RazorbackRN BSN, RN

As many have stated, it varies by state and by facility. Our Nurse Practice Act in our state will allow an LPN to access a central line, however, the hospital where I work will not.

You do know that fen-phen is two different drugs, right? It was the "Fen" (fenfluramine) component of the combination that was so dangerous and causing PPH, etc, and was pulled of the market. The phenterimine is still used today, and so far, has ha...

It is highly recommended to forego employment during school if you are able. I can believe that counselors would say that. Nursing school demands a lot of your time. It is also not flexible. They don't care if you are tired or behind on your work...

You are correct. I bet it doesn't happen much. I think the point here is, you maintain the most sterile enviroment that you can. I firmly believe that nothing is 100% sterile. Once it has been exposed to air, (regadless of negative pressure, etc...

Why would they need to make them completely sterile? Unless you are needing the exterior of the syringe to be sterile, then it doesn't make sense and surely wouldn't be cost effecient. I would think it would be better to just draw up your saline fro...

Obviously, the plastic overwrap isn't sterile. The syringe itself isn't sterile either, because it has been placed in only a plastic overwrap which isn't a completely air-free seal. However, the internal contents of the syringe (including the plunger...

I'm not familiar with your exact practice, however, I will say that we frequently use an Insuflon cath for Lovenox injections (basically the same concept, sm. butterfly like used sub q). Our pt's still complain of the burning sensation...

Gosh, I love trach care! I know, that's gross, but I really love getting that cannula clean! The brush is primarily used for the outside of the inner cannula and around the lock hub. The pipe cleaners are for inside the cannula.

JCAHO surveyors (entry level may be MSN though, I'm not sure)...I think this would be a totally cool job.

The term bolus doesn't have anything to do with the amount of time the infusion is administered. It has to do with volumes and doses and means giving a specified amount above and beyond, or in addition to, the current amount. For example: ...

Your legal, professional title will always be RN, whether you are a DON, Clinical Assoc., or whatever. You can check with your state's board of nursing, but I know that in most states, if you are functioning in the role of your professional title, y...

Just FYI, that's not a HIPAA regulation. Some facilities have internal policies regarding disclosing diagnostic information prior to MD to family notification. However, this is not related to HIPAA, this is due to professional liability issues and ...

Just in case you haven't figured it out yet, when you post on a public internet website asking a question, you are going to get multiple responses. People also tend to provide their reasoning behind the answers. Also, some people are kind enough to a...

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That would be because they "don't know how" to answer it... For such educated people, some of them are real dummies.

Personally, I think you sound like you're on a power trip. Get over yourself and give these aides some guidance rather than being the "postal" nurse you have self-described.

i also thought careplans were the biggest joke, but once i graduated and started working, i realized how well those careplans had help me prepare to think critically. a few years later, i still remember the pain of the work, but i also still reap the...

I think a lot of it depends on the parent and the enviroment. If we admit the kid to the hospital, of course we let them go to sleep. We just really watch the neuro status closely by waking them frequently for neuro checks. If the kid is not goin...

nevermind

22ga PIV placed in L hand x 1 attempt, + blood return and flushes without resistance. Secured with tegaderm and tape, protective tent applied. Heplocked per protocol. Pt tolerated s complication. Will con't to monitor.

I used to be scared (more like intimidated) to talk to them, too. I just started picturing them sitting on the pot or wiping their butt. I figure if they do that, they can't be that much above me.

One more thing - a little OT - in reference to this comment: "I still CANNOT believe that the pharmacist even seemed mad at the MONEY it cost when I wasted the patch.....(like it comes out of HIS paycheck??) " Ultimately, it does come out of all of o...

Well, personally, I would've changed the patch. Mainly because she came from another facility and I don't like continuing a medication that I, or my colleagues, @ my hospital didn't initially administer. This is completely a personal thing, nothing e...

Also, remember that writing doesn't have to involve a pen and paper. Writing is also expressed via emails, texting, and other electronic communication methods.

I agree 100%. Our hospital also does acuity-based staffing and I truly believe that is why our pt loads are so reasonable. Of course, the RN for the pt actually assigns the acutiy levels (not a manager who hasn't cared for the pt), so I'm sure thi...