MXRobRN

There certainly are still central lines being used nowadays that still require heparin flushes. Non-solo power PICCs without anti-reflux valves, tunneled PICCs, ports, and IJ's (not really dialysis caths, they use sodium citrate I believe) are some of the lines we have to heparinize. Institution policies vary of course, but that wasn't the TC's question. I have seen RN's pull back to waste heparin in the line before accessing it. I do it occasionally myself, especially if the line is being declotted with alteplase. Correct me if I'm wrong, but I don't believe there's much evidence either way on whether or not it results in lessening the risk of a hemorrhagic event for the patient. However it's good practice to always ask yourself a few questions before accessing a line that requires heparin. Have there platelets been downtrending (could indicate HIT) or are they thrombocytopenic? How is their H&H? I wouldn't waste much blood (if any) if very anemic. How often are the flushes being performed? You would not necessarily want to heparinize a line that's being accessed excessively for abx, etc. Could this line run normal saline at KVO if that's the case? If someone else was able to find evidence either way that would be great! But as it stands for me it is a nursing judgement thing. You really don't need to waste much blood to clear the line of heparin anyway, 1-2cc would ensure most all of its cleared.

Free ECG Simulator! - SkillSTAT This is a great website I like using to brush up on my rhythms.

You certainly stand a better chance then if those B's were in any of the science pre-reqs. Like the above poster said, it depends on the number and quality of applicants for this particular program as well as how much they weigh other factors, like volunteer/hospital experience, pre-nursing testing, etc. If you hadn't had the opportunity to attend an information session on your community college's nursing program, I'd encourage you to do so and ask how their admission criteria is weighed.

Assuming it's dose adjusted based on the the patients BMI (per pharmacy), there is nothing wrong running that rate of fluid through a PICC, as others have said. Oftentimes I see those 500cc Vanco bags ordered to run in over 1.5 hours, which is an order I prefer not to see on pt's that only have peripheral access. Pharmacy times it that way for a reason, though.

You'll look back when you're ~30 and realize how silly a question this is, lol. No, you're definitely not too old.

500g paracentamol would be over 1500 pills if the dosage came as 325mg tabs. Clearly it was a typo, guys.. whether the OP realizes it or not.. No amount of mucomyst would save that patient.

Simply not true, at least not where I work. Act with prudence and professionalism and people will respect the value you bring.

She's absolutely right though..

I absolutely recommend it. It has tons of quality multiple choice and SATA questions with excellent, easy to understand rationale. I'm not huge on mneumonics but it had a bank full of useful ones as well. Also, the way that you can organize answered questions into "know, somewhat know, and don't know" categories makes it super easy to go back those questions at a later time. I used that app and the Saunders 5th edition NCLEX-RN book almost exclusively when studying and passed with 75 this past June. They also offer that 2x money back guarantee so that's pretty reassuring too. Good luck!

No need to double glove, it won't save you from a needle stick! Just utilizing universal precautions, being especially cautious with needles, will protect against transmission.

Congrats! Your story sounds very similar to mine! :)

All the stories I have read indicate that the trick still works and you, unfortunately, have not passed. You can keep hoping it's an error, but I would begin preparing a remediation plan to retake it if I were you. Also, I think it may be against site ToS to have a title in your username you have not earned yet. Just a heads up.

Try not to be discouraged. I wasted my time and took a few classes at EMU and applied to their accelerated BSN program with a high point value and did not get in. Afterwards, I applied to UDM, began shortly after, and a year later had my BSN with a 3.81 GPA. Being denied acceptance from a university that utilizes these terrible point systems in no way indicates your academic capabilities and potential as a future nurse. Stick with it!