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Search Results Type: Posts; User: iluvivt

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  1. Hanging vs Pushing IV Meds- Which do you do?
    You do not need to push the steroid through a filter first. I would venture to say that most hospitals do not routinely filter routine IV therapies because it does increase the expense of IV...
    Mar 7
    Forum: Nursing and Patient Medications
  2. Lifting huge laundry bags...
    What would your solution to the problem be? Do you really think they are going to hire someone to do that? My guess is a big "no" so try to make the job manageable as the previous poster suggested...
    Feb 9
    Forum: General Nursing Discussion
  3. Transportation of presription- narcotic
    Thanks for the update. I knew you would get cleared because you did nothing illegal. You did something compassionate in the line of duty to help another human being! You can be my nurse anytime. I...
    Jan 25
    Forum: Nursing and Patient Medications
  4. Sutter of Calif. does it again...
    Unfortunately, I think Dignity Health is following their example. They have recently robbed our pensions without any warning or bargaining,now the are cutting RNs from many non-mandated ratio areas...
    Jan 23
    Forum: Collective Bargaining / Nursing Union
  5. Pump vs. Gravity
    You are welcome!
    Jan 19
    Forum: General Nursing Discussion
  6. IV just stops
    try a BP cuff upside down and inflate to just below the level of the diastolic...then crimp off the tubing with a kelly clamp so it stays inflated ...plan to release immediately after you have...
    Jan 15
    Forum: Infusion Nursing / Intravenous Nursing
  7. My mom died just before Christmas - advice needed
    Your mom would not want you to waste the beautiful life she gave you! Live in a way that that respects her love for you and the gift that you now have because of her. I would carry with me a piece of...
    Jan 14
    Forum: General Nursing Student
  8. Math problems
    A quick way to do this especially if you are running out of time during test taking is to calculate the rate needed per hour and this case it is 100 ml per hour. Then depending on the drip factor...
    Jan 14
    Forum: Nursing Student Assistance
  9. Pump vs. Gravity
    It is the setting that you are in that makes this practice allowable and understandable.. There is no current standard that states that you must use a pump to deliver chemotherapy unless you are...
    Jan 14
    Forum: General Nursing Discussion
  10. Tech new to blood draws, needles
    You will have unnecessary exposure to blood or worse yet a direct puncture of a bloody needle if you do not LEARN how to use the equipment BEFORE you perform any venipunture! The fact that you tried...
    Jan 14
    Forum: General Nursing Discussion
  11. Two Days
    Look at the new policy closely and you will probably find that it is two occurrences per rolling calendar year. Yes! that is a very strict sick policy. I hate policies like this because they put a...
    Jan 8
    Forum: General Nursing Discussion
  12. IV just stops
    Yes...... I was just going to say you need to call the MD and tell him or her that you can no longer can obtain venous access due the poor quality of his veins and you need an implanted venous port...
    Jan 7
    Forum: Infusion Nursing / Intravenous Nursing
  13. IV insertion issues
    Yes! that is the one of the most common mistakes I see is that the angle of approach is too steep. In you patient population you need to be going in flush and then if needed adjust your angle. It...
    Jan 7
    Forum: NICU Nursing / Neonatal
  14. IV just stops
    1. Get the vein as full as possible bfore the venipuncture. Use a medical warm pack. In the elderly or with fragile veins a tight tourniquet is not the best way to go..better to fill the vein up with...
    Jan 5
    Forum: Infusion Nursing / Intravenous Nursing
  15. Reviewing Patient EMR After Transfer
    That is not a valid reason to be in the patient's chart just beause you are curious. Now if you forgot to chart something or are doing an audit or are asked to check on something or need some...
    Jan 5
    Forum: HIPAA and Nursing Challenges
  16. 8 month old baby dies because iv line could not be accessed
    Hyaluronidase is a medication that can be used to treat certain extravasations. In treating extravasations you generally want to either "spread and dilute" or "localize and neutralize. The...
    Jan 5
    Forum: General Nursing Discussion
  17. What would you do in this situation?
    I have done home infusion for a long long time. The feeling I am getting is that the agency has allowed this behavior to continue and you are not the first nurse to experience this. What you need is...
    Jan 4
    Forum: Nurse Colleague / Patient Relations
  18. Ethical question:
    Why are you concerned? Do you believe you are going against her wishes or tricking her? She is obviously unable to make her own medical decisions and is there for a receive nursing and...
    Jan 3
    Forum: Nursing and Patient Medications
  19. 8 month old baby dies because iv line could not be accessed
    One more thing that often helps is to expect that you may get little or no blood return in your flashback chamber. Depending on the device you have you can do a few things to give you a few more...
    Jan 3
    Forum: General Nursing Discussion
  20. 8 month old baby dies because iv line could not be accessed
    Don't forget about the scalp veins. The skin is thick and I usually need a 22 gauge unless I am going for the vein near the middle of the forehead. Sometimes during an emergency it may be difficult...
    Jan 3
    Forum: General Nursing Discussion
  21. Patient abandonment?
    As stated each state may have variations on this definition. In California you must accept the assignment first and then sever that relationship without giving reasonable notice to a supervisor or...
    Jan 1
    Forum: Nursing Issues On Patient Safety
  22. Hanging It Up
    Merry Christmas and may I say the warmest "Thank You" :) for all the patients that you have dedicated yourself to for so many years! As a long time nurse I know the hard work and dedication it takes.
    Dec 24, '13
    Forum: Retired Nurses / Inactive Nurses
  23. Family claims hospital's staff shortage responsible for fatal crash
    The problem from a legal standpoint is on of cause and effect. Was the cause her job? The hospital needs to have several sleep rooms that night nurses can check into...grab a few hours then safely...
    Nov 14, '13
    Forum: General Nursing Discussion
  24. Lipids at night
    It is in the home care setting you will see Lipids and a 3 in 1 mix hung at night In this setting it is usually to give the patient freedom during the day and increase their quality of life. In the...
    Nov 14, '13
    Forum: Nursing and Patient Medications
  25. Our hospital just gutted educational benefits
    Unless you have a union contract they can do what they want and your complaint will really have no effect at all. I would focus on changing how I see the situation and this is something you have...
    Nov 14, '13
    Forum: Nursing Career Advice