MikeyT-c-IV

Agreed. Having a lively debate at work.

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 are not compatible. I once had great access to EBP...

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 nurse... I frequently check out the various job web...

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 everyone wears a mask.

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 finished earning my MSN in Leadership this August ...

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 be best. Remember though, your docs are going to be...

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 our kit so I can cannulate and not worry about los...

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 how many central lines we have avoided due to utili...

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 to "call" in sick... well, I was in the ICU on th...

Exactly this. Unless you have a contract to provide formal education this could be a bad situation a brewin'.

•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 go either way, nitrile or latex for non-sterile use. I ...

Same. I'm in a 2 person department. So when they see our survey... well, you know.

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 your thing. If not, 16 weeks will fly by.

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 on the size of the patient. The 5fr Bard Solo, each...

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 expensive, most of them I rented. I went part tim...

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 creating a powerpoint presentation. I found that I was m...

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 part.

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 chest x-ray. The lower rate companies may use a not-so...

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 impact of adequate nursing staff. Or, why would they c...

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 catheterization

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 employment. I'm a nerd like that. Consider the value o...

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 standards, strict rules, and professionalism.

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 job.

I agree 100% But this is a NPSG... so ya know... It must be done no matter how repetitive or inadequate.

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 working there. And as luck would have it, they had an op...