accessqueen

Latest Activity

1. 5 french vs 6 french PICC

   accessqueen replied to Rexie68's topic in Infusion, Intravenous

   I think the population you serve really determines the sizes. We use primarily DL 4's because our adult population tend to be of smaller stature (native americans from mexico, central america, etc)....

2. A day in the life of an IV/Infusion Nurse

   accessqueen replied to Becky8's topic in Infusion, Intravenous

   There is a wide variation in how VA dept are run in different hospitals. In smaller hospitals, (such as mine), we combine outpatient infusion with inserting PICC lines, and being the go to nurses for...

3. PICC Nurses: How long did it take you to become proficient

   accessqueen replied to zahryia's topic in Infusion, Intravenous

   I make the nurses I precept take a tray home and practice setting up for the PICC insertion. I tell them to memorize the tray and repeat setting up until they can do it automatically. I tell them to...

4. How to run vancomycin by iv

   accessqueen replied to dblpn's topic in Infusion, Intravenous

   Duriing vanco tx trough levels must be drawn. They used to be before the third dose, our pharm is now doing before 4th dose. Therapeutic levels have changed as well. If the pt is MRSA the...

5. Sick of the complaining!

   accessqueen replied to JenniferSews's topic in Geriatric, LTC

   My favorite thing to do when people start being verbally abusive is to just stop what i'm doing and quietly stand there, calmly, and NOT SAY A WORD. The people rant and rant. And if they pause to...

6. Midline kits

   accessqueen replied to jer_sd's topic in Infusion, Intravenous

   DO NOT cut down a PICC. Someone is going to think it's a picc, because it looks like a picc and they will hook up TPN or something equally innappropriate. Seen it happen too many times. BARD for...

7. Drawing blood

   accessqueen replied to dtermineddenise's topic in General Nursing

   One thing that hurts a lot of people is the old advice to "go in at a 20-30 degree angle, and once you get flash to lower the angle". Forget the angle. Go in at as flat as an angle as you can. As...

8. OK, Cultural question here, please forgive the stupidity.

   accessqueen replied to AngelfireRN's topic in Alabama Nursing

   Wearing a head covering is a religious issue. For you to wear a head covereing would be hypocritical. Living in this country they encounter scarfless women every day, I think if you wore one it would...

9. Ultrasound PICC

   accessqueen replied to moonshadeau's topic in Infusion, Intravenous

   The place to get started would be to call the reps from whichever company would be supplying the PICCs. As an example, BARD which is who we use, has an on-line PICC insertion course. That is the...

10. Finding a lucrative niche in a warm weather state.

    accessqueen replied to flg8tr's topic in General Nursing

    I live in Las Cruces, New Mexico. They are ALWAYS looking for nurses. I make 31.00/hr but that's with 30 years exp. However, the housing is ridiculously cheap, and the cost of living overall is way...

11. Feeling guilty

    accessqueen replied to jessiern's topic in General Nursing

    You have to remember that you are dealing with a '70's female who just lost her husband'. The same thing may have happened even if you h ad spent all day in her room. You can take all your meds and...

12. horrible attitudes

    accessqueen replied to labrador4122's topic in General Nursing

    Bottom line, when you're in a professional environment don't say anything about anybody that you wouldn't want repeated in front of that person. A huge percentage of the posts on this site are...

13. Hierarchy in Nursing?

    accessqueen replied to cingle's topic in General Nursing

    I don't know as I'd call it hierarchy, it just seems that you tend to socialize in the groups that you have the most in common with. I've worked in places where people were very standoffish all the...

14. Whistleblower Blues in Fort Worth, Texas

    accessqueen replied to crippersmom's topic in Activism, Healthcare

    Your describing a different situation, with different legal ramifications. Reporting something about a fellow emplyee, without proof can be labeled slander. The person who supposedly saw the picture...

15. Whistleblower Blues in Fort Worth, Texas

    accessqueen replied to crippersmom's topic in Activism, Healthcare

    The original post states "I was told of another nurse taking pictures. . . .etc". You were told???? and then reported this 'hearsay' to a supervisor??? Did you have any proof?? I'm not...