CathInfo.com

Nursing homes do not insert feeding tubes, at least gastric tubes surgically to the abdomen, but 60% of patients there have them for feeding patients!!  All nursing homes now have IV therapy with IV's, PICCs, or other access provided by out side vascular vending companies. This I can attest to - at least in the northeast. I don't know where you get your IV pump statistics , but they are incorrect.

Hunh.  So medical practices & administrative policies differ between the U.S. Northeast where Ms. Menendez is employed, and wherever ‘confederate catholic’ is employed.  May readers assume that it's at least somewhere south of the Mason-Dixon Line (I vaguely recall him disclosing his place as being in Texas)?

As a mere layman over just the past few years, I've been given compelling reasons to learn much more than I ever wanted to know about how certain aspects of medicine are practiced.  So perhaps I can offer a little relief for readers from some crucial medical jargon above in this topic.  Of course, I am not offering any medical advice of any kind:

• IV: intravenous: (adj., but often used as a substantive) literally "into a vein": Its sharp end is inserted thro' the patient's skin into, ideally, what laymen might call a "juicy" vein, so that whatever fluid is pumped (or otherwise caused to flow) thro' a thin supply tube is promptly transported by natural action downstream to the heart, usually for distribution to the rest of the body, using the arteries.  Nowadays, that sharp end is a catheter, loosely equivalent to a metal needle, except that it's composed of some kind of flexible plastic, and thus much safer for a conscious (or even ambulatory) patient than a needle would be.  Especially if that patient needs freedom to move his arms, because in what might be medically the "best circuмstances", a perfectly functional arm seems to be the default choice for placement.

• PICC: peripherally inserted central catheter: It's a grander kind of i.v., but "central" because unlike routine i.v. tubes, what's progressively inserted is a lonnng catheter that extends through increasingly higher-volume veins, stopping at a direct entrance to the heart, the operationally central part of the mammalian circulatory system.  It's "peripheral" because it's inserted in 1 of the patient's limbs, typically an arm, but maybe a leg (or maybe even the groin).
For expert discussion of details of the latter, see, e.g., <https://www.mayoclinic.org/tests-procedures/picc-line/about/pac-20468748> [†].

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Note †: For readers who believe that it's prodent to trust Wikipedia on medical topics, it offers its own article: <https://en.wikipedia.org/wiki/Peripherally_inserted_central_catheter>.

NC/SC area me.

Yes for important Dr appointment is Heart minister stuff.

No for routine diagnostics those are done by vendors.

Also Alligator there's a 15 state nursing consortium which recognizes other nurses licences. Most 'big states' do not allow other nurses to operate in their states. Mostly because they are very restrictive on who can do what. It is essentially a way of charging extra money for services. For example in most states anyone with a simple CNA may be trained in a hospital to do blood draws. Never happen in NY. I have my national phlebotomy licence but I am sure that NY would make me do something that requires a state certification just because they can