iluvivt

iluvivt BSN, RN

Infusion Nursing, Home Health Infusion

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All Content by iluvivt

  1. How is this cheat sheet?

    I made a cheat cheat for Oasis when I used it at first too. I just put down what I seemed to forget. Things like glasses for near sighted or far sighted ..use of assistive devices..things like that....
  2. Tricks of the Trade for PICC placement

    I see that Ellie does what I do.....because it works but you really need another nurse to do the postilion changes while you try to advance and please try multiple times and make sure you pull the...
  3. Tricks of the Trade for PICC placement

    I move the patient's pillow so their head is on the the last third of the pillow and thus is is away from their upper arm, It gives me room to move their arm if needed. Positioning the patient prior...
  4. Feeling really bad!

    Forgive typos...I am on my phone and can't go back to
  5. Feeling really bad!

    What is your process for checking lab results? Dkes your facility not call the murse with critcal labs and then document that they spoke wit you.If they DO NOT you must close the gap now with your own...
  6. Insight on Dilaudid?

    Nor all patients can take Morphine.All narcotics have the potential to cause higher pressures in the biliary tree and in particular Morphine.I get horrible Sphincter of Oddi spasms that cause...
  7. Calling for IV Starts

    You have to remember that not everyone has the skill to assess for veins. I can't get annoyed at nurses that call me for IV starts,I just do it and trust that they could not! The patient benefited...
  8. Are you jealous of other nurses jobs/abilities?

    That mindset is toxic to your well being You must never compare yourself to others.Stay in your own lane,focus your energy on what your interests are and what you need and want. It is even OK if you...
  9. New Grad: Which Job to Choose?

    I vote for number 1. I really enjoy working independently performing IV home infusion.I have a big team behind me of course and can consult when needed but really enjoy the freedom.I do not lose any...
  10. Nurse Beth is correct...Nurse Practice Acts state that you MUST accept the assignment. In accepting it you must know what it entails. If you complete your shift and you are NOT on call you do not have...
  11. No pain meds in ER??

    Morphine actually causes me pain as it irritates my biliary tree by causing spasms of my Sphincter of Oddi. I do not have any biliary disease I am just sensitive to it so there are other reasons other...
  12. Help with reference

    Do you know another supervisor or manager that knows you and that you can trust to be
  13. never seem to be getting the hard patients

    If that is indeed the case there is nothing wrong with that! You have the rest of your career to take care of patients and you will learn something every day.Just take the assignment you are given...
  14. Air in Line...

    Good advice lavenderskies. You are getting air in the line when you prime it so you must figure out you can to prevent it.Before you spike your bag or bottle squeeze the drip chamber flat as much as...
  15. How did the officer know you had taken a Xanax or do they only know you had them. What state are you in because in some states they report any driving while intoxicated or driving while impaired. That...
  16. Central line insertion

    Yes! for best practice another licensed person should have been in the room. This person should have documented training on file verifying that they are capable of verifying that maximal barrier...
  17. Dialysis Subclavian line antibiotics.

    You are referring to a temporary percutaneously placed HD catheter with an additional lumen to be used as a central line. BARD makes one they call a Trialysis catheter. Covidien also makes a Mahurkar...
  18. Possible hippa violation

    You will be wise not to discuss anything on FB about your clinical experiences. If you need to vent or talk with someone come
  19. Sentinel event

    Don't blindly trust the pharmacy label. We got a patent transfer recently a nurse had hung some Pitocin on a laboring patient. At least that's what the label said...it was NOT. Patient ended up in...
  20. Amiodarone

    Great responses...but think about this way. What is the worst thing that can happen if you push it faster.....NOTHING...because the patient will be lucky to survive at all! Yep slam it
  21. Amiodarone

    Great responses...but think about this way. What is the worst thing that can happen if you push it faster.....NOTHING...because the patient will be lucky to survive at all! Yep slam it
  22. The Fifth Vital Sign

    Yep Yep Yep I get what you are saying and perhaps I was not clear enough in the point I was trying to make! I get that narcotics (true narcotic derived from opium or synthetic ones ) copy what our...
  23. Oh my dear please hang in there and come here for help and support. There are many good people here with kind and caring hearts. its OK to be scared..I would be too! Stay focused on the here and now...
  24. Take back your title - "Nurse"

    That goes along with everyone winning a trophy or a metal! if you want something then go earn it and let those that have and continue to work in this profession have their hard earned title
  25. IV therapy

    Tpn is not the only reason one must use a filter. If a manufacturer recommends a filter,you should use one. Dilantin if given in a mini bag should be filtered. Arm boards are still used in the...