jess41378

So I do home infusion and been accessing a lot of kids lately. I sometimes don't get a blood return and have to move needle around. Any tips to get better at port access? Also I. Have noticed I have to flush a little then pull back for blood and will get it then. Is this common procedure to flush 1st then pull back for blood then flush rest. Silly question probably.

I am a home infusion nurse and find that the pharmacies don't always send statlocks at first. We have to request them sometimes. I always have an extra supplie of statlocks for that reason. I do change them every week because they might hold bacteria under them if their not changed weekly. They also tend to rip apart with the tegaderm when taking old dressings off. I do like the sutures better because sometimes the statlocks are difficult to use.

I have been working w 3 diff home infusion co and I love it. They pay betw $37-40/hr or per visit rates betw $60-65 for 1 hour visits(labs, drsg change). I hope I helped. Good luck.

In nursing spectrum magazine is an ad for Gannett Education for all kinds of IV classes. Go to nurse.com/events for more info.

1) Do you always tell pt to lay down with arm extended out 90 degrees with sterile drape underneath or is it ok to have them sit down, at a table say, and do dressing change? 2) Do you tape tail of lumen to prevent catheter from slipping out from weight of catheter when you change stabilization device. Maybe tape tails down after removing stabile device so you can open your supplies? Sorry, I seem to never have enough hands to open prep packets and hold catheter from slipping out slightly after statlock removed.

Thanks for the info, much appreciated. I will most likely be back to ask some more questions if thats okay. I love infusion nursing and have been doing home infusion for about 6 months now.

I am learning a lot about picc lines, but have some questions. 1) When doing dressing changes, is it ok to take old dressing off with clean gloves as long as not touching insertion site? 2) When using statlocks, do you use steri strips also? 3) Do you need to wear sterile gloves to change extension and cap? 4) What do you do for a patient with peeling skin under transparent dressing? 5) regarding removal, do you pull out picc in one steady fashion while pt holds their breath or do it inch by inch? I have read both were correct.:)

I worked night as single mom and still do. My mom or boyfriend watch my son overnight. If kids are in school then home care or infusion home care is flexible with hours during the day.

This may be a very late reply, but I currently work for them and have no complaints. They pay very well also. I love home infusion nursing.

If someone can give me insight as to the difference between polyneuritis and CIDP (chronic inflammatory demyelinating polyneuritis). I have patients with these disorders but not sure the difference.

I have a 6 mo old peds pt with hx of reflux and recent rotavirus. He got the rotavirus while in the hospital to get his NGT for dx of failure to thrive for months prior. He is still vomiting at home per mom. The twin sister of baby got rotavirus too. 2 days out of hospital I do my open case visit. I found out she is giving both babies multivit liquid with same vial and dropper. She has told me she cleans the dropper with boiling water for only a few seconds before using with other child and before putting back in vial. Is this sufficient enough or should she have 2 seperate bottles and boil syringes longer and for how long? Also is it possible she reinfected the pt with rotavirus from the twin by doing this? how long to boil nipples and bottles? In this case of both babies with rotavirus, can they be giving it back and forth to each other or will it eventually reslove on its own? Sorry, not sure if the pts vomiting is from rotavirus or reflux or NGT feeds too much.

Just started doing per visist peds skilled nursing. Been with the peds homecare for 3 years as a LPn, but just got my RN and now doing per visit/opeing cases on my own, ect. Mom reports baby has a difficult time feeding. After 10 minutes of good suck, he started to have formula dribble out sides of mouth and gets cranky. Hx of RDS, chest tubes. He is still congested nasally, but lungs clear. Can this feeding problem be related to the nasal congestion alone because he can't breath through his nose and then opens mouth to breath during feeding causing a lot of dribbling? I suggested mom do saline drops nasally, then bulb suction prior to feeds and make sure baby is upright and give frequesnt breaks to catch his breath during feed. Am I on the right track? Sorry if this is a silly question.

Anyone ever hear of or work for Bioscrip home infusion company? I am very interested in working with them. I have a big new hire packet to fill out and the job sounds promising. Also I am possibly going to take a PICC class through PICC Resource in Shelton, CT. Anyone have any feedback on them? Thanks!

not a sir...Jess, short for Jessica. I never applied with them, only spoke to them briefly on the phone afew years ago when I was an LPN and they only had jobs in the Bronx...wanted manhattan. I have not needed to call them again since I became a RN. Good luck though

I had never applied to White glove before but spoke to them a long time ago and gave my address. they send me little gifts in the mail all the time..nicer than my current job, hahaha. I am concidering applying to them now that I have my RN. Let me know if you like them.

I feel down in the dumps too. I have applied at over a dozen places with my ADN and I have 10+ years experience as a LPN with med surg exp, but they still consider me a new grad. I think that is crazy. It makes no sense that they would hire a RN with 1 year experience and no med surg exp over me, whatever. I fortunately already have a job in pediatric home care when I was still a LPN, so I got my pay raise right away to RN salary, but I don't feel like a nurse in home care, not very challenging...I belong in the hospital. I should of stuck it out as an LPN, but the stress and limitations was too much. I have possibly been a pain in the butt to some employers, but you have to be in this economy to get a good job. I did get a call for a per diem position in home IV infusion, which I love to do. Sometimes working per diem at a variety of agencies may work as it has for me. Keep your head up and good luck!

thank all for replying. I recently talked to the administrator in person at my old job who labeled me as do not rehire. She ws even surprised. After a short talk with her, she said she would go through the channels and make sure that info did not get out to potential employers especially their sister facility that I was hoping to get the ER position at. It's now wait and see if I get called from them for the interview. When I met the nurse manager for the ER at the job fair, she was very optimistic about me and when I followed up on the phone, she said she was glad I called her and that HR would be calling me soon to schedule a interview. That was 4 days ago. I gues all HR dept are slow...

I have been nights on and off for 10 + years now. It has its advantages: save on childcare, less stress at work, night differential, able to enjoy daytime in the sun, run errands during business hours. Although I would like a normal 9-5 job, most nursing jobs are not 9-5 anyway. My main issue is childcare and always has been as a single mom. I still find myself every now and then popping a vivarin to stay awake during my homecare overnight cases. Oh, another advantage to woking nights in homecare: able to surf the internet all night and study if furthering your education. On another note, nights is not for everyone. my mom tried nights and it increased her migraines and she found herself always tired. If you try it out, give it a few months for your body to adjust before making a final decision if you like it or not. Definately try the (3) -12hours shifts overnights, much better than (5) - 8 hour shifts. Good luck.

I worked at a NY hospital that is part of a 3 hospital, 2 nursing home healthcare system. I worked there 4 years as an LPN. I was told by many coworkers and nurse manager that I was a good nurse. The last year I was there, I was under a lot of stress and they kept putting me as a aide to fill in because I was an LPN. I did call out 8 times that last year and although never fired, I was written up. I gave my 2 weeks notice, paid back my tuition, and left. I come to find out, I am a do not rehire now. I do believe the HR lady would not have marked me as do not rehire if I didn't ruffle her feathers when I told her that according to policy, LPNs only had to give 2 weeks because the policy said only RNs and management had to give 4 weeks. I got a higher up to confirm this for me. She didn't like that I am sure. My old nurse manager there Do said she would give me a good reference, but I applied for a ER RN position at one of the other hospitals in the system and I am afraid they will find out about the do not rehire status. Do I speak to one of the higher ups there to tell my story to avoid losing this job I really want? Sorry so long.

Please pray for me as I take my NCLEX-RN 3/24. Excited and nervous at the same time

hey ORratNYC... does NYPH hire RN's with associates degress? I have 10 plus years as an LPN as well.