sorlando

sorlando

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All Content by sorlando

  1. Repeat cxr after picc line adjustment?

    sorlando posted a topic in Infusion, Intravenous

    What does your hospital require after a Picc line adjustment? Do you always have to get a repeat cxr? We just started a new picc program at our hospital. When we recieved training we were taught that...

  2. What type/ brand of PICC do you use?

    sorlando posted a topic in Infusion, Intravenous

    We are starting a picc program at out hospital and trying to decide what type/brand of picc to use. They will be used on inpatients and outpatients. I am looking at the Bard power picc and the Bard...

  3. What type/ brand of PICC do you use?

    sorlando replied to sorlando's topic in Infusion, Intravenous

    I work at a small hospital and we will be doing piccs for everybody ( ICU, other inpatient, outpatient and oncology). I wanted to pick something that would work universally for all our patients but...

  4. Sutureless devices for PICC securement

    sorlando replied to vascularaccessPA's topic in Infusion, Intravenous

    If my facility does not have any statlocks at time of dressing change, is there something that could be used

  5. Wound classification?

    sorlando replied to Kim, HHRN's topic in Wound, Ostomy, Continence

    This could be a venous stasis ulcer, your description of bronze brown color sounds like some venous insufficiency. If you have weeping there has to be some openings in the skin so I would call it a...

  6. Question about PICC insertion experience

    sorlando posted a topic in Infusion, Intravenous

    I work in an outpatient department at a small rural hospital (about 70 bed). We do outpatient infusions along with a variety of other procedures. Our director would like to send two nurses to get...

  7. Question about PICC insertion experience

    sorlando replied to sorlando's topic in Infusion, Intravenous

    Thanks for the advice. We are using PICCs right now. The patients we have either come to us with them or have to drive 45 to 75 miles away to get them inserted. My estimation of 2 or 3 a month is...

  8. I use up all of my compassion at work.

    sorlando replied to TigerGalLE's topic in General Nursing

    I have felt like this before and decided that I needed a change. I transfered to a department of the hospital that was lower stress and a few less hours each week. It was a hard decision to make...

  9. Patient 'found' my number on the internet...

    sorlando replied to Da_Milk_of_Amnesia's topic in General Nursing

    Sounds like some people have some anger issues. This poor guy that is calling him just doesn't realize his boundries. I have had this situation happen to me and I just nicely explained to the patient...

  10. IV stop times

    sorlando replied to Josh's mom's topic in General Nursing

    I work in an outpatient department and we have been doing this for about a year. It's for medicare

  11. Is this bizarre?

    sorlando replied to mcpnurse's topic in General Nursing

    The hospital I work in is an 'at will' employer. They can fire anyone for any reason. Maybe this hospital that this nurse is working at is the

  12. DM Heel Ulcer - Wound Care Help!

    sorlando replied to LadyBug52's topic in Wound, Ostomy, Continence

    You could try using the Duoderm signal by itself. I don't know if you have Mepilex. I would use Mepilex AG on this type of

  13. Rules of the Dr.office

    sorlando replied to prowlingMA's topic in Ambulatory Care, Clinic

    Do not show up at 8:30am for your 10:00am appointment and then glare at the nurses walking by because you are waiting so long! Do not show up at 12:20pm for your 10:00am appointment and then get mad...

  14. bullous pemphigoid

    sorlando replied to Ms.RN's topic in Wound, Ostomy, Continence

    There was a show on the other night Mystery Diagnosis and it featured a young girl with this disease. It was pretty interesting. On the show they said the treatment was immunosupresants and steroids....

  15. Skin Prep QUESTION

    sorlando replied to nurserin's topic in Wound, Ostomy, Continence

    I've been a nurse for about 11 years and done wounds for about 5 years and never heard of using skin prep to 'prevent pressure sores'. The only way to prevent pressure sores is to reduce pressure....

  16. UNNA boot sticking to wounds...

    sorlando replied to chenoaspirit's topic in Wound, Ostomy, Continence

    I think Adaptic is great to use if the Unna boot is sticking to the wound. If there is a lot of drainage along with the sticking you could use Mepilex AG or Mepilex

  17. NON HEALING stage IV pressure ulcer HELP????

    sorlando replied to NC29mom's topic in Wound, Ostomy, Continence

    I think the wound vac is probably a good idea. You shouldn't have to get you DON to agree to a wound vac. All you need is a Dr. to order one and the insurance to approve it. If your pt. is on Medicade...