MikeyT-c-IV

MikeyT-c-IV

Vascular Access

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All Content by MikeyT-c-IV

  1. Dual Lumen Midlines and Drug Compatibility

    Agreed. Having a lively debate at
  2. Does anyone have an opinion and/or any studies regarding the simultaneous infusion of incompatible medications in a dual lumen midline? Meaning, Drug A in lumen 1 and drug B in lumen 2 and the drugs...
  3. Rehab nursing - Yes or No?

    I have heard in the past, on this website, that some employers do not like to hire nurses who are looking to move from rehab to acute care. In my state, Oklahoma, many hospitals would appreciate any...
  4. Central Line Placement and Masks

    Yes, generally. I'm kind of lenient on this issue. If I am placing a PICC say, in a very large E.D. room and the family is sitting in a chair 10 feet away, no. In one of our small inpatient rooms...
  5. MSN In Leadership Programs

    I agree with Carrie_RN. Look at your in-state universities. You will take advantage of lower resident tuition fees plus probably get a similar quality education as some of the schools listed above. I...
  6. When to insert PICC/Central Lines?

    I would probably advocate for a midline or a PICC. It sounds like multiple meds are infusing. Given the nature of her vasculature and especially this pt's plan of care, I think a PICC would probably...
  7. PICC RN

    With the smaller veins, depending on assessment, I'll access the vein a bit closer to the AC area than I normally would since it's a bit more superficial. I always use the 1.75" IV cath that comes in...
  8. Use of Ultrasound Guidance for PIVs

    I've been placing USGPIV's for about 11 or 12 years. I'm on a vascular access team. I started using ultrasound a couple of years before I started placing PICC's and midlines. I haven't kept track of...
  9. Sick Leave

    My advice is to go to your doctor if you are unable to work due to illness and get a note. At least you will have a paper trail. I haven't called in sick for over 15 years! But finally this year I had...
  10. supra pubic caths

    Exactly this. Unless you have a contract to provide formal education this could be a bad situation a
  11. Medical Gloves Survey

    •Do you have a preference for a particular glove material? (if so, why?) I have used all three materials. The vinyl is horrible, difficult to don and too thick for certain assessments. I could...
  12. Survey Monkey Employer Surveys.

    Same. I'm in a 2 person department. So when they see our survey... well, you
  13. Compensation fair or not?

    I'm glad you posted this question. I've been curious about the ballpark figure for online adjunct positions. I think it would be worth it for the experience and an opportunity to figure out if it is...
  14. Valved picc fluids by gravity to slow

    Also remember a PICC is much longer than a PIV so there will be more resistance with the gravity flow. A regular PIV may only be a couple of cm long but a PICC can be quite long up to 55cm depending...
  15. slower paced MSN in nursing education

    I took online classes at a University in my State. I did not take the education route but I do know it is only 11 classes (3 credit hours each) and each class was around $315/hr. None of my books were...
  16. Anyone out there attend a RN to BSN program?

    I completed an online RN-BSN program a couple of years ago. Each course required a major paper, weekly discussion posts, and assigned readings. I had one group project (not a fan) that involved...
  17. Nurse, clean up aisle 5 (rant)

    Every time I go place a PICC I need to use the bedside table. More often than not, the table is a complete disaster and needs a good cleaning anyway. I'm happy to do my
  18. PICC line companies

    Agree with IVRUS. I've seen companies charge from about $300 to $650. Not to be too biased, the higher charging insertion rate usually involves navigation equipment and usually elimination of the...
  19. Staff Retention Policies

    Agree. The problem is, especially in the corporate atmosphere, even our CNO is powerless. The corporate chain of command above our CEO and CNO call the shots. I don't think they truly realize the...
  20. Robots perform surgery at some places these days.

    Here's a few links from my little world of intest. VascuLogic | VenousPro HaemoBot: Robotic IV Catheter Insertion | Salisbury Robotics Lab Robot-assisted needle insertion for venous
  21. I belong to two organizations related to my specialty. I find it useful to remain a member as I have access to research and information that may otherwise take years to obtain through my place of...
  22. Why is nursing school so strict?

    I agree. I completed an enlistment prior to attending nursing school. So for me, nursing school was no big deal. For some, I figure nursing school may be their first adult exposure to performance...
  23. Are picc line nursing the same as vascular access nusre

    They are known by many names... vascular access, PICC nurse, IV nurse... at least in my experience. So I think to answer your question, yes. This is also a very fun
  24. Suicide screening for all is not needed

    I agree 100% But this is a NPSG... so ya know... It must be done no matter how repetitive or
  25. New nurses without clear career goals

    When I was graduating nursing school I actually had it pretty easy. I worked as a buyer at a small rural hospital and already had prospects for a particular unit because they had amazing people...