bobnurse

bobnurse

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All Content by bobnurse

  1. Nurses Will Eat Anything

    bobnurse posted a topic in General Nursing

    Have you ever heard or said that to a family member? whats the weirdest thing someone has brought for you or your staff to eat? I think the sickest thing was a patient brought some balout, the duck...

  2. Nurses Will Eat Anything

    bobnurse replied to bobnurse's topic in General Nursing

    Any new

  3. Power PICC with antibiotics

    bobnurse replied to IndyRick's topic in Infusion, Intravenous

    Our ID docs have asked if a coated PICC Line exists. When we tell them no, they say there should be. I just saw that there are antibacterial injection caps. I am sure with the increased picc usage,...

  4. Healthcare Educators--CPR/ACLS etc. with Medical Directors

    bobnurse posted a topic in Nurse Entrepreneurs, Innovators

    All of you out there that have some type of educational business with a medical director. How much do you pay him/her? I am starting a business offering CPR/ACLS/AMLS and so forth. Also will be...

  5. PICC line consents

    bobnurse replied to ParadoxxRN's topic in Infusion, Intravenous

    i asked this question a while back and got this response. it is never a nurse's responsibility to obtain consent. "obtaining consent" implies informed consent. "informed consent" means that the...

  6. Elevated INR and RN PICC placement

    bobnurse replied to regnifne's topic in Infusion, Intravenous

    I always thought piccs were indicated versus other cvc's when a patient has a bleeding

  7. army medic to nurse

    bobnurse replied to madnessmedic's topic in Oklahoma Nursing

    EMT-B and paramedic are different, so he would not qualify for the paramedic to RN bridge. I was an army medic as well. I was able to take the CNA test without taking the class. THere was a written...

  8. medications via feeding tubes

    bobnurse posted a topic in Gastroenterology

    Im not sure if this is the right forum, if not maybe a mod can move it? But my question is: We have a question about giving meds via feeding tube. The literature states to give each medication...

  9. Question about PICCs and syringe size

    bobnurse replied to SteveNNP's topic in Infusion, Intravenous

    thats understandable. But if the manufacturer states a 10cc syringe or larger only, how will the nurse explain this to the jury? I dont work nicu nor do i place picc's on infants. So my exposure is...

  10. Getting a Course accepted for CEU's

    bobnurse posted a topic in Nursing Educators, Faculty

    Hi, What exactly is the process for getting a course CEU'd. I currently teach many courses (EKG, 12 lead, cardiac meds, airway management, etc....) and would like to offer CEU's. My state does not...

  11. Blood transfusion via midlines?

    bobnurse replied to cannulation's topic in Infusion, Intravenous

    i know of no contraindication of giving blood through a midline. Tip in the axilla. treated the same as a peripheral as far as infusions are

  12. PICC dsg's with gauze

    bobnurse replied to flutterfly's topic in Infusion, Intravenous

    Gauze dressings have to be changed max every 48 hours. We sometimes place gauze over sites that are moist. This is rare though. This is both the cdc and ins standard. I would find out exactly why...

  13. measuring PICCs

    bobnurse replied to SWAT_RN's topic in Infusion, Intravenous

    I was precepting a new picc nurse who had that problem and found that he was measuring the patient with a gown on. This lead to poor measurements. Ever since he takes their gown off to the insertion...

  14. Question about PICCs and syringe size

    bobnurse replied to SteveNNP's topic in Infusion, Intravenous

    thats interesting. All the products ive used state only a 10cc syringe or larger at all times when flushing/administering medications. I would be interested in knowing what products allow otherwise....

  15. Maximum barriers...argh!

    bobnurse replied to SWAT_RN's topic in Infusion, Intravenous

    At first i thought it was going overboard, but i figure if they want to spend the money on the extra drapes and so forth, then why not. I now kind of like it since it gives me a much larger sterile...

  16. Dating Patients

    bobnurse replied to bobnurse's topic in Patient, Colleague Relations

    wow, this is an old thread that has

  17. Healthcare Educators--CPR/ACLS etc. with Medical Directors

    bobnurse replied to bobnurse's topic in Nurse Entrepreneurs, Innovators

    anyone out

  18. central lines to gravity

    bobnurse replied to mosjes's topic in Infusion, Intravenous

    a facility i worked at stopped hanging ivpb's to gravity because they were causing the lines to become clotted. The nurses werent getting to them to flush them after infusion and the negative venous...

  19. My first PICC line!

    bobnurse replied to NursewithHeart's topic in Infusion, Intravenous

    Congrats!!!!

  20. Withdrawal of blood from piccs

    bobnurse replied to cannulation's topic in Infusion, Intravenous

    We occasionally place PICC lines for frequent blood sampling only. But just as the other poster stated, you'll be better off with a 5fr or larger line for routine blood sampling. Also, you need to...

  21. Looking for seasoned PICC ppl, need your tricks of the trade

    bobnurse replied to SWAT_RN's topic in Infusion, Intravenous

    The new guidelines say not to remove a cvc because of a temp spike. could be an infection somewhere else, so why remove a good line. You can go to the CDC website and i think the IHI as well. If your...

  22. picc line criteria

    bobnurse replied to barbie71's topic in Infusion, Intravenous

    PICC's are indicated for the patient with a bleeding risk. Much safer than a physician trying to place a

  23. Blood draws from a PICC/midline

    bobnurse replied to HyperRNRachel's topic in General Nursing

    obtaining routine blood draws from a midline catheter is contraindicated. The tip of a midline lies in the upper deltoid or axillary vein. The only acceptable tip location for a picc line is the...

  24. Responsibility for LPN's actions?

    bobnurse replied to limabean's topic in General Nursing

    hiya, you are not responsible for the LPN's Med errors, but you are responsible for your actions after notification of the med error (patient monitoring, notificiation to md, and so forth). The LPN...

  25. Nursing Staff Meetings: The good, the bad, and what can make it better.

    bobnurse posted a topic in General Nursing

    It seems that our staff meetings of the last year have become a huge gripe session........ So how are your staff meetings? What are the good, the bad, and the ugly that goes on. What can make it...