CRNI(R)

I'll answer you by email. :)

When in doubt about anything "mechanical" possibly harming your patient...look to your patient for the answer. I worked with a nurse anesthetist who caused a patient permanent brain damage because she was looking at her monitors and not at the patient. The monitors were not showing that the patient was suffering hypoxia and she failed to catch it before the damage was done. Sounds like your patient was stable and not overly sedated when you left with plenty of time for them to have shown you otherwise.

Evidence that supports hiring new grads because it is cheaper or evidence that hiring experienced nurses would be better, or something all together different?

I said I had posted prior to the op stating other members of team including the suprevisor were notified. My initial reply was to the first post. I will try and read through the thread better before replying. Sorry for any confusion.

My biggest peeve is a manager who has never worked doing what they are managing. Another peeve is a nurse or anyone who does not know their limitations. Another peeve is anyone who is led by their ego. Another is anyone who treats patients like cattle. I could go on and on...

#1) Anyone can sue you for anything; winning the suit is the problem. Still, you have to shell out to defend yourself. #2) You violated HIPPA and yes, she can sue you. Caveat: You should have reported the abuse to your supervisor and she/he should have made the decision to report this to authorities. #3) You stand a greater chance of being fired than being sued. #4) The quickest way to get sued by a patient is to "**** them off". Go to her and apologize profusely. I didn't read you did not live in the US and the other bits of info. That info would be helpful in your initial post. Still, some of what I answered applies globally.

So they require you to flush in order to document potency q shift? Makes sense.

A continuous infusion would only require a routine/prn dressing change, a routine/prn rotation site of the access if peripheral, and tubing change.

I am trying to do something similar so I am very interested in your journey. I will be happy to share what I am doing as well. My brother (atty) is helping me and I will be glad to share that info. Feel free to contact me here: [email protected]

The Infusion Nurse Society (ins1.org) sets the global standards for excellence in infusion nursing.

Check out ~ ins1.org

The Infusion Nurse Society (ins1.org) sets the global standards for excellence in infusion nursing. If you use their information you cannot go wrong.

The Infusion Nurse Society (INS) sets the global standards for excellence in infusion nursing. This is the "go to" place for any questions about infusion therapy.

@ ins1.org The Infusion Nurse Society sets the global standards for excellence in infusion nursing. All infusion policy and procedures should be according to the INS and you can't go wrong!

I would not use a port for a therapeutic phlebotomy. I rarely draw blood from a port unless I am accessing it for the prescribed therapy and only if it is for a few tubes. The port is placed for a specific therapy and is "assigned" to that therapy, so to speak. I have worked with ports for >25yrs. They are expensive and they are finite in use (approx. 2000 stick life). I give IVIG and I tell my patients that the port is "mine" and that no one should access it but me unless there is an emergency and they know port flush protocol. I had to call the charge nurse when one of my patients went into the hospital and educate him in port care! It is scary how many nurses do not know and do not educate themselves on port-a-caths. Hope this helps.