This is a pet peeve with me. We usually don't find out that a patient is receiving Vanco until it is time to restart the IV or they have had multiple IV restarts due to the Vanco. Of course by then it is too late to place a PICC or the doc feels they will be sending them home soon. Of course then we find the patient is still here 2 weeks later with multiple bruises from attempted IV starts. Margaret M Nicastro, CRNI, OCN Coorordinator IV Therapy/Oncology Gettysburg Hospital 147 Gettys Street Gettysburg, PA 17325 Phone: 717-337-4312 Fax: 717-337-4485
________________________________ From: [EMAIL PROTECTED] on behalf of Cindy Schrum CRNI Sent: Wed 1/18/2006 5:12 PM To: [EMAIL PROTECTED]; [EMAIL PROTECTED] Subject: RE: FW: Million Dollar Nurse It's done peripherally here, sometimes for just a couple doses, sometimes more before they get a Picc. No way we can put a Picc in every patient getting Vanc. That's the perfect world . . . not here. Cindy Schrum RN CRNI IVTeam Coordinator Gaston Memorial Hospital Gastonia, North Carolina (704) 834-2707 >>> "Raye Dillon" <[EMAIL PROTECTED]> 1/18/2006 1:59 PM >>> 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 ----------------------------------------- This message and any included attachments are from CaroMont Health Inc. and are intended only for the addressee(s).The information contained herein may include trade secrets or privileged or otherwise confidential information. Unauthorized review, forwarding, printing, copying, distributing, or using such information is strictly prohibited and may be unlawful. If you received this message in error, or have reason to believe you are not authorized to receive it, please promptly delete this message and notify the sender by e-mail with a copy to [EMAIL PROTECTED] CONFIDENTIALITY NOTICE: This email may contain confidential health information that is legally privileged. This information is intended for the use of the named recipient(s). The authorized recipient of this information is prohibited from disclosing this information to any party unless required to do so by law or regulation and is required to destroy the information after its stated need has been fulfilled. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution, or action taken in reliance on the contents of this email is strictly prohibited. If you receive this e-mail message in error, please notify the sender immediately to arrange disposition of the information.
