iluvivt

iluvivt BSN, RN

Infusion Nursing, Home Health Infusion

Member

  • Content

    2,774

  • Visitors

    28,676

  • Followers

    0

  • Likes

    320

All Content by iluvivt

  1. PICC line nurses, do you like what you do?

    iluvivt replied to anyname02's topic in General Nursing

    I love what I doI work on a hospital based IV team and placing PICCs is just one of many things I do.I have both my CRNI and VA/BC as I do not consider myself just as being technical. I also work for...

  2. ICU Question about central line infection control

    iluvivt replied to Benj2610's topic in Critical Care

    Its critical that the needleless connectors get changed at least every 7 days but no more frequently than every 72 hours unless compromised. Approximately half of CVAD related bloodstream infections...

  3. Priming and blood return

    iluvivt replied to BandaidBunny's topic in Oncology

    Allow me to clarify a few things.Yes it is OK to access a port with a non-coring needle set if you are going to draw some blood and specifically if you are going for a culture to rule out the port as...

  4. Smoking on the property - supervisory question

    iluvivt replied to notanumber's topic in General Nursing

    It's fair to leave it as a verbal warning.Give him a chance to take the corrective action.I find that smokers really need their fix or they get cranky and now he knows he needs to take it off the...

  5. Passing Med Surg 2? UNG

    iluvivt replied to missS's topic in Nursing Student Assistance

    Oh dear I feel bad for you but in order to get through med surg you must really have a strong understanding of pathophysiology. Going over questions will not help much if you do not have a strong...

  6. Noradrenaline Administration Protocol

    iluvivt replied to cazrella's topic in Nursing Student Assistance

    A few pieces of information provided are incorrect.A central line,any type can have a secondary malposition and is not as uncommon as you would think. One I see a lot of is a flip up into the...

  7. I have a real problem with ancillary staff and am at my wits end. I need help.

    iluvivt replied to dec2007's topic in General Nursing

    Apparently the "tell the manager" approach has not produced any results.In that case you sometimes have to develop a strategy that is completely under your control so you are not constantly stressed....

  8. I have a real problem with ancillary staff and am at my wits end. I need help.

    iluvivt replied to dec2007's topic in General Nursing

    I certainly would not be forced out by some unlicensed lazy, in heat coworkers! If the writing is on the wall and there is no option to change these women or get rid of them then you need to work...

  9. Unsure of asking...

    iluvivt replied to NurseLife88's topic in General Nursing

    No I would never ask as it makes you seem as if you are individual that needs a lot of praise.wheter or not it is true. It really doesn't matter as you have the job so focus on the next

  10. I got fired while being on orientation at a hospital for just 1 week. Why did this happen?

    iluvivt replied to Strugaaa4eva's topic in General Nursing

    The reality is we all take personal phone calls at work because we are human,have lives and things happen.You must ,however, be very discreet about it because many hospitals do not like it or allow...

  11. Hospital policies and procedures

    iluvivt replied to Toadd35's topic in General Nursing

    Perhaps they have a policy on how to remove any type of CVAD that is not tunneled.Look in the central line policy You must take the necessary steps to prevent air embolus(AE) in knowing how to...

  12. Is this true?

    iluvivt replied to OyWithThePoodles's topic in Infusion, Intravenous

    An employee where I work had an IV in the wrist in the "area to avoid"and now has permanent nerve damage.She wears a splint every day to minimize the pain and this has had a permanent effect on her...

  13. To file a formal complaint or not?

    iluvivt replied to Nurseeee's topic in General Nursing

    I was thinking the same thing about the JP drain.You are supposed to squeeze it until it is flat and then plug it.If the tissue is so delicate that it cannot tolerate this then perhaps they should...

  14. tips and tricks for difficult IV starts?

    iluvivt replied to amzyRN's topic in Emergency

    We do use longer catheters.We have 1 3/4th inch and 2.5 inches.They still fail in fleshy areas. That is why I use the cephalic vein if I can't get it by palpation as I get a longer dwell time on the...

  15. tips and tricks for difficult IV starts?

    iluvivt replied to amzyRN's topic in Emergency

    I do not believe that US will be the gold standard for accessing veins but rather another tool in the orificenal.I have been placing IVs for 38 years now with most of them by visualization and...

  16. IVIG home infusions - HELP! And a few other home health questions..

    iluvivt replied to BowHunterRN's topic in Home Health

    I have given hundreds of doses of IVIG and all different brands.Each manufacturer lists the recommended infusion rates and start slowly and are ramped up to an eventual maximum infusion rate. Most...

  17. IVIG home infusions - HELP! And a few other home health questions..

    iluvivt replied to BowHunterRN's topic in Home Health

    IVIG does not come from a blood bank and does not need two RN vetification since there is no risk of a mismatch as that is one major reasons for doing the

  18. How to Support a Coworker Who Has Made a Medication Error

    iluvivt replied to purplegal's topic in General Nursing

    You can say something like this and then ask, " I am so sorry this has happened and is there anything I can help you with regarding this issue".Then keep it to

  19. Phlebotomy refusing to draw

    iluvivt replied to Lame's topic in General Nursing

    You need to avoid placing PICCs in HD patients as CKD ( stage 3=5 patients) need to have their veins preserved per the K/DOQI guiddlines.That does not mean that these patients cannot have a PICC but a...

  20. How to figure out VTBI?!!!

    iluvivt replied to ital91's topic in Nursing Student Assistance

    If you just want to administer 800 ml then set the volume to be infused at 800 ml. Since this this an order from a licensed practitioner it must be followed exactly as ordered and 750 ml is not 800.I...

  21. Should I self report?

    iluvivt replied to Sunnywd's topic in General Nursing

    Absolutely not! You did not steal any medication.Just be extra careful going forward so you are not taking out any extra

  22. What are you an "expert" in on your unit? Becoming the "go-to" guy/gal for ...

    iluvivt replied to cjcsoon2bnp's topic in General Nursing

    I am great at getting any tube or catheter in that a patient may need and thus I gravitated toward IV Therapy.While IV Therapy encompasses much more than getting catheters in you must be so much...

  23. IV Question

    iluvivt replied to WithValor's topic in General Nursing

    They were probably trying at or near the ACF and hit the artery as stated above. Remember that the pressure is much higher in the arterail system and it will back up into standatd IV tubing.Wow...tell...

  24. K and mag values overlooked

    iluvivt replied to mikasa's topic in Patient Safety Issues

    I just was wondering if the Mag was WNL or was it flagged as low and not WNL.If it was flagged as not WNL.then to always to be safe,just call the provider.As others have said I would not get into the...

  25. Triphonines

    iluvivt replied to Susanorf1961's topic in General Nursing

    I got it right away. I thought it was maybe a student interested in cardiac nursing.