iluvivt

iluvivt BSN, RN

Infusion Nursing, Home Health Infusion

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All Content by iluvivt

  1. confessions of a RRT

    iluvivt replied to yahoomagoo's topic in General Nursing

    A huge part of providing healthcare in a hospital setting is learning how to be part of a team! Respiratory works very well with our nurses and are respected and their suggestions are valued! I am not...

  2. Socks & clogs??? - Help!!

    iluvivt replied to LM838's topic in General Nursing

    The shoe is more important than the socks.You must get a good pair that allows you to stay on your feet and moving.I only will wear a brand called Klogs.You can often get a cheap pair on Amazon if it...

  3. Starting IVs

    iluvivt replied to Cindycin37's topic in Medical-Surgical

    You need to avoid the hands and wrist especially the volar wrist for any vesicants or any fluids or medications known to cause tissue damage.That is why it essential that you know what the IV will be...

  4. VA-BC Exam Experience

    iluvivt replied to ICU_JOSIE's topic in Infusion, Intravenous

    Yes.... they did make the test more difficult than then firstfirst ones.I woukd read the CDC guidelines to prevent

  5. IV infiltrate

    iluvivt replied to dreamrider212's topic in Medical-Surgical

    You NEVER want to chart that you cannot visualize the site because as the RN you are responsible for assessing that site and if a patient has a bad outcome you will be held responsible! I beg to...

  6. New nurse

    iluvivt replied to Kystudentrn's topic in General Nursing

    Why don't you go directly to him first and find out what is going on if anything.You will need to maintain a good relationship with your peers and part of that is resolving any issues with people...

  7. What is your Nursing Dream?

    iluvivt replied to nurseandtell's topic in General Nursing

    To win the lottery after one of my long

  8. I'll take it! $$$

    iluvivt replied to CodeBlue21's topic in General Nursing

    Yes but they try to find a CNA first.It's still cheaper to pay for you than for a hip repair,or a lawsuit or other problems the pt can get

  9. RN delegating?

    iluvivt replied to HollyWould's topic in General Nursing

    LVNS cannot practice independently in that they cannot develop or change nursing care plans, perform triage or perform nursing assessment.or make a nursing diagnosis.They can: Administers most types...

  10. I did it, I retired today!

    iluvivt replied to Chantooz's topic in Emergency

    Nursing can be brutal at times.It is the focus of money that makes me nuts.I realize it is a business and I am glad someone keeps track of the business end but when they can afford it and refuse to...

  11. Minor vent:DCAB

    iluvivt replied to NickiLaughs's topic in Emergency

    When a nurse gets report from a nurse in another department that nurses has no way to know what you have been going through to meet all your patient's needs.They should trust that you can prioritize...

  12. How to dilute meds for IVP?

    iluvivt replied to xmilkncookiesx's topic in Patient Medications

    You should never use prefilled normal saline flush for anything other than flushing venous access devices.The IFUS for the product state it is for flushing VADS only.You need to use normal saline...

  13. What are your biggest pains/ problems as a nurse?

    iluvivt replied to dma13's topic in General Nursing

    Use a toothbrush to clean stool under fingernails.Soak the hand in warm soapy water first.If in a rush you can put lotion on the toothbrush and just scrub under the

  14. Rolling Veins: A Quick Guide to Being a “Good Stick"

    iluvivt replied to Krista Vaughan's topic in General Nursing

    The truth is many veins do roll and are sclerotic and have thick walls.You try to select ones that are soft,full and not at areas of flexi on but often they are all problematic.I have created a trick...

  15. first time to see death

    iluvivt replied to kataraang's topic in General Nursing

    No you are not pathetic.You are a human being with feeling and an ability to have empathy. It is difficult to witness a loss of human life even if it is a peaceful passing and the suffering of those...

  16. Pain medicine to drug addict?

    iluvivt replied to MrBlueSky's topic in Patient Medications

    Trust me I have been a nurse for 35 years and I know that higher doses of narcotics are required to control the pain of those legally using narcotics and those using them illegally and other street...

  17. Pain medicine to drug addict?

    iluvivt replied to MrBlueSky's topic in Patient Medications

    I was so happy to see the two appropriate responses above.Her nervous system and her body's response to surgery does not change because of her drug addiction.I would like the nurse who under-treated...

  18. Made mistakes

    iluvivt replied to Sith_Nurse's topic in General Nursing

    You have received really good advice here namely to take responsibility for your actuons then make a correctI've plan and put it into action.You must find a way to catch all new orders.What is your...

  19. SO BAD at drawing blood, starting IV's??

    iluvivt replied to Chimio's topic in General Nursing

    You need to have someone that is awesome at IVs give you a lesson. In the meantime find a good you tube video that breaks down each step for you because all it takes is one little miscalculation to...

  20. BP cuff over a PICC line

    iluvivt replied to offlabel's topic in General Nursing

    As you now know it's a very bad practice and can harm your patient. You want to stop this practice immediately and use an alternate site to obtain your BP. It does not suprise me at all that patients...

  21. A question about the use of drawing-up needles

    iluvivt replied to 5alazar's topic in Patient Medications

    I found a good and really entry ISMP document titled "ISMP Safe Practice Guidelines for Adult IV push Medications....see section 3.6 It's a PDF and I can't figure out how to post it..It explains that...

  22. A question about the use of drawing-up needles

    iluvivt replied to 5alazar's topic in Patient Medications

    It also violatesThe Joint Commision National Patient Safety goal 3D as the syringe is already labeled as to its contents.Manufacturers state this in their literature and and in their instructions...

  23. A question about the use of drawing-up needles

    iluvivt replied to 5alazar's topic in Patient Medications

    It does matter though for more than one reason.The marking on the prefills are not in .2 increments and if you pull back the syringe too far you may be pulling back your mix onto an unsterile part of...

  24. A question about the use of drawing-up needles

    iluvivt replied to 5alazar's topic in Patient Medications

    There is another alert by ISMP that has more detail about the misuse of Saline prefills.I have it on my computer at work and will find it and post it.The IFUS for prefills state that the product is...

  25. A question about the use of drawing-up needles

    iluvivt replied to 5alazar's topic in Patient Medications

    Just don't use your normal saline pre-fills to reconstitute ANY medications.They are for flushes only and you should be using normal saline from a vial to reconstitute medication or dilute...