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Vicki_RN

Vicki_RN

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  1. Vicki_RN

    Practice Council

    Hi, do you have a Practice Council at your facility, and if so, what are the responsibilities/expectations of the staff member? Thank you!
  2. Vicki_RN

    M/S Nurse to pick up ED patients

    Hi, my med/surg colleagues would like to know if any nurses go to the ED to pick up their patients to decrease transfer times to the door? Thank you!
  3. Hi, We are evaluating our current practice of using sterile feeding tubes for pediatric VCUG's (5 and 8 fr). The radiologists prefer them because they work well and have no balloons, but I was wondering if others were using something different. Thanks!
  4. Vicki_RN

    Do you like your IV Pump?

    Thanks, Amyrae! Just the kind of input I'm looking for!:)
  5. Vicki_RN

    Do you like your IV Pump?

    Hi, We are looking into a new IV pump/pump system for acute adult, adult ICU, OR, Peds, PICU and NICU at our hospital. Is anybody happy with their large volume infusion pump or pump system that is used in a variety of patient populations? I have reviewed the ECRI material on pump comparisons, but would like some real-life input. Thanks!
  6. Vicki_RN

    Pediatric Code Carts in ED and pt weight

    We were cited for having the Broselow tape in the ED, because we do not have it on the peds carts in rest of the pediatric areas of hospital, and they are looking for "standardization" among all of the peds code carts. Our ED only uses the tape for weight estimation... we don't use the other calculations on the tape. The state just didn't like us to have the tape on one cart, and not the others. We don't need it on the others, because we know the weight of the child in the inpatient areas. We are looking to other ED's to see which weight estimation system they use, if they don't use the Broselow tape (or if they only use the tape for weight estimation). Thanks!
  7. Hi, For those in the ED who do not use the Broselow cart system, what method do you use to calculate pediatric weight for code meds? Do you use the 2X age + 4 method? Or 3X age +7? Do you use the Broselow tape for measurement of weight only, eventhough you do not use the Broselow cart system? We have been cited by the state for having a Broselow tape on the ED cart (we explained it was for weight determination only), because that is not the standard in the rest of the hospital. Thanks for any input.
  8. Vicki_RN

    Need your help re: isolation precautions

    Although it is from 2007, and the influenza needs to be updated (it's blank), the CDC has a document which states which isolation requiement is needed for each disease process. It is a long document, but it is in Appendix A, on page 95 of the document.
  9. Vicki_RN

    Blood simultaneously with other meds in the same IV

    Thanks for the info. I have read the AABB's recommendations and it is the comment on the "Circular of Information" that I was curious about that states "...unless a) they have been approved for this use by the FDA or b) there is documentation available to show that the addition is safe and does not adversely affect the blood or component." Just wondering if anyone has found this "approval" or "documentation". Thanks.
  10. Does anybody give any other medications simultaneously via the same IV when transfusing blood? The American Assoc of Blood Banks has a statement that says not to administer dextrose, lactated Ringer's or hypotonic saline simultaneously via the same IV as the transfusion, which leads one to believe that there are other solutions (i.e. antibiotics) that may be appropriate (otherwise, I think they would say that NO other solutions are allowed to be administered simultaneously). Just wondering if your transfusion policy allows for blood to be given with anything else via the same IV or lumen. Thanks!
  11. What is your policy regarding the dressing requirments for the parents of pediatric patients in isolation? Do you require that the parents wear masks all day long when staying in the room with their children? The N95 masks now required for r/o H1N1are unbearable if worn for an entire day, and we are wondering how others are dealing with this. Thanks!
  12. What is your policy regarding the dressing requirments for the parents of pediatric patients in isolation? Do you require that the parents wear masks all day long when staying in the room with their children? The N95 masks now required for r/o H1N1 are unbearable if worn for an entire day, and we are wondering how others are dealing with this. Thanks!
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