utah23LPN

I always cringe when I have to do a dressing change with the current PICC having the “gooey” 3M CHG!! It always seems to stick to the PICC line and pull it out when trying to remove it. Any tips or pointers for this type of PICC dressing? Maybe they didn’t think of removing it when they developed the system.

A MDS positon may be opening in my company soon so I thought I may start a new thread on salary ranges. I have been told by a former administrator that about $65,000 per year is the norm in Idaho/Utah and that many companies pay hourly so you get overtime. FYI-My interest in MDS increased when my DON said she regretted not staying in MDS as it was a less stressful job. She states that MDS coordinators are in high demand and can make as much as a DON? Not sure if that is true. Thanks,

All, Started my first RN job about a month ago and found that I was having severe panic attacks at work and having trouble sleeping at home. My PCP gave me a prescription for Klonopin 0.25mg PRN for anxiety. I have had to take some while at work but I never thought it made me sleepy or was in any way harmful in my job performance. I wondered what would happen if 1. An accident happened at work and I had to take the company required post incident drug test and tested positive for benzos for which I have a valid prescription for? 2. The end of shift narcotic account is "off" and benzo's are missing? I'm not sure if they do a drug test right then but maybe they do and I look like the theif. Anybody had any experience in this area? I'm sure there are nurses that take Lortab for valid pain(maybe not even while work) but have enough in their system to make a positive drug test. Thanks,

According to there ad's, Promise Healthcare is a long term ICU facility with pts with vents and trachs. What do you like and not like about it?

While doing clinicals in the ICU I had the RN tell me that you should not inject more than 5u of insulin per injection site because the body cannot absorb more than that from one location. So for a patient that needs 15 units for example you would inject 5u in upper arm, 5u a few inches lower and 5u a few inches lower-all from the same needle and syringe. I had never heard this so I asked him if he was taught this in nursing school. He said no but his brother who is an NP at a diabetes clinic teaches it to all his patients. I have scoured the internet for research to back this up but have not come across anything. Has anyone heard this before? Do you believe its true? Is there research to back it up?