andiekae2

andiekae2

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andiekae2 has 27 years experience.

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  1. Black Sheep...time to leave?

    There is a lot of good advice resulting from this question. Ultimately, only you can decide what is the best way to handle this situation. I speak with 33 years of nursing and found have myself in this situation and wish I had handled it instead of w...
  2. I have worked in various radiology/cath lab/IRL departments since the 80's. I guess I've been lucky because radiology administration and techs have always welcomed nurses into their areas of expertise. They have recognized how we can work as a team r...
  3. Chlorhexidine patch on central lines

    I've tried to find out exactly what it is that makes it hemostatic. Is it thrombin? Bard is very vague and therefore how can we assess for allergies or potential coagulopathies they may cause? In the good old days, we exposed everyone to heparin (thr...
  4. Chlorhexidine patch on central lines

    Our Infection Control Practitioner has approached us regarding changing the brand of chlorhexidine patch we use on all central lines. We have routinely used the Ethicon BioPatch while keeping a few Bard GuardIVa on hand for those lines that ooze. How...
  5. Chlorhexidine patch on central lines

    Our Infection Control Practitioner has approached us regarding changing the brand of chlorhexidine patch we use on all central lines. We have routinely used the Ethicon BioPatch while keeping a few Bard GuardIVa on hand for those lines that ooze. Ho...
  6. New Nurse; To start a New IV or not?

    Unfortunately, starting IV's is such an emotional and psychological roller coaster for new nurses and even experienced nurses if they don't do it all the time. In my book, pain = problem. The antecubital space and upper arms can hold a lot of fluid ...
  7. Tricks of the Trade for PICC placement

    I am starting my second year of placing PICCs and have been on a success and emotional rollercoaster (I work by myself with no backup). My question is regarding an extremely anxious post surgical patient (shaking, weeping, "this will never work" kind...
  8. Who can write annual review?

    I am working in a combined Cath/Angio Lab and cover Radiology & PICCs as needed. My director is not a nurse (respiratory therapist). He has no direct knowledge of what we do and is rarely present to observe us with patients. Our annual reviews ar...
  9. It's great to have you interested in Radiology Nursing. I have been in radiology for 20 + years and still love it. I have worked in both types of departments: pure Interventional radiology and IR mixed with radiology. I prefer a mixed practice to kee...
  10. Dress Code

    As JACHO approaches, we are once again in panic mode. Now administration is questioning our dress code in IRL. For all procedures, we have followed the same protocol that is used to insert a central line. The Radiologist and scrub use sterile gowns, ...
  11. Joining the ranks

    Congratulations! Radiology nursing is an exciting area to work. We see just about everything. Don't get discouraged if you feel out of place for a while-it took me about 6 months to feel like I belonged.
  12. Quality Improvement In Radiology

    Our hospital is pursuing Magnet Status and all areas of nursing have been required to have two Performance Improvement Plans. Does anyone have any suggestions for plans or better yet, experience with this? We have presented several ideas to our Qual...