Rexie68

Rexie68

Vascular Access Nurse

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All Content by Rexie68

  1. 5 french vs 6 french PICC

    Rexie68 posted a topic in Infusion, Intravenous

    Hello to all, We gave switched from a 6 french triple lumen power picc to a 5 french triple lumen power picc. The 5 french has one 18 gauge port and two 20 gauges. Obviously the 20 gauge ports are...

  2. chlorahexidine dressing kits

    Rexie68 replied to IVmama58's topic in Infusion, Intravenous

    We use the CHG cleaners and haven't noticed a

  3. Ultrasoudn Guided Peripheral IV

    Rexie68 replied to CraigB-RN's topic in Infusion, Intravenous

    I would also love to see that article. Of course we want to first do no harm, but there are times that not having IV access causes harm. Just yesterday I put a PICC in the brachial vein.....the...

  4. 5 french vs 6 french PICC

    Rexie68 replied to Rexie68's topic in Infusion, Intravenous

    PICCME, Thank you for your input....I greatly appreciate it!

  5. Ultrasoudn Guided Peripheral IV

    Rexie68 replied to CraigB-RN's topic in Infusion, Intravenous

    At the facility I work in, we have an IV team and all IV nurses are trained to use the ultrasound to insert peripheral IVs. It does take some time and practice to become comfortable using the...

  6. 5 french vs 6 french PICC

    Rexie68 replied to Rexie68's topic in Infusion, Intravenous

    We are an acute care facility that cares for all ages. Of course, we don't put 5 or 6 french PICCs in pediatric patients.....they would receive a 3 or a 4. Usually the only time an adult patient...

  7. Ultrasoudn Guided Peripheral IV

    Rexie68 replied to CraigB-RN's topic in Infusion, Intravenous

    Well, we shall agree to disagree. We certainly don't put IVs in the brachial unless we have too, but there are times that the basilic or cephalic aren't available for one reason or another, either...

  8. Ultrasoudn Guided Peripheral IV

    Rexie68 replied to CraigB-RN's topic in Infusion, Intravenous

    Hello, I find it interesting that RN's aren't allowed to start peripheral IV's in the brachial vein.....but MDs are. Most of the doctors I work with would much rather have an RN start the line than...

  9. triple lumen flushing question

    Rexie68 replied to lovingRN2009's topic in Infusion, Intravenous

    We flush any lumens not in use every 8 hours. Lumens in use aren't flushed until the tubing is changed or if we stop the infusion to draw labs. Speaking of flushing....has anyone else switched to 5...

  10. IV tubing changes

    Rexie68 replied to VAJenny's topic in Infusion, Intravenous

    Our 500 bed hospital changes continuous primary tubing every 96 hours and intermittent tubing every 24 hours, with exceptions such as TPN and propofol as mentioned

  11. sherlock

    Rexie68 replied to kraye's topic in Infusion, Intravenous

    I'll admit I hadn't thought of using the ultrasound to check the jugular....but then your ultrasound probe cover wouldn't be sterile anymore and you'd have to put on a new one. possible to do, just a...

  12. sherlock

    Rexie68 replied to kraye's topic in Infusion, Intravenous

    Sherlock won't tell you that either. It gives you the approximate location of the tip of the PICC, but a lot depends on your measurement. It gives you a change in tone when it believes the PICC is...

  13. How long can you use mdv and sdv?

    Rexie68 replied to salpal92's topic in Infusion, Intravenous

    I also am on a hospital IV team. We only use a multi-dose vial for a single patient, and all at once. For example, when inserting a PICC, we'll draw up 3 syringes full of NSS from a multi-dose vial...

  14. differential or bonus pay for picc team nurses?

    Rexie68 replied to hisdudeness's topic in Infusion, Intravenous

    Well, good luck. I hope you're able to convince administration to pay more....if you are...let me know how you do it! I work in a 500 bed hospital and there are 18 of us who put in PICCS, but we...

  15. differential or bonus pay for picc team nurses?

    Rexie68 replied to hisdudeness's topic in Infusion, Intravenous

    Our hospital has done away with paying nurses extra because of where they work. All nurses work hard....regardless of the unit. What they do pay extra for is education/certification and experience....

  16. differential or bonus pay for picc team nurses?

    Rexie68 replied to hisdudeness's topic in Infusion, Intravenous

    We take turns doing PICCs, as part of the IV team.....or vascular access nurses, our new name. PICC nurses don't get paid any more than the other nurses on the IV team, since we're all sharing...

  17. Pearsonvue Trick Is this TRUE? Does it work every time?

    Rexie68 replied to brichielpn08's topic in NCLEX Exam, Programs

    i tried the "trick" 15 minutes after I took NCLEX....and it worked!!

  18. Pearsonvue Trick Is this TRUE? Does it work every time?

    Rexie68 replied to brichielpn08's topic in NCLEX Exam, Programs

    Some of us have a hard time even waiting till the next

  19. Pearsonvue Trick Is this TRUE? Does it work every time?

    Rexie68 replied to brichielpn08's topic in NCLEX Exam, Programs

    :wink2: Oh thank goodness...I tested today...75 questions in 45 minutes....and just tried to reregister with Pearson and it wouldn't let me...HOORAY!!! Thanks for this

  20. how do you all ahndle signing the MDS?

    Rexie68 replied to glm777's topic in MDS Coordinator Information

    Hi! I'm not sure if we're talking about the same thing....the ARD is the last date of the assessment period. Staff then has 13 days after that to complete the MDS....with the exception that the...

  21. LPN= MDS?

    Rexie68 replied to focusedvalpn's topic in MDS Coordinator Information

    I'm an LPN and I do everything except sign R2B....including writing all of the nursing care plans. However, it's a lot of responsibility and i recommend having an RN and an LPN work together if your...

  22. Care Plans - What's their purpose? - What do you think of them?

    Rexie68 replied to jjjoy's topic in General Students

    if it were only a few hours a week, i doubt many would "whine." when you have 4 patients a week who each have 5 or 6 diagnoses and many more nursing diagnoses, you could spend 4 hours a night on care...

  23. Care Plans - What's their purpose? - What do you think of them?

    Rexie68 replied to jjjoy's topic in General Students

    That sounds like a great idea! We do something similar in our mental health rotation. For med/surg we just have to fill out a nursing assessment form. No care plans at all this year!

  24. What do you wear?

    Rexie68 replied to catnip3's topic in MDS Coordinator Information

  25. What do you wear?

    Rexie68 replied to catnip3's topic in MDS Coordinator Information

    i wear scrubs....whatever color(s) i like. they're just more comfortable and easy to wear...no worrying about hose, dress shoes, made up face or hair. this way i throw on cute scrubs, put my hair in...