lisaloulou

lisaloulou

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All Content by lisaloulou

  1. Portacath??

    lisaloulou replied to JaneyW's topic in Oncology

    A PICC line would be another alternative- easy to place and easy to remove and can stay in place up to a year. The Bard Groshong PICC is saline only flush. If not in active use, can be flushed every 7...

  2. Unruly Patients

    lisaloulou replied to tmitch's topic in General Nursing

    I personally do not think that a "reality check" is a bad thing when a patient's behavior goes over the line. I just hate rewarding bad behavior! Sheesh we arent

  3. Hospitals with IV, or Vascular Access Teams

    lisaloulou replied to Daniel1115's topic in Infusion, Intravenous

    I personally think PICCS are not used often enough. Each and every day I 'finally' get patients who have had every vein in their lower arms blown,extravasation of caustic chemicals etc. With 15...

  4. PICC line/radiology workshops, need one fast!

    lisaloulou replied to paisano's topic in Radiology

    PICC nurse here. Try the Bard website, they have a training module. I can tell you, it gets easier after the first

  5. Possible Cerebral Aneurysm??

    lisaloulou replied to sagelola's topic in General Nursing

    As others have said, forget everything but taking care of the problem. The surgeon should be able to give you an idea of recovery time and other details. You know how in CPR you cant go past "A" until...

  6. BURNOUT! and Switching Specialties

    lisaloulou replied to my2sons's topic in General Nursing

    The hardest thing to do sometimes is step back and make a decision for change! Pat yourself on the back for deciding to take care of YOU for once. And, DONT SELL YOURSELF SHORT, your experience and...

  7. 10/10 pain..venting!

    lisaloulou replied to NYCRN16's topic in Emergency

    The concept of a care plan sounds interesting.... at my hospital, I have seen a core group of pts with ER visits 3-4 times weekly over YEARS never seem to have the real issues addressed. Each visit is...

  8. my experience as RN/pt in my own hospital

    lisaloulou posted a topic in Pain Management

    I was injured in an accident with my hydraulic table at work( foot caught in mechanism and squashed- took 30 min to take the table apart and retrieve my foot) I had to have a surgical debridment and...

  9. what would you do?

    lisaloulou posted a topic in Patient Safety Issues

    My question is twofold. First, a little background. I work in a very large teaching hospital in an interventional radiology setting. We have about 5 rooms, 10 RTs and 8 RNs as well as other staff....

  10. PICC lines

    lisaloulou replied to Canada911's topic in General Nursing

    If it has clamps, it has no PASV or Groshong valve in it, and thus needs hep lock flush. No clamps= anti-reflux valve. A well placed PICC is a work of

  11. PICC Lines in Radiology

    lisaloulou replied to angiorn's topic in Radiology

    Im a PICC nurse in Radiology. I use US (Sonosite) to locate the vein, Bard PICC kits and have been hospital credentialed to use flouroscopy for guidance. The Radiologist reads my spot film for tip...

  12. What would you have done?

    lisaloulou replied to Sadie04's topic in General Nursing

    Regarding the PICC: I use 5F and 7F PICC lines, not only can you draw labs and infuse blood, you can monitor CVP if you like. The 5F double is approx. like 2 18G regular IVs and the 7F double is...

  13. No lift policy

    lisaloulou replied to PaulG's topic in Patient Safety Issues

    This thread reminds me of something I have noticed, being fairly new to this region of the country- patients WANT to be lifted. I ask them to scoot over about 12 inches across a level table to another...

  14. In a pickle...

    lisaloulou replied to jadednurse's topic in Pain Management

    Recently I was on the receiving end of medical care after an accident at work (my foot was caught in a hydraulic mechanism) I had 2 surgeries and was in the hospital for 4 days. I was amazed at how...

  15. That is it, I am becoming a Walmart greeter!

    lisaloulou replied to huggietoes's topic in General Nursing

    as long as nurses "come with the room" we will continue to be treated as errand running scullymaids. oh for an effective

  16. Have you ever taken care of a celebrity?

    lisaloulou replied to BarbPick's topic in General Nursing

    I once wiped the butt of a country music star and ya know what? It was a lot like everyone elses butt.

  17. Tiny cracks/cuts on my fingers! Dry Hands! Too much handwashing ! OOooww! Help !

    lisaloulou replied to passing thru's topic in General Nursing

    Believe it or not, the BEST skin cream for very chapped hands and or troll feet that I have ever used is "bag balm" which is a medicated vet product. They have it at Wal Mart- comes in a green tin....

  18. Prescription Costs

    lisaloulou replied to WyomingRN's topic in General Nursing

    The time is coming when the Feds will regulate this industry. I personally think it is a shame that we have to pay for their billboards advertising "procrit" and "nexium" and their aggressive...

  19. The Right to Die?

    lisaloulou replied to CseMgr1's topic in General Nursing

    Just a couple of comments in general: Brain dead and PVS are not the same thing. Brain dead is dead-no further obligation to attempt resusitation. I saw the term used earlier and just had to say that....

  20. Doctors and Nurses Gone Wrong....

    lisaloulou replied to live4today's topic in General Nursing

    Of course MDs are "equal" to nurses. Just because they have less experience with patients, I see no reason to look down on them! And, the trauma of their early lives as upper class males with rich...

  21. Waterbirths

    lisaloulou replied to *Ferty~OB~RN*'s topic in Ob/Gyn

    We do not do waterbirths. We do about 1200 deliveries/year and I think most of our docs would have a coniption (sp?) if it were even suggested. We get frowned upon if they have to deliver without an...

  22. Help!On the job injury!!!

    lisaloulou replied to Keysnurse2008's topic in General Nursing

    http://www.state.tn.us/labor-wfd/wcomp.html there's the link for TN each state is different I agree that dealing with either risk management at the hospital or the WC carrier initally may be a good...

  23. Question about Jackson Pratt Drains & retention sutures

    lisaloulou replied to hoolahan's topic in General Nursing

    I have removed JPs and sutures. HOWEVER, you are well within your "rights" so to speak to request training and/or supervision and a policy on this. As far as retention sutures, why doesnt the MD do...