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Couple of days ago one of my I recieved an email asking where she can get the download for Micromedex, well that made me think, and thought it can only be downloaded by Medical Professionals who’s company has affiliation with Thomson.

I was wrong. when I went to their website I found out that a medical student(any field) can download Micromedex. Well I dont know with the general public, anyway maybe they can download it but for what use to them? reference of course but of little use. I am thinking general can override micromedex registration by placing there that they are still students(but do it! since thats not good!)

 Anyway heres the link to Micromedex Download site and all you have to do is register and there you go medical things in your palm. don’t forget your registration, because whenever you sync your device you might need the password and username in updating your Micromedx, Since it updates whenever you sync you device..

 So there it is you are now ready to use one of the limousine of medical PDA Software.

Manikin Face Shield by Laerdal

I went to CPR Class last month and I found this product great for CPR practice and use. Its called Manikin Face Shield made by Laerdal. It is a piece of plastic roll and u can tear it like rolled tissue paper where at the center of it you can find a barrier where you can blow in during CPR. All you have to do is place the face shield over a CPR manikin head with barrier on top of the manikin’s mouth for Mouth to mouth or nose respiration/ventilation(shown on picture) and after use discard the shield. and thats it!

The advantages for this is that it prevents you from kissing the mouth of the monilkin and prevents you from contacting microorganism from previous persons who used the manikin before.

 Pictures at the left shows you on how to use the product. So CPR is now safe.

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PICC (pheripherally Inserted Catheter) usally inserted for long term use especially if the patient will go home with IV medicine, its the same with TLC (Triple Lumen Catheter) where patients can take it home but its so seldom for patients to go home with it. PICC line can be inserted by IV Nurses while TLC can only be inserted by MD’s sometimes under flouroscopy(with aid of xray monitor) While most IV nurses insert PICC with the use of ultrasound. Some MD’s insert TLC by blind shot, that MD must be good! The advantage about these lines is that it can help medical professionals especially nurses in drawing blood and giving medications without problem.

 Thanks to these lines this makes the life of nurses too, especially if the patient is obese, edematous, and hard stick. Just imagine yourself being stuck everyhour for blood draws and IV restarts? thats tough and hard work. So its better to have those lines on patients.

 Both lines are easy to manage but TLC is more dangerous and PICC is lesser  but could be dangerous too. CAre for these lines shoudl be meticulouse too you should clean them before using and load it with heparin to prevent from quiting.

I work in a floor where we admit almost all kinds of surgery patients from cardiac surgeries, to brain surgeries, to orthopedic surgeries, as well as trauma cases, transplant patients from kidney, liver, heart and lung(the last two are our specialty)… well Medical patients are not an exception as long as they meet the criteria for Temetry we take them. Especially those CHF(congestive heart failure), DVT’s, Vascular patients, Pulmo Embolism, etc etc etc etc(i would say)

 Anyway this is my first time to have a patient with a rectal catheter on. It looks the same as the the foley with a tube for infalting the ballon in the rectum and a big size tube that drains to the bag.

I think this is great for patients who are having diarhea all the time… the ones I’m referring is the real diarhea where you can can apreciate a clear liquid number two. the disadvantage of it is that the tubing can be kinked and must be placed over the leg. overall I can say this is a great invention and still convenient for health workers to manage and deal with, as well time saving.

I will review your hospital products, gadgets, electronics, etc for free or for fee.

I like to review hospital products or gadgets, though I am not paid but I think it will be exciting if some company out there would want me to review thier product for a fee I would gladly do it but I can also review products for free. for now I am not for a fee b/c I am not noted for doing it but if somebody our there would let me review their hospital product for free or for fee I would gladly do it and even do it couple of times since I have lots of idle time.

 I am a nurse in a large medical center and If you  can send me your product for use in our unit that I think will help me formulate the review. 

 For now I’m content reviewing hospital products on our unit. Wating for your product for me to review.

One of my patient last night was a new LVAD implanted patient like 7 days ago and I am surprised at how the LVAD machine sound. I cant hear any squeky bearing or something inside anymore. Its just that I can’t believe the way it sounds. Maybe it became so ifficient that its more quiet than the pld LVAD’s I have taken care of. I don’t know why he got an LVAD, his age is not transplantable anymore. This patient has an end stage CHF and LV is non compliant maybe and maybe because the relatives and significant otheres are so optimistic of patients’ recovery that they persuade the MD to do everything and maybe they got what it takes to sustain a patient on an LVAD, that ,made the MD’s decide to place an LVAD on that patient. I don’t know if he is transplantable but to my knowledge and reading he is past borderline.

Anyway LVAD’s are lifesavers for patients who are cardio-pulmonary compromized. i’ve seen lots of patients on it and they had a nice and fruitful life. I have this patient before he is really really sick that he cannot walk,   short of breath though resting with multiple liters of Oxygen going and you can say he would die in a week… but you know what after a month of having the LVAD on him he was able to walk gradully and I did’nt even knew that he is a funny man, adn good man. When he was discharged he was walking  withoud difficulty.

It’s fascinating isn’t it? I hope one day LVAD will go nano too.

ALCARE Antiseptic Handrub

You can buy all those antiseptic hand wash or hand sanitizer but will not able to get the satisfactio ALCARE PLUS can give you.  This ALCARE plus antiseptic handrub with emolients made by STERIS Corporation., in ST Louis Misouri. Its a foamed antiseptic handrub and it is a non hand/skin drying agent unlike those alcohol based handwash that dries your hand after couple of minutes after use. Though this product has 62% ethyl alcohol but still it soothes your skin.

 When you use this product you don’t have to wash your hand anymore, though still handwashing with water is still the best. But when you get busy and have no time to wash this product ALCARE Plus can sanitize your hand.

Most of our rooms are here at Baylor has an easy access to ALCARE Plus that even patient and family can use it too since its accessible and easy to use.

Patients in the hospitals should not just lie in their bed and do nothing they should walk! Why? because complications is far worse than the presenting illness if they will not walk. But its a hazard to the patient to walk in the hospital because the floor is slippery and sometimes its filled with fluid from blood or any body fluid thatsspilled on the floor or maybe just water. 

And most of these patients should walk around the hall especially those who are status post heart transplant, lung transplant, heart surgeries, Lung surgeries, or any other surgery they need to walk to prvent them from getting complications like DVT’s, Deeep Vein thrombosis, Myocardial Infarction, Stroke, Heart Attack, Thrombosis, PE, pulmonary Embolism, etc.

 Anyway these patient needs some aid so that they will not fall on the floor while ambulating, especially if they have lots of medical gadgets attached to them.

This aid that I’m talking about is the Terry Slipper Socks. this can prevent them from falling bacause it has rubber padding at the bottom of these socks. And its double purpose because it keeps their foot warm too. I endorse this product very much primarily for the purpose of patient safety which is the national goal of JCAHO.

 *** all written in this blog are my personnal opinion and Im writing for the benefit of good not to dishonor anybody.

I was looking for a tape the other day and found this Cath-Secure Dual tab… good timing I’m going to my patient who has a Foley catheter whereint the cath tape is removed from the skin. The product is great! it sticks to the skin properly and holds the cath in place….

 Nice product! Makes the life of nurses convenient. I hope this will be included in the Foley Catheter pack.