picclineman

picclineman

Member

  • Content

    24

  • Visitors

    2,145

  • Followers

    0

  • Likes

    0

All Content by picclineman

  1. Habit

    picclineman posted a topic in Infusion, Intravenous

    i need some help from the expert infusion nurses. There is a habit i notice from a lot of nurses regarding IV tubings. After disconnecting the IV tubing from the access, i.e PICC, the tip of the...

  2. Habit

    picclineman replied to picclineman's topic in Infusion, Intravenous

    Thanks for the passionate response. I definitely appreciate it. I see where you are coming from. I am just trying to understand where a non IV nurse come from, how they rationalize there actions and...

  3. Habit

    picclineman replied to picclineman's topic in Infusion, Intravenous

    I think i also know what you have just lectured me on. I have a CRNI certification and familiar with the INS Guidelines. I appreciate your lecture. What i was looking for was a rationale why looping...

  4. Habit

    picclineman replied to picclineman's topic in Infusion, Intravenous

    I realize it is an unacceptable practice, however i have not found a good rationale why it is unacceptable. When nurses clean that injection site using the 15 seconds scrub, leaves it to dry before...

  5. Preventing infections during ultrasound guided PIV

    picclineman replied to Alessandro's topic in Infusion, Intravenous

    You can use a sterile glove to cover the transducer with gel on it.. You also use saline flush vs sterile gel, it gives you the same clear picture of your

  6. Making a picc line a Midline

    picclineman replied to SHARONSMITH57's topic in Infusion, Intravenous

    Has anyone taken the Vascular Access, Board Certification exam? Were the questions really for a board certified vascular access

  7. Making a picc line a Midline

    picclineman replied to SHARONSMITH57's topic in Infusion, Intravenous

    In the 15 years i have done PICCs and midlines, i have used PICC catheters and trim them to become midlines per INS definition. The PICC catheters are trimable catheters , so i do not see any reason...

  8. Chlorahexadine and PICC management

    picclineman replied to adarevalo's topic in Infusion, Intravenous

    That is an inservice in and of itself.

  9. Injection/infusion nurses, help! Are you in business for yourself?

    picclineman replied to Spoiled1's topic in Infusion, Intravenous

    The pharmacy that provides IV infusion products usually have their own IV nurses as employees. They earn a salary much like working in a hospital. Most hospitals have their own vascular access team....

  10. Clinical Nurse Specialist degree in Vascular Access

    picclineman replied to sgbpiccrn's topic in Infusion, Intravenous

    I think the best way to do it is to take the nurse practitioner program and concentrate on interventional radiology where your internship will be in interventional radiology and concentrate on IR...

  11. PICC insertion post Pacemaker placement

    picclineman replied to Madam PICC's topic in Infusion, Intravenous

    As long as the line is placed contralaterally to the pacemaker, i guess is okay and i do it all the time. Cardiologists can give you an order but if it is your policy not to do it then i guess you are...

  12. sherlock

    picclineman replied to kraye's topic in Infusion, Intravenous

    i was given a memo from navigator that says it is not contraindicated for pacemaker. I did try it on a patient with pavemaker and the aptient was ok. So update your

  13. sherlock

    picclineman replied to kraye's topic in Infusion, Intravenous

    AAchoa1, It is good that you are able to identify the tip in the azygous vein but other bard users say that the sherlok does not identify when the tip is in the azygous vein. I do not doubt that you...

  14. a couple picc questions

    picclineman replied to lovingRN2009's topic in Infusion, Intravenous

    it depends on where the tip of this PICC was originally. If the tip was SVC/RA junction and it migrated 3 cms, you still will be in the SVC area. If you were left sided PICC and the tip was proximal...

  15. Question about drawing blood from PICC lines

    picclineman replied to nurseinpa's topic in Infusion, Intravenous

    There was an article about blood draws from the INS magazine about changing the caps first prior to blood drawing. Part of the reason wasm the old cap could be harboring bacteria. But yes i think...

  16. sherlock

    picclineman replied to kraye's topic in Infusion, Intravenous

    you will still know when your tip is in the jugular vein WITHOUT sherlock or naviagtor. Use your ultrasound. So the sherlock/naviagtor is really useful to help identify your line is in the rpojection...

  17. sherlock

    picclineman replied to kraye's topic in Infusion, Intravenous

    How does the sherlock show when the tip of the PICC is in the azygous vein. This is my question. As far a effectiveness, it depends on who pays for it. If i were to pay for it, i will not use it. If...

  18. sherlock

    picclineman replied to kraye's topic in Infusion, Intravenous

    I would like to ask the opinion of the PICC experts out there. How does the sherlock system manifest/show when the tip of the PICC is in the azygous vein. I am under the impression that the tip...

  19. sherlock

    picclineman replied to kraye's topic in Infusion, Intravenous

    my point is is it worth spending 99% to solve a one percent problem? You can look at it from different angles. I agree with you that problems happen when you least expect it. But what i am trying to...

  20. sherlock

    picclineman replied to kraye's topic in Infusion, Intravenous

    If we as nurses or bard and corpak cannot use the PICC after insertion with use of the sherlock or corpak, what is the point of using this product. this becomes just an additional expense to the...

  21. sherlock

    picclineman replied to kraye's topic in Infusion, Intravenous

    I have started to use the corpak electromagnetic CVC tip placement device. This is by the way a competition to the shelock system.The device is wonderful. It is one hundred % accurate. I tested all...