CleioRN

I'm moving to San Diego on friday and still don't have housing! I am VERY nervous and don't know the area at all! I need help! Any suggestions!? I'm working at Sharp Grossmont.. Help a fellow traveler out! Thanks!

My experience with Mynx was both good and bad. The real basis for whether it works or not is (sadly enough) the technique in which it is deployed. We had some doctors that took it seriously and took to it well and had very little problems. The patients were up in incredibly short amounts of time and had little to no pain. Then we had the doc'd who felt like they had done one closure device they could do them all, did not perfect their tech and we had bleeders and oozers with them. The thing to remember is that in order to allow the Mynx to reform, you can't just throw on a 10lbs sand bag. We held manual pressure for a good 10-15 min and this would usually do the trick. A pain, but better than chasing an oozing site for 6-8 hours! If you are having consistant problems it is also the company reps job to train and sign off on the doctors using the device. Call them and let them know that they may have to come do some retraining. hope that helps!

Ya'll Rock. Man I love finding the "why" behind nursing actions! I must be in the right profession... thanks for the article!

Thanks for your replies! Its always interesting how different practice can be between facilities. Do either of you have a "why" to these policies?

I just found out that the hospital I am currently working at, still has it in their policy for maintaining chest tubes to "milk" the chest tubes as needed. At my last hospital is was never allowed and it was a much more progressive hospital. So! Does anyone have any information/studies that speak to this subject. Do you? don't you? I'm looking for some evidence to bring to my units educator who doesn't see a problem with the practice. I would appreciate any information! Thanks!

I've heard that Manhattan is owned by either AMN or Cross country. Also my recruiter gave me some crazy low ball rates for the city. Anyone know about hourly rates? Anyone have any experience? How has the housing been? have you had trouble with having a vehicle in the city? Have you had parking with your housing? Any details would be awesome!:heartbeat

I started my nursing career at Piedmont hospital and only left recently due to a move accross the country. I have been so thankful over and over that I came from such a great start! The hospital has an excellent new grad program and though it isn't a "teaching" hospital, the nursing education department is incredibly strong and the hospital prides itself on its nursing excellence. I got a great foundation working there and I signed a financial contract to give back two years as well. The contract was treated confidentially, professionally, and I never had an ounce of regret. PM me with questions is you have them! Good luck with school and your decision!

Yea, I would take the ICU training, get agood year or so under your belt and head out traveling then! ICU positions earn more traveling, and they are often times more available. Plus how good will your knowledge and skill be when you're done! You'll be super nurse!

We did it without a real problem with a 4:1 ratio on a Cardiac tele floor. It took some extra effort but that could be any of your patients in a given day. One thing to remember...its not dialysis or a machine that uses a dialysate. Its a simple filter system that only removes water and sodium. Therefore removing the fluid from the body. As the concentrated blood returns to the patient it helps to pull excess fluid back into the vascular. Simple and so good for the patients.

In my hospital in Georgia we began a stong aquaphoresis or ultrafiltration program. true the machines alarm a lot, but its usually for a very good reason and one that should be attended to. The machines are awesome in their simplicity as far as pt outcome is concerned. Remarkable results with no adverse effects on the patients. Electrolytes stay put (really! no flucuation with pounds and pounds of fluid taken off!) We have seen CHF pts get to dry weights we didn't know they had. They feel better, faster, and stay out of the hospital longer. It is very imtimidating at first when you are getting to know the machines and the ELC (extended length catheters) are a bit to master. We had our PICC line team inserting them and they worked well with a #18 gauge peripheral. PM me if you have more questions.I think this therapy is great though and would love to see it catch on! our Cardiologists really signed onto it so that is a great help! Good luck!