Hi I have been at er/ccu nursing 25 years I would love to work at a place the kept checking standards of care, I can only imagine what a pain in the behind...
Nurse Bob's Critical Care Nursing Group Policy Nurse Bob's Critical Care Nursing Group Mail Policy The policy of Nurse Bob's Critical Care Nursing Group is to...
nursebob@yahoogroups....
Feb 1, 2007 4:23 pm
3606
Are the nurses out there giving vancomycin enemas? Can you tell me how you give them? Do you do it as a retention enema or through a foley. Since most...
Dale DeMille
Dale.DeMille@...
Feb 1, 2007 11:56 pm
3607
the vanco enema is easily done with the rectal tube system --- because there is a flush port and then I suppose if it is to be retention you could clamp the...
Thanks Caroline. Caroline reyna <cpr1967@...> wrote: the vanco enema is easily done with the rectal tube system --- because there is a flush port and...
Hey, Ron, Sorry for the late response (and if someone else has answered this, sorry...too much email, too little time [to read]). Think of it this way: if you...
Hello, Could someone explain for me the rationale for holding pressure directly at site or just above the actual site after removing sheath from a heart ...
Hi there As I understand it, it goes something like this: When the interventionalist goes in at an angle, the puncture site of the vessel ends up being higher...
Marsha, That's always been a debate in my unit and we do it both ways. I myself prefer to hold pressure just above the puncture site, after palpating the pulse...
When the physician places the sheath into the femoral artery, it is done at an angle towards the head. The hole in the artery will therefore be slightly above...
I thought it was Radi Medical's recommendation to place the femostop 1cm distal and 1cm medial to the puncture site. Have they changed that? Thanks Melody...
Good question, actually - I have never been taught that, but I've only been in the unit for a few years...and I believe that the bladder of the femostop is...
Dale, I just checked with a co-worker who confirmed that the femostop bladder should be placed above and medial to the actual puncture site, due to the...
Thanks Melody, Yes... we do use the femostop directly over the puncture site, after finger pressure and the bleeding stops so that we can observe for any...
We just recently learned how to pull arterial sheaths in my unit over the last couple of months and from the way we were instructed, Dale is absolutely...
Lisa Sochulak
lisasoch72@...
Feb 6, 2007 3:53 pm
3623
I was taught to go above the site and feel for the pulse. This way you know that you have the right area. If you can't feel the site we use a Doppler and...
robin jarvis
rjarvis@...
Feb 6, 2007 6:46 pm
3624
so on the femostop would your site still be covered with the bladder if going above and medially? also, what is a arterial sheath? Thanks, new to the unit ...
djverville@...
Feb 6, 2007 7:18 pm
3625
Yep...out femostops have a good sized bladder on them that (usually) covers the insertion site, even if centered above as Dale and I were discussing...it is...
thank you Mel. [Non-text portions of this message have been removed]...
djverville@...
Feb 6, 2007 10:19 pm
3627
Hey thanks for the compliments guys. I only know so much about the femostop because I had to educate everyone on it! It's a great product when used correctly....
Why do you pull the art line before the venous sheath? Also, I heard if you pull both simultaneously there's a risk of developing a pseudo aneurysm...Could you...
KIMBERLY A. TYJESKI
iamkimberlianne@...
Feb 7, 2007 5:04 am
3629
If you pull the venous sheath first you have to hold pressure, even though it is not as much pressure or as long a time as the arterial sheath it puts pressure...
robin jarvis
rjarvis@...
Feb 7, 2007 8:27 am
3630
I actually had to look this up... My Mosby dictionary defines aneurysm as a localized dilation of the wall of a blood vessel. It may be caused by...
For someone that hasn't worked with sheaths, tell me why they leave them in instead of just pulling them after the cath? I wanna say we use perclose devices...
djverville@...
Feb 7, 2007 6:05 pm
3632
Very helpful. Thank You. Kim T Melody Morris <medicmel@...> wrote: I actually had to look this up... My Mosby dictionary defines aneurysm as a...
KIMBERLY A. TYJESKI
iamkimberlianne@...
Feb 7, 2007 6:18 pm
3633
While we are on the sheath topic, let me tell you about my sheath night yesterday. Pt was in EP lab for an ablation and had a bleeding issue that required...
There can be many reasons. I work midnights and we get pts. with sheaths mainly because the cath lab doesn't wait around for the pts. ACT to get below 150....
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