accessqueen

accessqueen

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All Content by accessqueen

  1. dialaysis access

    accessqueen posted a topic in Dialysis, Renal, Urology

    A new surgeon in our area insists the best access for a 600 lb frequent flier that is currently on dialysis is a regular tunneled catheter (i.e. Hickman) that can be used for everything, including...

  2. thrilled & terrified

    accessqueen replied to LoveActually's topic in General Nursing

    You are probably looking for how-to books, which I don't know of any. But one of the best books I've ever read that helps me be a more compassionate nurse is called "My stroke of insight". The author...

  3. PICC bu$ine$$ info dump

    accessqueen replied to inee's topic in Infusion, Intravenous

    Although I did not run my own compoany I was an independent contractor for over 15 years and worked closely with my bosses who started up the PICC companies. It is not as easy as you think.. First of...

  4. sherlock

    accessqueen replied to kraye's topic in Infusion, Intravenous

    What CLAIM do you say Sherlock is making that they won't back up? I'm going to quote Bard here: "may eliminate REPEAT x-rays", "signal indicates direction of tip position" "increases confidence...

  5. sherlock

    accessqueen replied to kraye's topic in Infusion, Intravenous

    There are many many things that are done in the medical field to prevent that 1% bad outcome. The Sherlock does not present itself as a final determination of tip location, it is a navigational aide....

  6. Using words like honey, sweety a no-no?

    accessqueen replied to bee212's topic in General Nursing

    Never mind about sweetie and honey. I used to work in Miami where the entire Cuban population was "mommy" and "poppy". Young and old and in between. Then I moved to New Mexico, where the Mexican...

  7. Nurses Capes

    accessqueen replied to smilealot's topic in General Nursing

    You couln't PAY me to wear a cape!!! If you're in a unique situation where everyone actually likes that idea, go for it. But I'm guessing you're going to get resistance. They dictated to us that we...

  8. Almost finished and want to quit

    accessqueen replied to misplaced1's topic in General Nursing

    I absolutely would not quit now. As others have stated you will have so many options once you get a little experience. There are different cultures in different hospitals, different parts of the...

  9. dialaysis access

    accessqueen replied to accessqueen's topic in Dialysis, Renal, Urology

    OK, I know about Qentin, Tessio, and Permacaths. THese are tunneled, cuffed catheters that are made for dialysis. They have larger lumens and staggered end ports. I'm referring to a REGULAR...

  10. sherlock

    accessqueen replied to kraye's topic in Infusion, Intravenous

    Bard will be coming out with an EKG guided tip locating system by the end of the year. You may want to wait until that happens because it will be integrated with the Sherlock. Ultimately, in the...

  11. MRSA colonization and staff

    accessqueen replied to oramar's topic in Infectious Disease

    If you read the studies where they did decolonization of MRSA, a high percentage were recolonized within 3 months. If you routinely swabbled every hospital emplyee, you'd have to do it constantly....

  12. Please help identify cheesy, tan residue on PICC

    accessqueen replied to justdeda's topic in Infusion, Intravenous

    Agree, that this is fibrin sheath. Some people are virtual firbrin factories and some people can have a line forever and it pulls out clean as a

  13. Other ways to hydrate kids?

    accessqueen replied to Pat_Pat RN's topic in Infusion, Intravenous

    I used to work in a clinic with an "old" doc and we had a lot of sickle cell pt, who had no veins whatsoever. He would have us insert a foley as a rectal tube and slowly infuse IV fluids that way....

  14. Phlebotomy thru port?

    accessqueen replied to rusty55's topic in Infusion, Intravenous

    I would want a nurse to be, if not present, then immediately available. We have had, on more than one occasion, patients vasgo-vasal and completely pass

  15. Switching Specialties

    accessqueen replied to zoni56's topic in Infusion, Intravenous

    The only way to become a specialist is to get hired by someone who is willing to train you from scratch. These days most hospitals don't have IV teams anymore just for starting PIV's. What they do...

  16. New Phlebotomy and IV insertion aid!

    accessqueen replied to Peaish's topic in Infusion, Intravenous

    For me it is critical to palpate a vein. Some of the biggest juiciest looking veins can be completely sclerosed. The only way to know how good a vein is going to be is to assess by palpation, the...

  17. Seeing people in pain...?

    accessqueen replied to misslisa's topic in General Nursing

    There are times when you will get emotional and rightly so. You are a human being and we all have emotions. Usuallly, though, as a nurse you have a job to do, which keeps your brain busy, so you are...

  18. If MRSA gets on our clothes easily, why don't more of us become colonized?

    accessqueen replied to RNfaster's topic in General Nursing

    They have done studies on helath care workers, and when testing nsal swabs only about 14 % were positive for MRSA. At this point there are more unanswered questions than answered questions about...

  19. Sooooo done with the verbal abuse!

    accessqueen replied to miko014's topic in General Nursing

    One of the things I do when people go off on me, is say absolutely NOTHING. I just stand there very calmly and let them yell. and yell. If they pause I just continue to say nothing, and people will...

  20. Scared to talk to Doctors

    accessqueen replied to jam0516's topic in General Nursing

    The most important thing is be prepared. Have the chart with you or be logged on to the patient on the computer. Review the recent labs, x-ray results, consults and anything the doctor may ask about....

  21. I quit nursing school

    accessqueen replied to curiousrainbowfan's topic in General Students

    There are two ways you can fill your brain when confronted with a task: oh my god I can't do this what if t his happens, what if that happens, this will go wrong, that will go wrong, my patient's...

  22. those who have worked in a variety of settings

    accessqueen replied to luckystar0515's topic in General Nursing

    I have worked ICU, ER, community clinic, home health, and now PICC team in the hospital. I liked each one the best at the time I was doing it. Nursing changes and you change personally as well....

  23. What Was the DUMBEST Request Made By A Patient?

    accessqueen replied to pagandeva2000's topic in General Nursing

    My patient asked me for a pecan. I really couldn't figure out why she wanted a pecan. It occurred to me that it was pecan harvesting time, as i saw 'PECANS FOR SALE" signs on my way to work...

  24. Oh man, I need help...

    accessqueen replied to abbabask's topic in General Nursing

    Absolutely go with the office job if it's best for you now. You can always get your L&D skills later. You will always be marketable, someone will always be willing to train you. Nurses change...

  25. Question on pt with a picc line and infusing blood and TPN

    accessqueen replied to 1_Dedicated_RN's topic in Medical-Surgical

    There are two possible directions to this question. One, is it OK to run TPN and blood through the same PICC. A multi-lumen PICC is meant to run more than one thing at a time. So no problem there....