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rebels25player

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  1. yeah but what are the guidelines where u can quit doing the thigh and just hit the hip?
  2. you will attempt more ivs in 1 week then u did in a year on the floor. if the ac is there go for it...half your pts are going to get a contrast scan anyways and they prefer a 20 in the ac ne ways. all of the other ones just remember to anchor them. hand and wrist veins love to roll.... so pull the skin tight as you can while u can still see the vein.....my technique is to come in at a pretty steep angle til i get blood return then to make like a sewing motions as a pull the vein up with the needle inside...so i dont go through it....then slide in the catheter...but site selection site selection is the real key...take time to look at both arms to pick the best site.....you will get the hang of it and before long you will not fear them...everyone has good iv days and bad iv days....work as a team and help each other out.... after that your real problem with the er is dealing with all the dam pts who come in just looking for pain pills....thats about 80% of our clinentail .....and those pts are so rude and you are obligated to smile and do your best when u really just wanna slap them
  3. im new to the er only been doing it for about 3 months now. i came from home health and this is really new to me. one of the most unadept areas for me is peds. you almost never see peds in our home health agency. being that i was not a new nurse my "preceptor" has basically just been like "here is a map come to me when u got any questions." for the most part it has been on problem. when **** gets crazy i go to her and she guides me through it (DKA, CODES and things like that). but she looks at me stupid when i ask questions that are not high risk situations.... so here is my question.....at what age is it to young to give a child a shot in the hip? we give almost all our er meds in the hip or iv. the only exceptions is tetnous. other than that its all hip. i gave a 5 year old a shot in the hip without thinking yesterday and it went well i think and there seemed to be adequate muscle there but afterwards her mother was like "she never gets them in the hip always in the leg or arm"......she was big to be 5...she it got me thinking...what is the guidlines on that? google search gave me just a bunch of mixed results not really addressing the question i am trying to ask...thanks for you input

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