Rexie68

Rexie68

Vascular Access Nurse

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All Content by Rexie68

  1. Sutureless devices for PICC securement

    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 we use don't tear other than the original one in th...
  2. PICC becomes personal

    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 and care for PICCs all the time. I guess I never re...
  3. 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 you're not diagnosing anything. Our LPNs also use it ...
  4. Found cap off port of PICC

    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 has a physician who works under flouroscopy to pla...
  5. Found cap off port of PICC

    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 a PICC were found with the dressing off. Again, p...
  6. Found cap off port of PICC

  7. Incident Report Documentation

    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 report. It's only a confidential, in-house document un...
  8. Incident Report Documentation

    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 seriously reprimanded and perhaps even fired if I ...
  9. Incident Report Documentation

    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 of a lawsuit!
  10. "You cannot have BSN or MSN on your nametag?"

    The other day I asked a Doc if he was a DO or an MD......he replied "MD BS". Thought it was kind of odd, but since he's from another country perhaps that's how they do it there.
  11. "You cannot have BSN or MSN on your nametag?"

    Same here....it doesn't matter if you're ADN, BSN, MSN, etc. The only time it changes from RN is when someone gets their NP.
  12. Absence of Manners

    My hospitals meals also work like this....in fact, it's called room service! The pt or family member can call any time and as many times as they like to order how ever much food they want. It's supposed to be only for the pt, but I've never seen Gra...
  13. Field Start IV policy

    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 long. Even if the site was placed in another hosp...
  14. 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 no makeup and oh-so-flattering scrubs and neither...
  15. Absence of Manners

    I don't know about y'all, but I go out of my way NOT to tell people I'm a nurse when I or a loved one is a patient.....unless things are greatly inappropriate...which rarely happens. Just treat me like I don't know a thing...because I may know a lot...
  16. Why is it a crime...

    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 bless you for sticking with it!
  17. [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 anyone. today, i was attempting to put an iv in a p...
  18. 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 more important than others, but it is unique unto i...
  19. Field Start IV policy

    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 needed and/or insert a picc, and our docs can put i...
  20. Field Start IV policy

    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 and/or insert a picc, and our docs can put in a centra...
  21. Some Nurses too Almighty?

    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? mediports? synchromeds? yikes!! scary stuff to me. :nurs...
  22. Absence of Manners

    nina, most pts and family members who are in the hospital for more than a few days have a very good idea when report is done. and those who are demanding are most often the "frequent flyers" and their families. of course we'll be polite, but we also ...
  23. Pet Peeve

    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 spend 45 minutes with me if needed. i find that ki...
  24. Some Nurses too Almighty?

    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 the bathing but the nurses help when they can. That...
  25. Pet Peeve

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