iluvivt

iluvivt BSN, RN

Infusion Nursing, Home Health Infusion

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All Content by iluvivt

  1. How do I survive this schedule?

    How is your schedule set up? Do you have three 12 hour shifts in a row.Is is12hours of work and an hour lunch? If you have several long shifts in a row..you must prepare.I get all my clothes...
  2. What is it specifically that you are are finding overwhelming during orientation? You must know that nursing school just prepares you minimally to be a nurse so that you are a safe practitioner.All...
  3. Y connector compatibility chart

    Best IV medications book is Called Intravenous Medications by Betty L Gahart.There is a new every year and there is a Compatibility section for each
  4. Enterally-administered TPN?

    It would have been devastating if it was the other way around and enteral formula had been administerered via a central line. In fact, a patient died in Oakland during a nurses strike when a strike...
  5. New grad ..irrigating a foley

    It's a piston syringe and as long as it was sterile you are
  6. Verbally Abused

    Just remember the investigation is just an attempt to gather facts. Calmly explain what happened. A decent manager will clearly see this was not intentional and you became distracted by her abusive...
  7. FMLA changed mind about when to come back

    Do you have official paperwork that states you are allowed the 12 weeks then they can do nothing about it but change the schedule. Work will always be there so when you get a chance for time off never...
  8. IV training for RN

    IV Therapy is a lot more than just getting into veins Do not misunderstood me though that aspect of it is skill that is unbelieveably valuable. You do, however, need to learn the nursing content as...
  9. Blown ac vein

    IVRUS is correct. Ideally, these are blood drawing veins and should not be used for routine IV therapy especially planned IV therapy. I would guess the patient requests it there because they have had...
  10. Refusing to change/toilet pts

    Here is the bottom line:If nurses are refusing to help their patients because they believe it is beneath them then this must be brought to the attention of management to deal with. If nurses are...
  11. Made 5 Med Errors

    First of all you indicated that you work so much that you do not have time to seek treatment for your anxiety and depression. You never ever have a day off? If not then you must make the time with no...
  12. Measuring picc length

    The bottom line with trimming or not trimming PICCs is that there are pros and cons and the decision should be patient specific. The benefit verses the risk should be weighed. If you do not trim and...
  13. Measuring picc length

    Groshong PICCs are not any more difficult to place than other PICC and there is no evidence that they have more thrombotoc occlusions. The problem with the silicone PICC is non-IV specialist are...
  14. Pharmacology Questions!

    You need to show your work and demonstrate you have put some effort into this and them some kind soul will jump in to help you with what you do not
  15. This article suggests that those SC patients that repeatedly fail out patient pain management should have CYP2D6 genetic testing. This may explain why some SC patients are recalcitrant to pain...
  16. Potential HIPAA violation??

    OP... Please explain in detail why you were in the patients chart. What was your goal ? That will tell us if you violated HIPAA. Nurses and those caring for patients need to know the complete medical...
  17. Disorderly Conduct

    No the charges ere dropped but I sure would get To whom it may concern letter or document from the provider stating she has erratic behavior and why and that it causes her to make claims that are...
  18. Integrity and abuse vs Safety

    Make sure your doors are very secure. Do you have a system of patient safety alarms. This patient needs one then they can sit by the door all they want. Why does the patient have a
  19. Measuring picc length

    We just flip up the amt externally visible if 4 or 5 is visible and steri strip it or you could just apply a TSM dressing. Its really easy. I always aim for five visible unless the patient is...
  20. You are getting way ahead of yourself here Before you can even begin to analyze mistakes that could harm or cause the loss of life you need to have at least a good understanding of what nursing...
  21. Measuring picc length

    I have been placing PICCs since 1989 and have seen the progression of the speciality.There is absolutely nothing wrong with leaving some of the PICC length externally visible. In fact our team does it...
  22. All Hail Started paperless today!

    I believe you but find it odd. Nurses are used to used to having to constantly learn new things so how is this different. Just dive in is my attitude but I do admit I love to
  23. Quitting my first nursing job? advice

    You need to get our of there. It's obvious that these two CNAs do not care about the human beings they are hired to care for. If you have no compassion for another human being then at least do the job...
  24. HELP!!! What nclex material to use?

    Did you only study for three weeks before the exam. Am I reading this correctly that you graduated in 2008.If true one problem here is you need a study plan and three weeks is not enough. I see many...
  25. Picc line dressing change broke sterile field

    Was this a pediatric patient because you can toss a biopatch onto your sterile dressing kit area and pick it up with sterile gloves. You can squirt some sterile saline on a stuck biopatch and it will...