dknunges

dknunges

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All Content by dknunges

  1. gloves to spike a bag

    dknunges replied to vickynurse's topic in Infusion, Intravenous

    I have been a IV nurse (CRNI) for > 17 years and have never heard of such a thing. It certainly is not supported by INS Standards of

  2. Starting IVs on old sick people

    dknunges replied to zacarias's topic in Infusion, Intravenous

    A couple of tricks I have learned from starting IV's on people with fragile veins, no SQ tissue or rolling veins: Instead of using a tourniquet, I use a blood pressure cuff pump up to 20 below...

  3. KVO rate

    dknunges replied to kathys76's topic in Infusion, Intravenous

    According to INS' latest Infusion Nursing Standards of Practice Jan/Feb 2006 Standard 9. Physicians or Authorized prescribers order and initiation of therapy. * 9.6 Prior to initiation of therapy, a...

  4. Portocath Hell

    dknunges replied to elena15's topic in Infusion, Intravenous

    Elena 15 Don't forget the INS Standards Jan/Feb 2006. Standard 45 H under Practice Criteria (pp

  5. LPN's -picc

    dknunges replied to jacobsmom's topic in Infusion, Intravenous

    I agree, this should be determined by what LPN's are allowed to do by the State Board of Nurisng. I would not let the RN bully you into doing something that it outside your allowed scope of practice...

  6. IV policies

    dknunges replied to RN8's topic in Infusion, Intravenous

    Pre-filled NS syringes are intend for single patient/single use not multiple use on a singles patient. She might think she is saving money and she may well be until the patient gets a Catheter related...

  7. IV policies

    dknunges replied to RN8's topic in Infusion, Intravenous

    The Intravenous Nurses Society publishes the Standards of Practice of IV therapy. These set the bar for all IV therapy practice. A good place to start! You can order from the web site:...

  8. Nursing school not teaching IVs

    dknunges replied to 19Monica79's topic in Infusion, Intravenous

    If the hospital you are working for a BD customers using their IV catheters, they offer a wide variety of IV classes for beginners (free CEU's too). They are from 2-8 hrs and on several topics. You...

  9. IV precipitation

    dknunges replied to jacjon's topic in Infusion, Intravenous

    There are many, many medications out there that are incompatible with other meds, even Heparin. It is best practice to always flush with Saline first before giving any med, and then again afterwards...

  10. You might be in the medical field if....

    dknunges replied to bethin's topic in Nursing Humor

    1. Eating popcorn ot of a emesis basin or clean bedpan is perfectly normal 2. You baste your Thanksgiving Turkey with a Toomey syringe 3. You avoid unhealthy looking shoppers in the mall for fear...

  11. PICC Policies

    dknunges replied to kathyann's topic in Infusion, Intravenous

    If no one is willing to share you can obtain Infusion Therapy Policy and Procedures, published by INS (Intravenous Nurses Society) as well as Standard of Practice. Both are good for using as...

  12. Mediport Protocols

    dknunges replied to klnlsu's topic in Infusion, Intravenous

    The Intravenous Nurses Society (INS) has Standards of Care and Policy and Procedures specifically for IV therapy including Ports that you can use as guideline when writing protocals. You can purchase...

  13. Analgesia with IV Start

    dknunges replied to ogrern2002's topic in Infusion, Intravenous

    According to INS (Intravenous Nurses Society) local anesthesia should not be used routinely. As far as a policy for infusion therapy to use as a guideline in your institution INS have published Policy...

  14. use of oral syinges to administer oral meds

    dknunges replied to vague1's topic in Patient Safety Issues

    Hopefully this will answer you question vague1. According to ISMP (Institute of Safe Medication Practices) and FDA the push for use of oral syringes to administer liquid oral medication is to prevent...

  15. Current ages

    dknunges replied to Medic2005's topic in General Nursing

    I agree with Jessica, you are only as old as you feel. I think that if this is what you want to do, then go for it. When I was in school the oldest in my class was 69.....She graduated and passed...

  16. All Bad Nurses - Please Stand Up

    dknunges replied to bcelzo's topic in General Nursing

    Just one of the may traits of a truely good

  17. All Bad Nurses - Please Stand Up

    dknunges replied to bcelzo's topic in General Nursing

    The nurse you speak of sounds like the very first nurse I worked for after I graduated. After working with her for several months I decided this is the type of nurse I want to be. She was a role model...

  18. Need Input from the Pros

    dknunges replied to StressedDad2Be's topic in Ob/Gyn

    Congrats on your newest addition to your family. Your life will never be the same. By the way what did you name

  19. Malpractice Insurance.......Is it necessary???

    dknunges replied to grinnurse's topic in First Year After Licensure

    I have had my insurance through NSO for almost 25 yrs. When I was in nusring school they required it. When I graduated I then flipped the policy from student to nurse. There are different types of of...

  20. Can Anyone tell me the hardest things you had to learn and memorize in lpn Training?

    dknunges replied to sweetmom's topic in LPN, LVN Students

    I to think the hardest thing was fluid and electrolyte, the next hardest was making all the med cards and learning every med the patient was on. By the time I got through I had a stack of med cards...

  21. From A MoM To A MoM

    dknunges replied to sweetmom's topic in LPN, LVN Corner

    You are right in that it will require alot of hard work. How old are your children? When I went to LPN school my oldest daughter was in first grade and when I was in RN school my youngest was in...

  22. need help w/narrative note

    dknunges replied to Ginyer's topic in General Students

    A good way to be a little more descriptive but not to wordy is chart abdomin distended with abdominal girth of ___ inches at umbilicus. Hope this helps

  23. IV teams in california

    dknunges replied to nurseiv's topic in Infusion, Intravenous

    With today's cut backs and budget crunches alot of hospitals have dissolved the IV teams. What I have found visiting hundreds of hospitals in multiple states is that hospitals that still do have IV...

  24. Positive Pressure Valve on Peripheral IVs

    dknunges replied to shawnmed's topic in Infusion, Intravenous

    One specific problem associated with positive pressure values tends to be problems with increase of catheter related blood stream infections (CR-BSI). Stick down and leakage has also been reported....

  25. air embolism and iv therapy

    dknunges replied to WILLY WASHOUT's topic in Infusion, Intravenous

    Mike, Thanks. This question was asked during a class on IV therapy I was giving a couple weeks ago and I had no conclusive answer due to all the speculation that has floated around for many years. I...