Thanks for posting this! I am a senior nursing student and love watching all you videos. Sometimes I am so overwhelmed and discouraged, but seeing amazing nurses like you reminds me what I hope one day to become! Thank you for all you do.
+LittleDorritt4Ever Hi love!! Thank you so so much for letting me know that the videos help. I was extremely overwhelmed too (and still am at times!) so your feelings are completely normal :) thank you again for such a sweet comment! I look forward to seeing you on here again soon! xoxo - Caroline
Please do not get discouraged. Nursing school is supposed to be learning and practicing but some....🤔 well most instructors eat their young. I'm an BSN, RN and I know that feeling all too well. Keep going, maybe one day they will be your patient. Then you can "show up and show out" how humble nurses really NURSE.
As a long term and rehab nurse ,there are any procedures i don't do as often as i would in hospitals, so some skills require some review in which you provide here . your videos are clear and to the point providing enough information so when i review facility policy it brings it altogether . Thank You so much .
I want to be just like you someday. you seem like one of the most passionate and caring nurses. It's very obvious you love your job, which is so inspiring. please keep making videos😍
I am a Paramedic and nurse. I have chosen to spend about 95% of my working experience on the ambulance. We are doing more and more nursing skills on the ambulance every year. Your videos are great refreshers, especially for those skills we don't do often pre-hospital, your videos are AWESOME!!! It seems each time I watch a video of yours within the next week or so, I have to perform that skill!!! How DO you do that?? Thanks so much!!! My patients and I BOTH appreciate it, even though they don't know it!!! Thx!! Robin Memphis TN
This video is super helpful along with the one for accessing a port a cath. I am a patient with a port a cath. I am hoping there are a few variables in this routine that are still acceptable as my nurses don't do every single step this way - like is it ok that they don't mask me? Or that the chlorhexadene soln doesn't dry for 2 minutes before accessing? They are awesome nurses and I have been fine, and I would feel uncomfortable bringing this up, which is probably silly! After all, I'm the one at risk for infection and other great nastiness, not them. But still...I need words!! How would I bring this up without sounding like a royal PIA ?!? I am totally & completely grateful for this channel, your amazing energy and true desire to help nurses succeed & support each other in a phenomenally difficult career! God bless you, woman!!! May you continue to find energy in giving to others - it can only help make the world a better, healthier place!!
I don't know if this will reach you - you posted a while ago. As a RN myself, I like it when patients say "I don't mean to sounds like a Diva but...." and then say what they want to say. I think it appropriately allows the patient to say something important to them while respecting my role in their care. Most of what patients say is important and appropriate care. I will try to accommodate their request of course.
thank you for taking time out of your life to teach us! I'm applying to the program on Monday and getting super excited to be part of that world. You're amazing and kind, it's very easy to detect by watching the videos. thank you Lana :)
Perfect. Thank you. You MAY want to make note that the heparin is "high dose" (I know you did type 100u/mL)...but to distinguish that this is DIFFERENT than a regular 10u/mL heparin flush, so someone that doesn't know won't get them confused. (Also, some hospitals don't have 100:1 flushes and you have to draw it up from a vial.) Thank you so much!! This was exactly what I needed!!
Your supposed to activate the safety at the same time removing the needle while its in the septum. Your method leads to high risk of needle stick. Poor method in video.
My homecare nurse removed my port a cath needle before flushing it and when I pointed it out he RE-inserted the same needle!!!!! He didn't wear two gloves and he put my chemo onto my couch and it dripped. I'm scared he did something very wrong. It hurt when the needle went back in. Did he damage my port a cath?
As a patient with a port, please don't apply pressure to try to stop bleeding once you've removed the needle. It HURTS! And it's not necessary. Just tape gauze on top and the bleeding will stop by itself. Thanks!
My mom have a port-a Cath She use to take chemotherapy She just started having issues with her port-a Cath (aching)after years of doing nothing to the Cath.My question is do my mom have to have this Port-a Cath removed she's cancer free.
Hello, good video. It would be helpful to explain that not all ports need heparin and not all facilities use heparin. I have a groshong port that does not require heparin. I had a picc prior and Cleveland Clinic does not use heparin to flush their lines. They use normal saline.
Dear nurse Caroline, I am a college student taking pre reqs at a community college I got a B for anatomy and I still have to take Chemistry, physiology, and micro biology. My gpa is 3.14 and I was wondering is its too low I'm scared and anxious. I know I still need other important classes but what is a good gpa for apply for nursing school? Please help Please help God bless you always my friend
+Enrique Caceres Hi Enrique! It is so nice to hear from you!! Honestly, it depends on a lot of factors. Many colleges use what is called a "point system" giving more points to certain (usually science) classes. The best thing to do is apply to as many different programs as you can: BSN, ADN & even LPN. With ADN & LPN programs there are a lot of "bridge" programs.... that can help you bridge to BSN (which is becoming the industry standard). Believe it or not, taking the LPN or ADN route and bridging does not take that much more time & you could potentially save a lot of money. Of course it is nice to gain acceptance to a BSN program and not have to apply to bridge programs... but no matter what, it is worth the time investment, whichever way you need to go :) I hope this helps!! xoxo - Caroline
Love your videos! Can you please provide us with a "cheat sheet" of the material list starting with the first thing we need to the last item on the used? Thank you! 😌
.... sorry, but this is not the way how to deactivate a safety needle. Normally it is deactivated during the extraction out of the port and not when it is already out of the patient (dummy in this case)
Thanks for posting this! I am a senior nursing student and love watching all you videos. Sometimes I am so overwhelmed and discouraged, but seeing amazing nurses like you reminds me what I hope one day to become! Thank you for all you do.
+LittleDorritt4Ever Hi love!!
Thank you so so much for letting me know that the videos help.
I was extremely overwhelmed too (and still am at times!) so your feelings are completely normal :)
thank you again for such a sweet comment!
I look forward to seeing you on here again soon!
xoxo
- Caroline
Please do not get discouraged. Nursing school is supposed to be learning and practicing but some....🤔 well most instructors eat their young. I'm an BSN, RN and I know that feeling all too well. Keep going, maybe one day they will be your patient. Then you can "show up and show out" how humble nurses really NURSE.
As a long term and rehab nurse ,there are any procedures i don't do as often as i would in hospitals, so some skills require some review in which you provide here . your videos are clear and to the point providing enough information so when i review facility policy it brings it altogether . Thank You so much .
Thank you for this! I have a portacath and am learning to do all my own access and medication/fluids at home, and this was really helpful.
They wouldn't let me do my own at home with my chemo disconnect even though my homecare nurse didn't even follow the protocol as well as I would.
I want to be just like you someday. you seem like one of the most passionate and caring nurses. It's very obvious you love your job, which is so inspiring. please keep making videos😍
I am a Paramedic and nurse. I have chosen to spend about 95% of my working experience on the ambulance. We are doing more and more nursing skills on the ambulance every year. Your videos are great refreshers, especially for those skills we don't do often pre-hospital, your videos are AWESOME!!! It seems each time I watch a video of yours within the next week or so, I have to perform that skill!!! How DO you do that?? Thanks so much!!! My patients and I BOTH appreciate it, even though they don't know it!!! Thx!!
Robin
Memphis TN
This video is super helpful along with the one for accessing a port a cath. I am a patient with a port a cath. I am hoping there are a few variables in this routine that are still acceptable as my nurses don't do every single step this way - like is it ok that they don't mask me? Or that the chlorhexadene soln doesn't dry for 2 minutes before accessing? They are awesome nurses and I have been fine, and I would feel uncomfortable bringing this up, which is probably silly! After all, I'm the one at risk for infection and other great nastiness, not them. But still...I need words!! How would I bring this up without sounding like a royal PIA ?!? I am totally & completely grateful for this channel, your amazing energy and true desire to help nurses succeed & support each other in a phenomenally difficult career! God bless you, woman!!! May you continue to find energy in giving to others - it can only help make the world a better, healthier place!!
I don't know if this will reach you - you posted a while ago. As a RN myself, I like it when patients say "I don't mean to sounds like a Diva but...." and then say what they want to say. I think it appropriately allows the patient to say something important to them while respecting my role in their care. Most of what patients say is important and appropriate care. I will try to accommodate their request of course.
thank you for taking time out of your life to teach us! I'm applying to the program on Monday and getting super excited to be part of that world. You're amazing and kind, it's very easy to detect by watching the videos. thank you
Lana :)
+hulu231
Hi Lana!
Your comment is much appreciated.
Thanks for the compliment too.
It means so much.
Can't wait to hear from you soon.
-xoxo
Thanks so much for all you do! Your videos have really helped me during my capstone. 70 days to go :)
Perfect. Thank you. You MAY want to make note that the heparin is "high dose" (I know you did type 100u/mL)...but to distinguish that this is DIFFERENT than a regular 10u/mL heparin flush, so someone that doesn't know won't get them confused. (Also, some hospitals don't have 100:1 flushes and you have to draw it up from a vial.) Thank you so much!! This was exactly what I needed!!
Great vid... At my facility we first flush with 10 ml NS and follow with 500u heparin before de accessing
+I love my lab Awesome!
Thanks so much for sharing!!
xoxo
- Caroline
Your supposed to activate the safety at the same time removing the needle while its in the septum. Your method leads to high risk of needle stick. Poor method in video.
This is Great ..I'm a CNS in NZ ..this is excellently presented
My homecare nurse removed my port a cath needle before flushing it and when I pointed it out he RE-inserted the same needle!!!!! He didn't wear two gloves and he put my chemo onto my couch and it dripped.
I'm scared he did something very wrong. It hurt when the needle went back in. Did he damage my port a cath?
As a patient with a port, please don't apply pressure to try to stop bleeding once you've removed the needle. It HURTS! And it's not necessary. Just tape gauze on top and the bleeding will stop by itself. Thanks!
Yeah it’s really tender after the needle comes out
Great video! Please do more skills videos, you teach and explain way better than most teachers I have had. Love your videos!
+Eddy Allenby
Hi Eddy!
Your comment is much appreciated.
Keep posted for more.
Thanks a lot.
-xoxo
My mom have a port-a Cath She use to take chemotherapy She just started having issues with her port-a Cath (aching)after years of doing nothing to the Cath.My question is do my mom have to have this Port-a Cath removed she's cancer free.
Hello, good video. It would be helpful to explain that not all ports need heparin and not all facilities use heparin. I have a groshong port that does not require heparin. I had a picc prior and Cleveland Clinic does not use heparin to flush their lines. They use normal saline.
Ya my cancer center as well stopped using heparin as well on us patients awhile back.
Great video. I shared it with a new RN dcing mediport access for the first time. 😁😁
hi the videos on porta-a cath have been very helpful good infomation and clear direction thanks
You should also clamp and clean the line between the saline and heparin
Thank you from the next of kin of a home-infusion pump user.
Dear nurse Caroline,
I am a college student taking pre reqs at a community college I got a B for anatomy and I still have to take Chemistry, physiology, and micro biology. My gpa is 3.14 and I was wondering is its too low I'm scared and anxious. I know I still need other important classes but what is a good gpa for apply for nursing school? Please help
Please help
God bless you always my friend
+Enrique Caceres Hi Enrique!
It is so nice to hear from you!!
Honestly, it depends on a lot of factors. Many colleges use what is called a "point system" giving more points to certain (usually science) classes.
The best thing to do is apply to as many different programs as you can: BSN, ADN & even LPN.
With ADN & LPN programs there are a lot of "bridge" programs.... that can help you bridge to BSN (which is becoming the industry standard).
Believe it or not, taking the LPN or ADN route and bridging does not take that much more time & you could potentially save a lot of money.
Of course it is nice to gain acceptance to a BSN program and not have to apply to bridge programs... but no matter what, it is worth the time investment, whichever way you need to go :)
I hope this helps!!
xoxo
- Caroline
Enrique Caceres stop watching so much TH-cam and study more
Why do I have to flush the port first?
Prevents clots from forming & keeps the port patent.
I'm just a patient learning how to not depend on nurses for everything. My port doesn't even flush, though.
No one tells you how much😢 accessing a port hurts really bad .taking the needle hurts also.
Keep going, girl!
Love your videos! Can you please provide us with a "cheat sheet" of the material list starting with the first thing we need to the last item on the used? Thank you! 😌
.... sorry, but this is not the way how to deactivate a safety needle. Normally it is deactivated during the extraction out of the port and not when it is already out of the patient (dummy in this case)
very informative
If only you knew how much pain direct pressure is over a port that just had trauma. Don’t do that unless you like to hear your pt. screaming in pain.
Thank you!
skip to @1:23 for how to access a PAC
👍
oh God wrong technique
Don't start all your sentences with "So." It's really irritating.
Thank you ❤