creo

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.

Thank you!!

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 clari...

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 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 afte...

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

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

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, di...

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 o...

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 assig...

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

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 prefer...

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 ha...

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 colonosc...

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!