so am i to understand that every patient who gets vanc ordered gets a central line of some type or are others just not speaking up. maybe its because kids have such great vein integrity but its a fact that we just dont see problems with vanc administration peripherally and we give it fairly often or maybe its because its only given short term peripherally.
>>> "Autym Didsbury" <[EMAIL PROTECTED]> 1/18/2006 1:54:21 PM >>> We run in to this issue often in home care... One pharmacist tries to justify this by saying "they do it that way at the hospitals." Bottom line, we are each responsible for our own nursing practice, regardless of what "everyone else" does. I can easily imagine an attorney saying "so as a CRNI you were aware that Vancomycin can cause tissue necrosis with extravasation, but you instructed your staff to do this anyway?" In my opinion, and in accordance with INS, if the pH isn't between 5-9, this is not good practice. Obviously, if the pH of the Vanco is within this range, it's a different story, but that's not the case for us. -----Original Message----- From: Raye Dillon [mailto:[EMAIL PROTECTED] Sent: Tuesday, January 17, 2006 11:43 AM To: [EMAIL PROTECTED] Subject: Re: FW: Million Dollar Nurse i work on peds and we give vanc through a peripheral line all the time. we cant be the only ones. >>> "Chris Cavanaugh" <[EMAIL PROTECTED]> 1/17/2006 6:39:13 AM >>> This may be a great way for us to share our infusion knowledge with staff nurses...."no, it is not OK to give Vanco through that PIV..." Chris Cavanaugh, CRNI -----Original Message----- From: David W. Woodruff, MSN, RN [mailto:[EMAIL PROTECTED] Sent: Tuesday, January 17, 2006 12:07 AM To: Chris Cavanaugh, CRNI Subject: Million Dollar Nurse Dear Chris, On January 18, 2006 all subscribers to the Nurses' NewsWire will be automatically subscribed to the new Million-Dollar-Nurse listserv. This new resource will provide you with more opportunities to learn, share, and grow as expert clinicians. Million$Nurse is a powerful internet-based resource that consists of a resource-packed website (www.Million-Dollar-Nurse.com) and an e-mail discussion list (listserv). Providing you with the resources that you need to be able to provide extraordinary care is what the Million$Nurse listserv is all about. If you want to provide extraordinary nursing care, then you need to incorporate the four domains of the Million$Nurse process. They are: 1. Leadership: the ability to influence. 2. Design: the key to extraordinary care. 3. Talent: developing your personal-power. 4. Trends: anticipating new directions before they happen. Nursing practice that integrates the four domains is powerful. It can make the difference from you just putting in your time at work to transforming you into a change agent. As a member of the Million$Nurse e-mail discussion list you will get: ***Access to nurses all over the world to share ideas, and develop better care strategies. ***Weekly "Mentor's Moment" message from David W. Woodruff, MSN, RN, CNS, CCRN, the mastermind of the Million$Nurse principles. ***Access to clinical tips, EBP techniques, and other resources. As a subscriber to Nurses' NewsWire you will be automatically subscribed to the Million$Nurse listserv (it's still free). If you do not wish to take part in the listserv, please send an e-mail to [EMAIL PROTECTED] asking to be removed. You can also unsubscribe at any time using the commands found in your welcome e-mail. I look forward to your participation in this wonderful opportunity, and I know you will find it valuable in your quest to become extraordinary! Best wishes, David W. Woodruff, MSN, RN, CNS, CCRN President, Ed4Nurses, Inc. www.Ed4Nurses.com If you no longer wish to receive communication from us: http://autocontactor.com/app/r.asp?ID=22994852&ARID=41441 To update your contact information: http://autocontactor.com/app/r.asp?c=1&ID=22994852
