursing student. Building relationships and experience during your clinicals is an important aspect. Kimberlee....

Just because you broke the seal with a pen? Someone clue me in here....

So glad to hear some positive feedback!!! Thanks!!!

My god.....people are so freaking RUDE sometimes....*hugs* YES....talk to the manager. Just let her know that you showed up to shadow but Betsy called in sick and take it from there. FYI....if you had showed up on my floor, I would have welcomed you ...