Rexie68

Rexie68

Vascular Access Nurse

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All Content by Rexie68

  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. 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...

  3. 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...

  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...

  16. Field Start IV policy

    Rexie68 replied to HamsterRN's topic in General Nursing

    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 needed...

  17. Some Nurses too Almighty?

    Rexie68 replied to EbonyBorn2Succeed's topic in General Nursing

    i'm sure it wasn't pretty at all.....i can't imagine not having an iv team.....how in the world do the people with no veins get their ivs? who puts in the picc lines or does central line care?...

  18. Pet Peeve

    Rexie68 replied to Leelee2's topic in General Nursing

    eh, i'll wait for my doc as long as i need to, because i know that when it's my turn, he'll sit down and listen to me. sometimes that means i read a few chapters of a book before i see him, but he'll...

  19. Some Nurses too Almighty?

    Rexie68 replied to EbonyBorn2Succeed's topic in General Nursing

    Wow. Where to start? I am very lucky to work in a facility that has wonderful nursing assistants (we call them PCA's, patient care assistants) on all med/surg floors and ICUs. They do almost all of...

  20. Pet Peeve

    Rexie68 replied to Leelee2's topic in General Nursing

    same here......all private rooms at my

  21. Narcissistic Personality Disorder

    Rexie68 replied to grandmawrinkle's topic in General Nursing

    And I always thought most nurses have OCD......on our IV team we swear we all have it! You know...check, check, check......check again.......check. OK, let's put the PICC in.....PICC assistant nurse...

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

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

    No, we don't think doctors jobs are any less crucial than ours, but this is ALLNURSES.COM, not alldoctors.com. And we're not "waiting for the doc to give us orders".....we're following an orderset or...

  23. personal cell phone and the internet and impact on staff moral

    Rexie68 replied to 24 yrs and counting's topic in General Nursing

    i'm guessing it was the old, analog cell phones that interfered with things, because our icus issue cell phones to the nurses for their

  24. personal cell phone and the internet and impact on staff moral

    Rexie68 replied to 24 yrs and counting's topic in General Nursing

    I'll admit I keep my cell phone in my pocket when at work....most of us do. It's on vibrate and if goes off I'll check it at my next available free moment. I don't answer in a pts room and I don't...

  25. ACLS for soon to be GN? Advice please.

    Rexie68 replied to sh1901's topic in General Nursing

    acls was included in our rn training. we had to take a dysrhythmia course first, and then had acls classes in our curriculum and had to pass the megacode to get our card. it was very valuable to be...