iluvivt

iluvivt BSN, RN

Infusion Nursing, Home Health Infusion

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All Content by iluvivt

  1. Queasy..

    iluvivt replied to Briharvey2017's topic in General Nursing

    You can densensitize yourself to it. The feel of veins rolling around under the skin used to make me sick. Now look at what I do.. I love those veins

  2. Anxious!

    iluvivt replied to Just me1's topic in General Nursing

    Where are you working that is so awful? Sometimes it is best to leave a hell hole but you have to determine if it really is or if it is sometho g

  3. New manager needs help

    iluvivt replied to NurseyPoo7's topic in General Nursing

    Be careful sending those notes to your employees home with a patients name and details that could further identify them. Personally I would not do this as it it too risky for a HIPAA violation unless...

  4. picc nursing

    iluvivt replied to venus2015's topic in General Nursing

    What part of California...I need to know what cities you will be in to help you. Please be advised that when you take a didactic course it does not make you competent to place PICCs. I have trained...

  5. Suspended from work for an investigation,can i resign and take another, will i look guilty

    iluvivt replied to SuziQ63's topic in General Nursing

    There is nothing to report to the BRN. She did not take the narcotics. She was just careless with them and they were recovered. Go to some BRN websites and read some of the cases that really get...

  6. double lumen PICC & incompatible meds

    iluvivt replied to barbpigott's topic in Oncology

    The various designs and staggered tips alllow for maximum flow rates. That is why you tend to see this on acute care lines and hemodialysis

  7. Nursing school Q: 1 min/1 question?

    iluvivt replied to Beldar_the_Cenobite's topic in General Students

    Yes, but why are you so focused on the time you get when you should be focused on learning the content. If you know the content thoroughly then this is of plenty of time. When I take my certification...

  8. PORT TIPS

    iluvivt replied to nonnocere808's topic in Infusion, Intravenous

    Have the patient in several different positions to see which one allows you to feel the perimeter of the port body. I personally do best with the patient flat. I check the port to make sure it is not...

  9. Getting your coworkers help : teamwork

    iluvivt replied to onedayitllbeme's topic in Home Health

    That is a bit silly since many health care professionals do their scheduling with on line software now and you do see your units entire schedule and day off requests among other things. We cannot see...

  10. Is independently doing central line dressing changes within my scope of practice?

    iluvivt replied to kcaley's topic in Home Health

    A patient should never be discharged with any type of VAD without a plan in place to care for it. There is an IV pharmacy providing the antibiotics I presume but they are not always the one to provide...

  11. Ditching NP school for MD?

    iluvivt replied to ICURNPA92's topic in General Nursing

    This depends on a lot of factors and no one can make this decision but you. I would put some serious contemplation into the issue and weigh this against all your resources to include financial. What...

  12. Hand IV trouble

    iluvivt replied to mariaconcetta's topic in General Nursing

    After you have started many IVS you will learn that not only are some patients more tolerant of pain you will also learn that certain areas are more painful. The volar wrist,hand, anterior surfaces...

  13. CVC mess-up?

    iluvivt replied to arieseff's topic in General Nursing

    I will find locate resource for

  14. Hand IV trouble

    iluvivt replied to mariaconcetta's topic in General Nursing

    Ok now I know what you are doing. Your aim and angle is not good. If you are just getting a little flash and then it stops...... you have only nicked the vein and/or done a through and through...

  15. Discharge patient with Foley, but forgot to give the syringes to remove foley

    iluvivt replied to Bamafan2011's topic in General Nursing

    Just call the patient and give them instructions but that should have been done before discharge. If its a common practice suggest that an instruction sheet be devised and just print it out and give...

  16. Hand IV trouble

    iluvivt replied to mariaconcetta's topic in General Nursing

    Hand veins are very visible on most patients and therefore are NOT deep so the first thing you need to do is check your angle of entry. You usually can just go flush with the skin and if you need an...

  17. double lumen PICC & incompatible meds

    iluvivt replied to barbpigott's topic in Oncology

    Perhaps they meant in the same lumen and you misread it. Think of it this way.. You do not need to even check compatibility if you plan to administer the medication or solution in a separate lumen....

  18. CVC mess-up?

    iluvivt replied to arieseff's topic in General Nursing

    OK got it you used an IPA port protector on the end of the hub. While not ideal you DID cover the port and protect your patient. Before needleless connectors we still had a cap attached to the hub....

  19. Guilt after shifts

    iluvivt replied to Pedsnurse1026's topic in General Nursing

    You never want to not do the right thing because of your concern you can't place another cannula. Leave the functioing one in if the patient will allow it until you secure a new one . you did the...

  20. Guilt after shifts

    iluvivt replied to Pedsnurse1026's topic in General Nursing

    And how to you plan to relieve that pain because it sounds like nerve pain and there is not much to do in that case but take it out. In addition you cannot ignore a patients demand to remove a...

  21. Guilt after shifts

    iluvivt replied to Pedsnurse1026's topic in General Nursing

    Pain is a perfectly good reason to remove an IV. The volar wrist is known to be a very sensitive area and the radial nerve runs above the thumb and becomes superficial about 7cm above the wrist. The...

  22. CVC mess-up?

    iluvivt replied to arieseff's topic in General Nursing

    Did you just clamp the CVAD and apply no NC to it?I hope not as that would be an infection risk not to mention the fact that the clamp could be unclaimed and you risk air embolism and

  23. CVC mess-up?

    iluvivt replied to arieseff's topic in General Nursing

    Let me get your terminology correct so you can explain what you did. A needleless connector (NC) is what is attached to the hub on the tails of a CVAD. It sounds like the NC came loose with the IV...

  24. Have you or anyone you know ever sued for not having a lunch break?

    iluvivt replied to YoutubeTheNP's topic in General Nursing

    Yes. I was paid almost 8000 dollars for almost three years of uninterrupted lunch breaks. This only involved employees that carried and were expected to answer pages on lunch breaks. That was the crux...

  25. double lumen PICC & incompatible meds

    iluvivt replied to barbpigott's topic in Oncology

    The rate of blood flow at the SVC is 2000ml/min . You can see how rapid and turbulent that is and the medications are quickly integrated into the bloodstream. Most PICCs do NOT have a multi...