Rexie68

Rexie68 has 21 years experience and specializes in Vascular Access Nurse.

Latest Activity

1. Sutureless devices for PICC securement

   Rexie68 replied to vascularaccessPA's topic in Infusion, Intravenous

   I'm an RN on the IV team at a hospital. We very rarely suture in our PICCs. Our home health care agencies have had no trouble getting Statlocks and we've had no trouble with that. The statlocks that...

2. Looking for US Guided Perpherial IV insertion policies and Nurse competencies.

   Rexie68 replied to danfif's topic in Infusion, Intravenous

   All 27 nurses on our IV team are trained to insert peripheral IV's using ultrasound guidance. I can't imagine why your manager wondered if it were in your scope of practice...it's non invasive and...

3. PICC becomes personal

   Rexie68 posted a topic in Infusion, Intravenous

   In a horrible twist of fate, my 17 year old step-daughter was in a major car accident (recovering now and hopefully all will be well in time) and has a PICC line. I'm an RN on the IV team and insert...

4. Found cap off port of PICC

   Rexie68 replied to scoochy's topic in Infusion, Intravenous

   Well, we can agree to disagree. My facility does not repair any central lines....not picc, dialysis, presep, multi-lumen, etc etc etc. It works for us. We're very lucky to have a "specials" unit that...

5. Found cap off port of PICC

   Rexie68 replied to scoochy's topic in Infusion, Intravenous

   I would have done the exact same thing. Much less likely that "germs" will infect a new PICC placed under max-barrier precautions than a PICC found with the cap off. We would also do the same thing if...

6. Found cap off port of PICC

   Rexie68 replied to scoochy's topic in Infusion, Intravenous

7. Incident Report Documentation

   Rexie68 replied to khagerman's topic in General Nursing

   Untrue. Once it's mentioned in the nurses notes, it can be used in court. It's happened to my employer and that's why they'll go so far as to fire someone if they chart anything about an incident...

8. Incident Report Documentation

   Rexie68 replied to khagerman's topic in General Nursing

   Every facility I've ever worked in would has a policy that you NEVER mention incident report in nurses notes. Perhaps some you worked at don't care if it's pulled into court, but most would. I'd be...

9. Incident Report Documentation

   Rexie68 replied to khagerman's topic in General Nursing

   Never, ever, mention "incident form" or incident report in your nurses notes. The form is for in facility use but if you mention it in your nurses notes it can then be pulled into court in the event...

10. Field Start IV policy

    Rexie68 replied to HamsterRN's topic in General Nursing

    I only know that 90-95% of our EMS pts come in with an IV...never smaller than a 20 gauge and usually an 18 gauge and most likely in the AC or hand. We change them within 48 hours....if they last that...

11. Those who get it - get it, Those who don't - Never Will.

    Rexie68 replied to abbaking's topic in Patient, Colleague Relations

    I'm so glad you brought that up....I'm SO tired of people saying things like that! Ummm....we see the docs when they're sweaty, icky, bedhead gross and they see us with our hair back in a ponytail and...

12. Why is it a crime...

    Rexie68 replied to Getreal2011's topic in General Nursing

    glad you found your calling and are paid well for it! i took a $3/hour pay cut when i went from an lpn in ltc to an rn in acute care....but that was my choice because i wanted something different. god...

13. Those who get it - get it, Those who don't - Never Will.

    Rexie68 replied to abbaking's topic in Patient, Colleague Relations

    [color=dimgray]perhaps a bit off topic, though i don't think so, because it's another example of someone not "getting it." i'm a nurse on the iv team. most of the time i can get an iv in just about...

14. Those who get it - get it, Those who don't - Never Will.

    Rexie68 replied to abbaking's topic in Patient, Colleague Relations

    i'm sure those who aren't nurses can empathize with some of our feelings, but unless you've walked in our shoes, you have no idea what we go through. it's a job unlike any other. i'm not saying it's...

15. Field Start IV policy

    Rexie68 replied to HamsterRN's topic in General Nursing

    sorry!! i'm an iv team rn. we replace all pre-hospital iv's within 48 hours....even if they were placed in another hospital. we have a 24/7 iv team that can insert iv's with ultrasound guidance if...