accessqueen

accessqueen

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All Content by accessqueen

  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...

  16. stroke patients and IV's

    accessqueen replied to VAJenny's topic in Infusion, Intravenous

    Yes, I think they were referring to PIV's. I agree with both points of view on this topic. Usu you don't want to use a stroke affected limb, for the previous mentioned reasons. However, in the real...

  17. Bioscrip

    accessqueen replied to jess41378's topic in Infusion, Intravenous

    In my experience the PICC class is just a small part of PICC training. You can get PICC certified on line. The real dilemma is getting precepted. The majority of companies that give PICC classes,...

  18. stroke patients and IV's

    accessqueen replied to VAJenny's topic in Infusion, Intravenous

    I wouldn't call venous thrombosis in arms "common", but they certainly are not rare. I've seen plenty of patients with multi-vessel occlusions in the upper extremities. re:previous post that said...

  19. Is it legal to teach CNA?

    accessqueen replied to freedom22's topic in General Nursing

    The factor to consider: are the CNA's private or from an agency. The agency should have parameters on what the CNA's are and not allowed to do. If they are private, they can do

  20. "Your patient in 520 is in pain!"

    accessqueen replied to FireStarterRN's topic in General Nursing

    I go into patients' rooms to put in PICC lines. I get told about the patients' pain all the time. I then take this info to the nurse. The nurse may or may not want to hear it, but it is my duty to...

  21. tape

    accessqueen posted a topic in Infusion, Intravenous

    Anyone got a good solution for where to place the tape when preparing for a PIV insertion?? Sticking tape on siderails, bedframes etc is a no-no, except we all do it. But I would like to find an...

  22. tape

    accessqueen replied to accessqueen's topic in Infusion, Intravenous

    Thank you, you are brilliant. I thought I was brilliant, but I racked my brains and wasn't really coming up with any good solutions. Not only easy but FREE!! Some suggested securement devices to...

  23. Need Adivse

    accessqueen replied to MesaRN's topic in Emergency

    The other important question is which do you want to DO the most?? Are you an adrenaline junkie and will never be happy until your in the thick of things?? Or are you intimidated by the acuity of the...

  24. Preventing Angiocath Clot

    accessqueen replied to solneeshka's topic in Infusion, Intravenous

    Yes if the bag runs out the line could clot. Are you using a pump? Set the alarm for less than the bag, i.e. if you hang a liter, set the volume for 950, then you'll be

  25. Nursing Practicum

    accessqueen replied to AMarie85's topic in General Nursing

    One of the best ways to learn things when you are new is to understand that wherever there is one thing that you missed, (i.e. pre op checklist), that's the time you go to someone and say "ok, now I...