iluvivt

iluvivt BSN, RN

Infusion Nursing, Home Health Infusion

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All Content by iluvivt

  1. Why did you decide to become a nurse?

    I took care of my first patient as a student at the young age of 18 and 36 years later I am still working full time doing direct patient care. I became a nurse because anatomy and physiology...
  2. I&D...sterile procedure?

    If I were doing the procedure I would would wear sterile gloves for my own protection in that that surgical gloves are thicker and offer greater protection in terms of pore
  3. Yes subcutaneous infusions of fluids is known as hypodermoclysis Some medications can also be given this way such as Morphine Sulfate.In your case the IV fluids were ordered to be given intravenousely...
  4. IO + Lab work

    I am not astounded that IO has one again emerged as another alternative to gain vascular access. As with any IV access it definitely has pros and cons. The reality is that timely access cannot always...
  5. Staying within your job description

    Well not every patient needs assistance.They have BRP,which is bathroom privlages.Often you can tell by looking or asking a few questions but I have been a nurse for 38 years and I can easily...
  6. Combative Patients/Body cams/Walkie talkies

    My first thought is that was a Vocera. That is exactly where they are to be worn to work the best, that is about mid
  7. *slightly hemolyzed* potassium

    Yes...It should have been a redraw.Since K+ is an intracellular cation when the cells break it gets measured as extracellular so the true K level will be inaccurate.How inaccurate depends upon how...
  8. Is this my fault? Am I right to feel mad?

    When someone is clubbing you.. you must take their club away.For the chart sticker just go get one and place it where it belongs and say,so sorry now it is done. For the MRI sheet just say,Oh yes when...
  9. PCA pumps and capnography

    Research has shown that capnography is the earliest indicator of of respiratory depression.Even with a low resp rate O2 sat can be maintained so respiratory deterioration is difficult to detect.It...
  10. Feeling so Bummed

    I was never a fan of study groups.I did much better all by myself as far as studying goes.If you are a good student you end up wasting a lot of time teaching others and while that cements the...
  11. Cheomo Infusion Adaptors

    They both have a luer lock connection,and should be equally good in theory.I have used phaseal in home health and carfusion at my other job.I suspect it was operator error.Ws it connected at a Y...
  12. PLEASE HELP! Help/Advice needed ASAP

    Either way she needs to be evaluated.The loss of consciousness is very
  13. I stole a bottle of ibuprofen

    Return what is left to the location you took it and vow never to do it again. Be a liitle more prepared next time or every gas station with a little store sells unit dose medication...stop in one next...
  14. It violates THE JOINT COMMISSION rule that hallways must be kept clear and also the rules from the Fire Marshall.Also you are correct in that a break occurs in the continuity of care and it is not...
  15. IV infusion

    There are incompatibilities that will NOT produce a precipitate but nonetheless are still have therapeutic incompatibilities, So do not think all is OK if you do not see a precipitate. If you are...
  16. Sweeping med errors under the rug

    I think that is a lot of medication errors in a short amount of time. I think for whatever reason they do want to get rid of this nurse. While I know it is not your business to know what actions are...
  17. I need to fix that link.It was an article in the LA Times about how the FDA can fix the
  18. A great article Business News - Los Angeles
  19. Getting hired in a specialty

    You have to have superior IV skills to be placed on an IV team or just get lucky and get selected to be trained.It is not just placing PIVs,PICCS and Midlines.You must know infusion therapy including...
  20. Friend violating HIPAA! What should I do?

    I would report her to the school but I would make sure that I would remain anonymous. Why would you lie about this.The school can also find out the patients she had been assigned to and can easily...
  21. Nursing and practices that are not safe

    Your first obligation is to the patient! I try to handle situations like this directly by providing the nurse with evidence indicating their shortcomings. I actually will print out policies and...
  22. There is nothing inherently wrong in running a IV intermittent medication as a primary infusion.I get that the terminology can be confusing but by this I mean that you have any locked venous access...
  23. PTO Problems

    It does not have to be granted because if all staff requested a certain day off there would be no one to work.I do believe your manager is using the PTO I an unusual way to keep her budget...
  24. Have to make a decision but I'm afraid

    I can understand why this is a difficult decision with so much on your plate.I would be hesitant to give up my one shift per week as things change very rapidly in nursing. I do not understand why you...
  25. Are you using a pump with a functional air-in-line detector? What brand and type is it? You need to find out? As far as the volume to be infused: You want to set it as close as possible to the actual...