bethchpn

bethchpn

Member

  • Content

    37

  • Visitors

    2,623

  • Followers

    0

  • Likes

    1

All Content by bethchpn

  1. N95 mask use to place PICCs

    bethchpn posted a topic in Infusion, Intravenous

    Just wondering if any PICC nurses are using N95's when they place PICC

  2. N95 mask use to place PICCs

    bethchpn replied to bethchpn's topic in Infusion, Intravenous

    Well I was called in to the ED and the patient was sick with a high fever of 103. I have read some things about CV and they are now feeling it can be airborne. A lot is unknown. I am 70 yrs old and my...

  3. Where PICC lands!

    bethchpn posted a topic in Infusion, Intravenous

    We are a small hospital that has about 100-120 PICCs a year. We are trying to get updated equipment that uses ECG guidance but at this time we can't afford it or it is being decided somewhere in the...

  4. 2015 allnurses Salary Survey Results

    bethchpn replied to allnurses's topic in General Nursing

    Small town in Oregon, 44 yrs nursing experience, 16 yrs at this hospital. Close to top salary (one more step to go) 48.31/hr. Oncology certified so 1.50/hr more. No weekends, call and 8-5. Best job I...

  5. Tricks of the Trade for PICC placement

    bethchpn replied to Infusion50's topic in Infusion, Intravenous

    I agree with all the ideas Vascular nurse 1006 has. i would add two more. My favorite if a pt is awake to have them cough at the point right before it goes up the jugular. Second I have had some...

  6. Being blamed for fall after shift

    bethchpn replied to notyetnurse's topic in General Nursing

    As a nurse of 44 yrs others might disagree but I have different advise. I feel the best action would be to let your supervisor know that you have learned a lot from the experience and will be able to...

  7. Lied to in Interview

    bethchpn replied to westieluv's topic in General Nursing

    It took me a long time to learn one simple fact.... If you make a bad choice you can always make a different choice. I have been a nurse for 42 years and it probably took me 30 years to learn this. I...

  8. My preceptor is everything they taught us NOT to be...

    bethchpn replied to Live..&..Learn's topic in Patient, Colleague Relations

    Been a nurse for 40 years and my only advice is to learn quickly that the only thing we can change is ourselves. The sooner you learn it the better. You in general will always want, nurses,patients,...

  9. Port and TPN use

    bethchpn posted a topic in Infusion, Intravenous

    I wonder if any of you have used Ports for long term use of TPN. How do you keep it from getting a sluggish blood return. Do you TPA. It seems like it is more from the TPN that from a fibrin sheath....

  10. Port and TPN use

    bethchpn replied to bethchpn's topic in Infusion, Intravenous

    Thanks for all the feedback. One question. This particular pt is an outpatient that infuses 12 hrs a day. Do you all instruct pt to pull back for blood? I have read some instructions say to just have...

  11. How to deal with catheter issue when insert a PICC line.

    bethchpn replied to fangguixiao's topic in Infusion, Intravenous

    When this happens I pull back from the jugular and then have the patient cough and it usually drops

  12. First PICC insertion!

    bethchpn replied to francoml's topic in Infusion, Intravenous

    Totally agree with iluvivt. Don't let them put you out on your own after 3 PICCs. It is a cost saving technique for the hospital but you will be much happier if you get more experience if you do more...

  13. I'm bad w/ultrasound, any advice?

    bethchpn replied to deftonez188's topic in Infusion, Intravenous

    The angle of insertion is related to how deep the vessel is. More shallow less angle, deeper more angel. Will come with

  14. PICC Line Protocols

    bethchpn replied to sdixon22's topic in Infusion, Intravenous

    Iluvivt could you send me a copy of you protocol and procedure also. I have been placing PICCs for 8 yrs and did my precasting at OHSU in Portland Or but they do not do that now so I have to train...

  15. Being Sued / Losing License

    bethchpn replied to Meraki's topic in Nursing Professionalism

    I have been a nurse for 38 yrs. I have maybe seen 5 court cases but usually it was against the hospital or MD and the nurse just needed to testify. I went to a conference probably 25 years ago on...

  16. Best way to measure for PICC placement

    bethchpn posted a topic in Infusion, Intravenous

    I have been placing PICC's by ultrasound and with Sherlock for 10 months. I only place 1-4 a month as I work in a small hospital. I have had good success but my measurements are deep a lot and I have...

  17. Best way to measure for PICC placement

    bethchpn replied to bethchpn's topic in Infusion, Intravenous

    Thanks for the reply. Very helpful. I do agree that Rad all disagree. Do you have or know of a good picture with landmarks on it. I received a book when I was trained but the chest x-rays and photo of...

  18. a senseless death....

    bethchpn replied to angelwingsamy's topic in General Nursing

    I also lost a brother to alcohol and drugs and would love to give you an e-hug!!! What helped me so much was going to an al-anon meeting. Look it up in the phone book and they will lead you to an...

  19. 5fu during infusion

    bethchpn posted a topic in Oncology

    We have a new order that asks for 5FU to be given at 60 minutes after Irinotecan and LV has been running. It would be along with the 2 drugs. It is written as a modified ILV. Please respond soon if...

  20. Losing patients =(

    bethchpn replied to BrandyL1193's topic in Oncology

    I have several hobbies that help me but I think yoga helps me with my work the most. I have done oncology for 5 yrs and hospice the 5 yrs before that. I have done yoga for 3 yrs and am so happy I...

  21. Chemo Certification

    bethchpn replied to bellehill's topic in Oncology

    Chemo certification is a two day class. To become oncology certified you need to have 1000 hrs experience and take a difficult test that takes many hours of study. If you look on the ONS site it will...

  22. sherlock

    bethchpn replied to kraye's topic in Infusion, Intravenous

    That sounds not too bad. I think it would pay for itself. We do order bard and I think we have been thinking of getting the basic kit with microintroducer and then put our own extra stuff in a kit to...

  23. sherlock

    bethchpn replied to kraye's topic in Infusion, Intravenous

    Good info. Thanks for the response. Do you know about how much they cost. We were planning to get one but now with the economy falling apart we are not so

  24. sherlock

    bethchpn replied to kraye's topic in Infusion, Intravenous

    I went and trained at a university hospital and used it for 12 PICC placements. I really liked it and the nurses there really liked it. It sometimes does get some interference but in general it worked...

  25. Chemo without pumps???? A little long

    bethchpn replied to Ivanna_Nurse's topic in Oncology

    I too am grateful you are out of this situation. However dont feel that all oncology is bad. We have wonderful patients and it is a very rewarding field to work in. That is, if it is a safe