rileygrl11

rileygrl11 BSN, RN

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All Content by rileygrl11

  1. Drawing Blood From PICC Lines

    I work on an Oncology unit where many pts have PICC lines. there are 3 drs that routinely start them for us. These drs say that we are not to use them to draw blood for labs. They have said that this will cause the line to collapse. At my hospital, t...
  2. IV albumin

    Last night, I had to give IV albumin and threw my hands up in disgust. It was SO hard to get the stupid tubing primed so that I could put the cartriage into the pump and run it. I had the vent open on the tubing (by the spike part). I remember awh...
  3. Has a pt given you a chuckle lately?

    Just wondering what comments patients have said to you recently that made you laugh. You know that saying about kids say the darndest things? Sometimes it's not just the kids. I had an elderly man I was caring for last week. Unbeknown to me, he wa...
  4. foley catheter placement question

    We had a discussion at work tonight and thought I would ask your thoughts. Pt is @ 70 yo male with lymphoma and was started on pyridium 2 days ago. Pt c/o constant pain, burning during urination and retention for last several days. Pt voided 1000 ...
  5. I have always worked days, mostly 12 hour shifts. Now I will be working 12 hour night shifts 7p-7a. Can anyone give me advice on how to make this adjustment as painless as possible? I heard the hard part is from 3-6am then you get a second wind. ...
  6. I have a question about my resume I hope someone has advice about. I worked for 2 different hospitals at 2 different times. When I list my employment history chronologically, I think it accentuates the number of employers I have had. Even though I...
  7. Can LPN's take phone orders?

    Hi all! I just saw a post on another state board where someone was asking if LPN's were allowed to take phone orders? We do not have LPN's on my unit and that question got me to wondering what Ohio law says. Does anyone know?
  8. Infusing TPN

    I remember all through school having it drilled into my head that TPN was to infuse by itself and never to piggyback ANYTHING else into it. Where I work RN's consistently piggyback numerous drugs into the TPN line. Most often it is antibiotics, pep...
  9. Pay Rates In Ohio For New Grads.

    The rumor-mill at Miami Valley Hopital is that new grads are getting $22.00/hr to start. Plus weekend/shift-differential, of course.
  10. Starting IV tricks

    As a new grad, I am trying to get experience trying to start IV's myself before automatically calling IV therapy. I've noticed that some nurses on my floor won't even attempt to try it. This is a skill that one day I hope to master. However, I keep...
  11. Need some info from the ortho nurses. My 58 yof neighbor is having a knee replacement this month. Ortho dr's nurse told her she would have to take antibiotics the day prior to surgery through the next few days after surgery. Her concern was that s...
  12. RN to BSN programs

    I graduated from an ADN RN program almost one year ago. Now that I've had time to recover from nursing school and adjust to working the floor, I am thinking about pursuing my BSN. I am becoming more interested in programs that are on the internet. ...
  13. Shopping Malls in Columbus?

    Maybe someone from the Columbus area, or familiar with Columbus, can help me with some info. A few of us are wanting to hit the shopping centers and want to check out the mall(s). If we are coming from the Englewood area (and I assume it is easier ...
  14. 1 more question about starting IV's

    I received some helpful tips about starting IV's but I have one question left for those that are good at doing them. I usually find the vein ok. But the problem I notice that I am having is that it's hard for me to figure out how deep (or not) to i...
  15. Was I wrong not to call dr?

    !I took a new admission (N/V, dehydration, poss neurogenic bladder r/t chemo received 1-2 wks ago). Pt's primary physican (who also admitted her) ordered a foley. The foley was put in a 2 hrs later the urologist stopped in (without me seeing him, o...
  16. IV albumin

    They just have us use the regular IV tubing off the clean cart. I do have a question about using the 18 guage needle, though. What if the tubing is the "needleless" type? Thanks for the helpful suggestions! :kiss
  17. foley catheter insertion harm?

    We had a discussion at work tonight about the legal issues involved for RN's and UAP. I posted more specific details on this subject on the renal board. But, one of the things we were discussing is IF a PCT (who's done many in the past) inserts a f...
  18. WSU online ADN to BSN program?

    I am considering taking the Wright State University on-line program (ADN to BSN). Has anyone completed the program or enrolled in it now? What do you think of the program? Does it take 2 years to complete (4 semesters)? I heard from an RN who sta...
  19. WSU online ADN to BSN program?

    I did a search on them and according to CHEA (Council for Higher Education Accreditation) they both are. Very important to know this, of course. Thanks for reminding me to check.
  20. foley catheter insertion harm?

    I just got an update on this. The urologist told the nurse mgr. that the PCT inflated the balloon in the pt's urethra PCT says he did not get any urine back after inserting & did not mention this or any discomfort, etc. to the RN. Urologist ...
  21. foley catheter placement question

    I got an update today from another RN,.....seems the PCT DID inflate the balloon in the pt's urethra All you-know-what broke out b/c urologist was furious (as he should be). He is trying to change our policy that only licensed personnel can inser...
  22. md telephone orders

    We do at our hospital what Chad does.
  23. "I need a witness" !

    Thanks for the reminder,......sometimes I get a little lax on watching too!
  24. Life after Med/Surg

    The great thing about being a nurse right now is being able to go out and find a new job within the next 24 hours. Look at other facilities if it comes to that. Meanwhile, talk to your nurse mgr. Also, talk to personnel about your likes/dislikes -...
  25. Air in IV lines

    Agnus - because air in a central line is so close to the heart. The peripherally site air gets taken care of when it hits the lungs. The air in the central line goes directly into the heart.