Gail-Anne

Gail-Anne

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All Content by Gail-Anne

  1. Physical limitations - what now?

    Gail-Anne replied to cinnyluvscats's topic in General Nursing

    Are there any nurse advice phone lines where you are? Our province started one a couple of years ago. It's a job where you actually give advice (eg. get to emerg! or suggestions for what they can do...

  2. Pac

    Gail-Anne replied to Jonesy's topic in Infusion, Intravenous

    Yes, you can draw labs from a "port-a-cath", same as any central line. It's also fine to leave a port with an Infusor cap between meds, it doesn't have to be left running (if that was your question)....

  3. Accessing/deaccessing ports

    Gail-Anne replied to JustJen's topic in Oncology

    yes, there are safety hubers, my facility is just looking into them so can't give any hints. Just google and you should get company sites up. What I've taught people to do is think "reverse karate"!...

  4. Can someone encourage me for once?!?

    Gail-Anne replied to MBrickle's topic in General Nursing

    Have you looked into what will be required to work in Ireland, if that's your goal? I guess I don't see any sense in doing a course if it's not going to give you employment. (or the Irish equivalent...

  5. picc line migration

    Gail-Anne replied to mark_49's topic in Infusion, Intravenous

    HOLY *&%$#@* BATMAN! I would never have reinserted this PICC, regardless of what the Dr said. This is totally against any and all that I've ever read. Even doing a change of PICC...

  6. Informed Consent/ Authorization for PICC Placement

    Gail-Anne replied to IVT-G's topic in Infusion, Intravenous

    We require consents and I can't see that ever changing. Basic consent to be treated in hospital is fine for the basics (like a peripheral IV) not for invasive proceedures. What do the risk management...

  7. Two IV lines

    Gail-Anne replied to ag2005's topic in Infusion, Intravenous

    I'd probably be querying more if pt had heparin in one and platelets in the other! Remember, the 1/2 life of Heparin is about 5-6 hrs. (I used to know the time for sure...memory isn't what it used to...

  8. Questions to ask during interview?

    Gail-Anne replied to kwagner_51's topic in First Year After Licensure

    Totally acceptable to have your questions written down so you remember them and to write BRIEF notes. Just make sure you spend your time making contact with the interviewer not with your paper! If...

  9. Have you ever had to use CPr on the job or anywhere else?

    Gail-Anne replied to amy3072's topic in General Nursing

    Having called codes (2 as a student nurse), going to many codes and spending many years as a volunteer CPR instructor, I thought I'd put my $.02 in. Do we sometimes flog the perverbial dead horse? Oh...

  10. I need HELP!! with IV starts

    Gail-Anne replied to Jasano's topic in Infusion, Intravenous

    There are loads and loads of tips on threads, just do a search. Take home a stretch of IV tubing and a few IV needles and start kits. (Get your boss to okay this, as you don't want to be accused of...

  11. Suggestions For Leading A Group Session?

    Gail-Anne replied to Meerkat's topic in Psychiatric

    Lots of years since I worked psych... what kind of people in the group? We always had a variety of groups. Something as simple as "activities of daily living" for example. It's amazing how many...

  12. Starting PICC lines, getting discouraged

    Gail-Anne replied to sparkyRN's topic in NICU, Neonatal

    Are you inserting on babies only, or did you get a chance to do quite a few adults first? And how many insertions did you do with a mentor? Any particular point of insertion that seems to be the...

  13. Younger Nurses: Do you find people dont take you seriously? (semi-rant)

    Gail-Anne replied to TexasPediRN's topic in General Nursing

    Now that I'm old it doesn't happen... not to say people take me seriously now, but at least it's not because I look young. Used to happen all the time! I had pts think I was a first year student,...

  14. not used to feeling dumb

    Gail-Anne replied to Sandy46's topic in First Year After Licensure

    I agree with the last posts. Whats so wrong with feeling stupid anyway? You are new at this. I'm concerned that you are creating a self-fullfilling-prophecy, you think you'll screw-up, so you do. Try...

  15. IV precipitation

    Gail-Anne replied to jacjon's topic in Infusion, Intravenous

    I think that flushing with the syringe sanwich method is best, as was just said. Saline-med-saline, even though you saline flushed from a bag. The syringe flush gives a more turbulant flush as well...

  16. Burn Out

    Gail-Anne replied to akerdonn's topic in General Nursing

    I think people doing this need to ask themselves more questions than burning out in nursing....little things like: do I want to see my kids, do I want to have any patience with my kids, do I want a...

  17. Stat locks! Yay!

    Gail-Anne replied to SheriLynnRN's topic in General Nursing

    I wish my site did use stat-locks (I'm a PICC nurse). There's a lot of data on cost savings, fewer pulled out lines and even less phlebitis using them. The stats on needle injuries suturing are very...

  18. lab draws through central lines

    Gail-Anne replied to morrisonrn's topic in Medical-Surgical

    You have to flush first if it is a Groshong valve line (eg some PICCs) to activate the valve. Open-end central lines don't need a flush to work, if we have to take blood from a Hemodialysis line we...

  19. triple lumen PICC lines

    Gail-Anne replied to PICC chic's topic in Infusion, Intravenous

    PICC ACE, where are you placing 2 5fr PICCs? And I mean where in the arm....not where in the world!!! Are you tying up both arms with PICCs or using basilic and cephalic on the same arm? I'm thinking...

  20. Does "snowing" really exist?

    Gail-Anne replied to heyday's topic in Patient Safety Issues

    We also used the term "snow them" in psychiatry. When someone was acutely agitated, we would "snow" them with meds. (I'd say "put them to sleep," but I'd have to explain that I don't mean that in the...

  21. Stress and Depression

    Gail-Anne replied to RainDreamer's topic in First Year After Licensure

    I must agree with the replies that say to get to a Dr if this is continuing....I want to add... WALK to the Dr! No I don't really mean walk 12 miles, I mean get some exercise! We all think the last...

  22. Survey on PICC placement

    Gail-Anne replied to ghostcat's topic in Infusion, Intravenous

    In Canada, place PICCs with U/S using Modified Seldinger Technique. Work alone, place 2-3 PICCs a day usually, in-pts and out-pt (Ca Clinic usually). Only work in hospital, Rad has to read x-ray. I...

  23. 3 fr Non-groshong PICC with CLC 2000 cap

    Gail-Anne replied to cherricka's topic in Infusion, Intravenous

    I think you have covered yourself fine by letting Dr and Cancer people know the situation. However, the chemo nurse should not be giving chemo through this PICC without blood return, regardless of...

  24. Is this pt. abandonment?

    Gail-Anne replied to Nurseinthemaking's topic in General Nursing

    Work out your 2 weeks and...document,document,document! You don't want to be listed as "not for rehire", so work it out unless it's for very dire reasons. If you are concerned with safety issues, make...

  25. Analgesia with IV Start

    Gail-Anne replied to ogrern2002's topic in Infusion, Intravenous

    A couple articles that you may want to review: (put your medical librarian to work!) Fein J, Boardman C, Stevenson S, Sibat S; Saline with Benzyl Alcohol as Intradermal Anesthesia for IV Line...