Ya know I do believe you are right now that I think of it.....I have always taken one, either when I filled out the application, when I went for the interview or shortly after being hired. Anyway you...
nowplayingEDRN replied to tsgarman's topic in General Nursing
Springhouse makes some excellent pocket guides.....You can also go to Barnes and Noble or Amazon on line and run a search on this particular reference. NNCC makes a sweet little pocket reference for...
I think it all depends on what the doc wants. Usually we use tap water....post op RGBs we use sterile water (when ordered by the doc of course) just in case of leakage......as for unclogging the...
Well, you know how it is.....we tend to, as humans go....get worked up over the trivial things and in the end realize it wasn't as bad as we anticipated
nowplayingEDRN replied to Sue McGann's topic in General Nursing
Where ever I have worked....NPO meant just that and if there were critical med, the order had to be written by the doc stating meds with sips or NOP except ice chips....if you needed to put it in...
I know that when you apply and are being hired by an agency they have medication tests. It is solely dependant on what you are being hired for...mine being ICU/CCU the drugs were specific to critical...
nowplayingEDRN replied to raisinet's topic in General Nursing
I think there are rotten apples where ever you go and they always spoil it for the ones that are good. My husband and I have both spent time in hospitals in NYC and we both recieved excellent...
CS is done in the scope room, in the ER, in PACU and in ICU....the nurse must attend a class and pass the test. Documentation during the CS is done on an anesthesia flow sheet and after the procedure,...
nowplayingEDRN replied to justjenn's topic in General Nursing
That is correct petite....Each nursing school is different and usually the stripe on the student nursing cap matches the school color and upon graduation, the coloured stripe gets changed to a black...
nowplayingEDRN replied to rileygrl11's topic in General Nursing
I know I have read something about dwell time recommendations, as Gwenith has mentioned. Now, the problem is remembering where I read it. I am either: A) getting old, B) developing Alzheimers at an...
nowplayingEDRN replied to rileygrl11's topic in General Nursing
Check out these links that I used when developing my CVAD inservice. http://www.meditheses.com/997-962.htm http://www.nursingcenter.com/prodev/ce_article.asp?tid=260258...
nowplayingEDRN replied to rileygrl11's topic in General Nursing
No, Tweety.....that would be 2 different venipuncture sites. The site that will be used for the veinipuncture is cleansed with either betadine or chlorhexadine and then the blood sample is taken. If...
nowplayingEDRN replied to rileygrl11's topic in General Nursing
Again, let me reinforce...each facility has a different SOP for doing things. Usually for changing caps, sterile technique is enough but when the dsg change is done, not only should the nurse be...
nowplayingEDRN replied to rileygrl11's topic in General Nursing
I have seen a few like this and changed them, STERILELY I might add but not enough to merit going into crises mode over using the CVAD as it was intended....to infuse multiple meds and draw blood....
nowplayingEDRN replied to rileygrl11's topic in General Nursing
And Gwenith you are right...a blood culture should never be drawn from an existing line....but a fresh veinipuncture site cleansed with chlorohexadine or betadine and then the blood specimen obtained....
nowplayingEDRN replied to rileygrl11's topic in General Nursing
I am an advocate for the patient and I can tell you that when I have had a CVAD to draw from, I have never had any of them develop sepsis. I have had multiple patients develop phlebitis and cellulitis...
we go by weight and age....but primarily weight and we use a Buretrol set and an infusion pump, using PALS guidelines for fluid resucitation in pediatric
nowplayingEDRN replied to rileygrl11's topic in General Nursing
And I would like to add that no matter how world class, first rate a facility is.....doctors are only human and are prone to making mistakes...which is why we have a variety of qualified medical...
nowplayingEDRN replied to rileygrl11's topic in General Nursing
The only thing infused with TPN through the same line (piggy backed in) is Lipids. This is to decrease contamination. However, if folks follow their hospital policies for blood draws from a CVAD and...
Don't brag too hard Tom.....there is a first time for everything......:kiss Although I am one of the very few top IV starters in my facility...I do have my days and you know it will be one of those...
nowplayingEDRN replied to petiteflower's topic in General Nursing
I was alway s taught like Angus reiterated....never EVER infuse anything with blood but 0.9% NS. Feel free to infuse other products/medications at the same time via a DIFFERENT line and site but...
nowplayingEDRN replied to live4today's topic in General Nursing
The DoD/Army has an Acuity System in their hospitals called the Workload Management System or WMNS for short. It is a 2 sided form with a variety of items on it from Activities to dsg changes to use...