creo

Thank you!!

Because you can see air bubbles in the part of the lumen that is above the skin, the part that is visible when you flush the line.

Thank you for the answer. I should have been more specific. My question pertains to the flushing of the lumen with cap on, clamp on but with air in the lumen.

I tried to find some answers for this problem but I am still not clear: what do I do when I find air in the central line (open-ended)? Do I aspirate the air plus blood into the syringe, discard syringe and use another one to flush? Could anyone clarify, please?

I agree with kayty. I assume that there is a confusion between . It happens often, that is why "less than" and "greater than" should be used ( i have a feeling that this is the legal way)

I agree with DeLana. The iv Heparin has a much shorter half life (30-60 min), allowing for a window of decresed risk for bleeding (and increased risk for clotting) when the EGD can be performed safely. Usually the heparin drip is restarted right after the procedure

Sorry, but what is phase 1 and phase 2? Are patients divided into phase 1 and 2 based on their level of sedation?

I am just going to add: do frequent assessments (BP, resp, level of consciuosness, O2 sat...) and have Oxygen and reversal agents ready (Narcan, Anexate)

2 mg.

Obviously, the scope of practice for LPNs is different in BC. The fact that your Charge does not have an assignment makes a huge difference too.

I have not heard of this type of protocols either. I tink that it would be difficult to treat electrolyte and mineral imbalances by following protocols keeping in mind that that are so many associated factors that can influence them (for instance, diabetes and insulin related to Potassium or hypoalbuminemia realted to hypocalcemia). Or the protocols should be very detailed and complex and this would be too complicated. These treatments should be patient specific.

Hello everyone, Does everyone who works in Endo is ACLS certified? I am not (work in Canada) Thanks!

It is still less physically ,mentally and emotionally draining than Med/Surg. I think that the future for Endo looks great with the increase need for screening. I also think that technology is advancing rapidly and pretty soon will see more scopes of the small bowel (enteroscopies are done sporadically at this point,we did only a few in the last 2 years) and new ways to treat different gi problems endoscopically.

Thank you for your reply. I work in Vancouver. Our LPN's do not deal with any intravenous treatments either. We have a PCC for the day shift. The charge nurse for the evening and night shift is one of us (usually the most senior) and has a full assignment. Does your charge RN has an assignment or her duty is being charge ? Thanks

I would also check with the Pharmacist. They can also give you advice.

Hello everyone, I was wondering what is the RN to patient ratio on your unit. I work on a surgical unit and we have 1 Rn to 4 patients for the day shif, 1 to 5 for evenings. Also do you have LPN's working on your surgical floor? Thank you.

We stopped it for the same reason:lack of protocols.

-You should check with the Dr. before withholding any bloodthinners. Usually the Warfarin is withheld 7 days pre procedure. ASA 81mg can be given even the day before the procedure. It really depends on the patient's comorbidities and the Dr' s preferences. - In our hospital the EGD, colonoscopy, bronchoscpy are done under conscious sedation - The laparoscopy is done under general anesthesia

Sorry, I meant to say that heparin is used for the open-ended PICC's

How many mls of each do you use?

We use different syringes (10cc's only) for each port (risk of cross contamination as mentioned above). We flush PiCC lines (that are not in use) only with NS and only once a week (additional heparin is required for the close-ended type- we do not have them anymore). Check the hospital policy because this is what you should be following.

We use Versed and Fentanyl. I have not seen too many patients with major adverse reactions to Versed. Some of these patients do not have amnesia and in a few cases they had a paradoxical reaction to Versed (extreme agitation). I think that a colonoscopy could be done without sedation and even without analgesia only if the endoscopist has an excellent technique.

It was done last week for the first time in our clinic by one of the GI Dr.s. The "donor" was the patient's daughter and the stool was "administered" during the colonoscopy.Apparently it was succesful!