bobnurse

Anyone here ever date/go out/marry a patient. I personally have never done it, but have seen it happen....i recall one time a male nurse dated a patients daughter...We got her on our floor one day after she attempted suicide, he had cheated on her. ...

I have a question for anyone who can help me. At our facility we x-ray all feeding tubes for placement verification. We had a situation where a dubhoff did not show up anywhere on the x-ray. The wire was left in. It was a 12 french by the way. The nu...

Hi, I have my own training business and need to contract out instructors. I am needing help to develop a payscale. What do you think a CPR instructor should get paid per hour? ACLS Instructor? THanks for your replies.

Hi, Needing help. Patients with colonized MDRO's such as MRSA, VRE, ESBL, and etc..... Do you isolate (Contact precautions). We isolate (contact) for all MDRO's, c-diff, acinetobacter, ESBL's and etc....I have seen facilities in other states only pro...

For those who have graduated from the Platt RN program, what are your BSN options. I know they have a BSN program now, but what are the other options. I know U of Phoenix is an option, but do any in-state colleges accept platt graduates. I know th...

Hi, One way is to submit through your board of nursing for CEU's. The AHA does not provide CEU's. Also if you have a good relationship with a ANCC CEU Provider, they can award your classes CEU's. There is some paperwork involved, but not to difficu...

I have been contacted to place piccs at a couple of smaller facilities. I am curious as to how much you bill the facility to place the line. If those of you out there would feel comfortable giving me a ball park figure i would appreciate it. I don...

Looping IV tubing is simply bad practice. THe problem with it is most nurses dont swab the port before attaching the end of the tubing into the port. This contaminates the tubing. Now if your changing your tubing every 72 or 96 hours,, you have co...

Hi, I was told that some states allow trained RN's to place central lines. I am not referring to PICC Lines, but either subclavian or internal jugular placement. I have not heard this, but was wondering if there are RN's placing these out the Thank...

Sounds like fibrin and possibly biofilm build up. IF you go to the cathflo website, they have a pretty good base of education, powerpoints and so forth that describe this. I also agree with the above poster that the line should have been fixed or re...

Im just curious reading this as we might look at the possibility of the PICC nurses providing a initial read of the xray and the radiologist will read it at a later time (hours later) to confirm tip placement. Does anyone know if the Infusion Nurses ...

Hi, Ive been reading about using Ethanol for declotting lines with lipids. Is anyone doing this out there and where do you get the ethanol? Thanks

I personally feel that all infusions should be administered via pump through picc lines. Just think about it. Your administering blood through a picc and the flow is decreased...Patient coughs, tubing kinked or some other external/internal force. ...

I personally dont see why we dont train the students. I think it would be a great idea to incorporate CPR into the school system. The AHA has a CPR in Schools program.

Hi, We routinely give bicarb when indicated. I have never heard otherwise. Not sure why there seems to be so much concern about hanging bicarb or magnesium? I guess you might look at the indications for administration. Like in a code or prearrest ...

I dont have a link. I am a BLS Instructor and was going to help with providing free Heartsaver CPR for the teachers. I am sure you can do a search on it. I can pm you the city where it happened if you want. On a side note, i can tell you that i do...

About 5 or 6 years ago in oklahoma a child died in the early morning d/t choking on her breakfast. The teachers were not BLS trained and stood there and waited for EMS/Fire to arrive. The child did not make it. This made the news and was a pretty...

No, you are not suppose to hit their back. You could cause further airway compromise. If they are coughing, then their airway is open and they most likely will be able to clear their own airway. Back blows will do nothing for wheezing.........

We had corporate come in for a mock survey and a "mock" surveyor said that nurses cannot obtain PICC line or any type of consent. Only physicians. We told her she was wrong, and it was basically she's right and everyone else is wrong. So now we ha...

So to all the guys out there, and ladies with hairy chests (just kidding)... Do you wear a t-shirt to cover up the chest hair or just let it hang out? Ive heard wearing a T-shirt under the scrubs is a no-no.......... Just curious on everyone elses op...

Hi, Will be taking the TNCC at the end of next month. Was wondering if anyone can give me an idea of what i'll be up against/what to expect. Ive done a search and have read that its not to hard or its hard and intense and a good class and so forth. ...

what i dislike is those that wear tshirts that hang 3-4 inches outside their scrub shirt. Why not tuck it in.

I wonder what type of training if any this charge nurse has recieved on handling difficult situations such as this. I would think she has a good case for wrongful termination. I think she was tired of nothing being done and did not call security b...

hi bob, thanks for the info. i have a few more questions. you stated that you are affiliated with a training center. does this mean that you work for a training facililty and also have your own business teaching acls? i am afiliated with a training ...

Hi, I currently teach acls as a business. I do not know if i can link my website here or not, so i'll err on the side of caution. Problems? Not any i can think of. Equipment/manikins purchase might be your only problem as far as start up cost. I...