NtannRN

I also agree with MunoRN.

We don't have the wipes, but we have it in a pump style bottle. We use a few squirts in with the bath water. We're supposed to be getting the wipes. I wonder if putting it in warm bath water reduces it's effectiveness since some posters are not allow...

Grey gull, it's not laziness, I think ambulating an intubated pt has fallen out of favor, esp.when you dont even have the time to get yourself to the bathroom. From my stand point, we barely have the staff to get through the day, our cna's get pulled...

I haven't gotten an intubated pt. Oob since I was an aide 18 yrs ago.i think if I suggested that now the other nurses would want me to get a psych consult! Lol. We have a10-14 day limit, then it's a trach and peg. Honestly,i don't think we have enoug...

My pt the other day coded and passed away. The family waited while we did a "quick" clean up so they could come in asap. When they left, we did the complete post mortem. We have a specific gurney that has a cover. We place the pt on that place the co...

I don't care who you are, if I cannot care for MY patient appropriately with you there You will leave. Because if something goes wrong it will be MY license there going after. And who's to say the pt wants them there. Maybe they don't know how to t...

My answer: They're in critical condition, you'll have to get any and all info from the family d/t FEDERAL HIPPA LAWS. Sorry..............

We use "vamp" set ups. On central/a-lines, I came across an issue I wasn't told about. We have s 10 cc chamber in the set up for our "discard" that we reinfuse after we draw blood. Well there is a stopcock there so you don't draw from the discard. Do...

I agree Getoverit. We dont use it very often, I have yet to see the effects as advertised. Lol:yeah:

Question......if I'm dumping blood in as fast ask can, they're on pressure bags etc. Do I need to flush with saline before I hang the next unit? Or can I just keep going. We do have a 2unit or 4hr tubing limit.

Can I just say OMG, OMG, OMG. Propofol has never been legal here to push even prior to MJ. Not even during rapid sequence intubation. MD only! This whole conversation has me wondering about where I work. Thank You. I am now going to look more careful...

Icudavis, I would love to hear about the non-invasive glucose monitoring. I didn't know there was such a thing. At my facility, it does not matter if It's peripheral or not. Central line is preferred when our pt is fluid overloaded. After while, the...

DeLana, I guess there was s study done somewhere, that showed (don't quote me) better absorption, efficacy. We used to give over 1hr. Now its s pain, your holding up an iv line for 4 hrs.

We go by Gerhart's IV Infusion book for all iv meds. Kcl 10 meq 1 hour peripherally Kcl 20 meq 1 hr central line only. Mag 2 gms 1 hr centrally CA+cl (per our intensiveist) 2 amps (diluted in 50cc ns) over 10min on monitor Sodium phos 15 milimol ov...

OMG You're not kidding, we special order "SizeWize" beds that are supposed to automatically turn your patient. They also have a button for "big turn" to use when you're rolling them over to assess their bottom, but the part of the bed that blows up t...

Oh no, I don't think so. Fem lines are considered "diry" lines and are to be removed asap anyway. Just thinking of ambulating anyone with any kind of fem line gives me the heebeejeebees.:smackingf

I was a new grad 2 yrs ago. Scared to death. I had a great preceptor and great classes/orientation. I still get a bit anxious at times when I get a very sick patient. I have the pleasure of working with some exceptional nurses that are always willing...

Are you a Union hospital? It doesn't sound like you are. Everyone's right, your license is on the line, not to mention lives.

I'm laughing because whom ever wrote about changing your sheets made me smile.I never had to change the sheets yet but had to change the whole aline (we use a "vamp set up) that has a small stopcock that I forgot to uncock when reinfusing the blood a...

We don't have a protocol. We don't even have fancy stickers for the tubing. But, it's good practice for all involved to label the lines. Protocol is all our lines have to be dated. When I get a patient with a ton of iv's labeled or not i check where ...

South of Boston here, I work in a 16 bed unit, we've been about 1/2 full lateley althought the rest of the hospital has been pretty full to the point we have med/surg patients because we can't move them out. That's a long night. Last summer I think I...

I guess I apparently CAN read since there is more than 1 person to stand by the fact that yes you do indeed infuse levo and neo peripherally if need be. There was no need for the rudness, I was at first on the side of central line only, which change...

I stand corrected. I went back to work and asked my senior nurses. Yes we do give it peripherally but we try to never do that. We also try to give bicarb alone without anything running with it. I don't know why the Gerhart iv book we use has compatib...

Only RN's or Resp. for A-lines, Only RN's for Central lines and only RN's from our IV team for Picc lines. And in extreme cases where there is absolutely no access other than a Vas Cath, The resident (MD) will draw off that. We have fantastic techs, ...

I was always taught in school, hold tf if the residual was 2x the rate. Now our facility has changed its policy to hold if residual is =/> 200 cc. My patient the other night had tf @ 45 cc/hr, his residual, 110, I held it for an hour. He was sedat...