augustafox2010

Hello...I know this is a little older post , but I have ran across some issues I would like to get more information on. I currently live in Kansas but mostly work on the Missouri side. I am currently a vascular access nurse at a children's hospital. Currently we only do Piv/labs, PICC placement, and monitoring of all central lines. We are looking into expanding our skills within our scope of practice. My main question would be where to find information on if we are allowed to place femoral lines as well as IJs and art lines. This questions comes from our IR department wanting us to exchange their tunneled lines currently. If we were to do this where can I find information on doing this safely. There is argument whether we should do this amongst our team, but in my mind we should be competent and "safe" to do this if we are expanding to placing IJs. If you are competent in placing CVLs does this include femoral and axilla always? I ask because I know there are many different skill and comfort levels on our team. Thank You!!

Hello...I know this is a little older post , but I have ran across some issues I would like to get more information on. I currently live in Kansas but mostly work on the Missouri side. I am currently a vascular access nurse at a children's hospital. Currently we only do Piv/labs, PICC placement, and monitoring of all central lines. We are looking into expanding our skills within our scope of practice. My main question would be where to find information on if we are allowed to place femoral lines as well as IJs and art lines. This questions comes from our IR department wanting us to exchange their tunneled lines. If we were to do this where can I find information on doing this safely. There is argument whether we should do this amongst our team, but in my mind we should be competent and "safe" to do this if we are expanding to placing IJs.

Hello! I know this topic has been acknowledged many times, but I am having difficulty with trying to transition from bedside nursing to a work at home position with an insurance company. I love my job, but with a family of 7 and a traveling husband it becomes difficult for me to find "extra" time to work. I have 4 1/2 years experience in ICU and ED departments. I have also been cross-trained in PACU, Med/Tele, and Observation. A little background: I am first respondent to codes and RRT's, precept new interns in ICU, charge nurse experience, PICC trained (and assist with education and training others with PICCs), participate in daily multi-disciplinary rounds, interact closely with physicians, case management, and other disciplines for patients' safe discharges with needs met, assisted with initiation on Epic Care Connect in the ICU and ED, active member of NPC, Peer Review, council for initiation of appropriate end-of-life comfort measures, and ICU Unit Based Council. I am a strong patient advocate. I currently do not have my BSN but am working on it and will have by end of 2015. I guess I need help with any information on how to get my foot into the door. I have applied to many positions without any success. I know I have the capability and compassion to succeed in this endeavor, but am not sure where to begin for someone to give me that chance. Any advise and good insurance companies that are currently hiring would be greatly appreciate. I am willing to train, but currently need an at home position that doesn't require a year of in office first. Thank You in advance for all your advise.