James Bond

James Bond has 30 years experience and specializes in Pediatrics.

Latest Activity

1. No more fingersticks in ICU?

   James Bond replied to ccer99's topic in Critical

   I have heard nothing new on this. Since the disclaimer from the package insert on the strips says the should not done via a finger stick on ICU patients we are mandated to do it that way. I agree it's probably best for someone who's on invasive drips...

2. No more fingersticks in ICU?

   James Bond replied to ccer99's topic in Critical

   I called and spoke to the FDA in regards to this. The person I spoke to, who was a nurse thought it was a ridiculous idea to either place a central line or stick someone on an hourly basis. I have also yet to see any research that's been done on the ...

3. 3 problems nurses or healthcare providers face on a daily basis

   James Bond replied to nicurnmay2006's topic in Arizona

   I think the greatest challenge to the delivery of care I have faced over the past 30 years is the loss of autonomy. I am unable to do what I know I need to do as the result of the systems that have been put in place. Here are some of the things that ...

4. Do saline locks last as long as a peripheral IV in children

   James Bond posted a topic in Pediatric

   I am curious if anyone has noticed any difference in complications when comparing peripheral IV's to saline locks. Preferably I would like to find some sort of evidence based article that illustrates any differences in complictions from either runnin...

5. ACLS for PICU

   James Bond replied to brookiern's topic in PICU

   This is a great question. We were recently required to obtain ACLS and NRP for our PICU. I certainly don't mind having the extra knowledge. The lack of consistency in the way it's applied however leaves me scrathcing my head. I have called or emailed...

6. NRP vs PALS?

   James Bond replied to Double-Helix's topic in General Nursing

   Can anyone point me to some evidence that supports using NRP in lieu of PALS for the Pediatric ICU setting? We are being required to do this in our Pedi ICU even though we do not float or attend deliveries. I have been told it's because we have from ...

7. Nasty email from CNS

   James Bond replied to Cg-RN's topic in General Nursing

   Unfortunately in todays world of nursing this has become the norm in many places. There are not so many places you can run to anymore to remove yourself from the battle field situations that we have found ourselves in. There are two things that I can...

8. Change of shift admissions

   James Bond replied to kittymom's topic in General Nursing

   I have for years attempting to get the powers that be have the ED work ofset shifts from the rest of the facility. If I'm working 7-7 they should be working 6-6 or 8-8. I don't see where it would be any difference in cost to have the folks there stag...