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ccavrn's Latest Activity

  1. ccavrn

    Sandy Storm whom do I serve?

    My first thought--you have been a nurse for more than 20 years according to your post--so your children are not small and can take care of themselves. Second thought, your husband is in the NYPD, you both have chosen jobs that protect and care for those who cannot care for themselves, and jobs that require you to be at work during emergency situations. Did your husband have the same dilemma? Did he ask you if he should stay with "the children" so you could go into work? Likely not--he went in because he knew he had to serve the people, those who need help. As a nurse, you have the same obligation. Many hospitals provide day care in emergency situations, and most nurses have contingency plans, family, friends or a day care center that can take small children who need supervision during times when both parents have to do their jobs. If you don't want to have to be responsible to give care during an emergency, then I would suggest you look for work in another setting. You can work in an MD office, Case management for an insurance company, as an industry clinical support, or other position that does not require work in a hospital or long term care facility. I am a nurse, but have chosen to no longer work in a hospital for many reasons. There are plenty of options for nurses who do not want to be on "disaster duty" for whatever reason. But if you do work in a hospital that has a policy to call people in when disaster strikes, then you have chosen to accept that duty and responsibility, just like your husband did when he signed on to the NYPD
  2. ccavrn

    Rad. Nursing Continuing Education

    keep in mind that any programs from the following list are accepted for the crn : any agency, organization, or educational institution accredited by the american nurses credentialing center commission on accreditation (ancc), the credentialing body of the american nurses association. --the state board of nursing in those states where the state nurses association is not accredited by the american nurses credentialing center (ancc). --a program awarding continuing medical education (cme ) credits --a program accredited or approved by the american society of radiologic technologists or the association of vascular and interventional radiographers. and only 30 need to be specific to radiology, with an additional 30 general nursing related, including acls, bls, etc.
  3. ccavrn

    Central Line Tubing Change

    OK, do you have any references in literature or texts to guide this practice? Did you collect evidence in your hospital that let you to change tubings using sterile technique and more often than the CDC guidelines, which state every 72 hours? I am aware that some NICUs and PICUs do this, I am trying to find out the "why" and see if there is evidence to support this. I have only found studies that suggest there is no need to do this, including the CDC guidelines. Thanks
  4. ccavrn

    Central Line Tubing Change

    For those that use sterile technique (cap, gown, gloves and mask) or almost sterile (sterile gloves, mask) technique to change tubing, I am curious to know why you do this? Do you have any references, literature or textbooks that suggest to do it this way? I am a member of the Infusion nurses socitey and certified in infusion therapy, and never heard to do this. I have always taught clean technique for tubing changes, as the outside of the cathteter is not sterile anyway, and the tubing and anything hanging is not sterile on the outside once it is hung. As long as you wear clean gloves and throughly scrub the connection valve/cap at the end of the catheter, clean technique should be sufficient. Thanks for sharing your references, if I need to update my technique.