iluvivt

iluvivt BSN, RN

Infusion Nursing, Home Health Infusion

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All Content by iluvivt

  1. Was I in the Right Here?

    iluvivt replied to Grande_latte04's topic in General Nursing

    Exactly...I was just going to say something much like this but don't need to now! They are way past the point of communicating with the patient that his concerns will be relayed to the provider.The...

  2. Family Angry About ER Transfer

    iluvivt replied to SilverBells's topic in General Nursing

    This is easy.Your duty is to the patient .You can politely explain and refer them to the provider if they have any further

  3. Radonda Vaught Fatal Error Case Timeline

    iluvivt replied to Emergent's topic in General Nursing

    The Board of Nursing just took her license

  4. Medication Error

    iluvivt replied to suturethis's topic in General Nursing

    Does your organization also subscribe to using a just culture? The idea behind this process is that mistakes or errors should not result in automatic punishment, but rather find the cause so learning...

  5. Bullied at work, and the DON won't do anything about it. (venting)

    iluvivt replied to NewRN'16's topic in General Nursing

    Some people are just cruel.Their cruelness may not change but how you handle the situation may change their antics and behaviour. They are getting some kind of pay off from it,perhaps it makes them...

  6. Nursing Drug Resource Guides

    iluvivt replied to Candy Cross's topic in General Nursing

    Yes I agree, Betty Gahardt is my favorite IV medication book.It lists everything you need to know and many key things about each medication that other books leave

  7. EBP Assignment

    iluvivt replied to BabsRN-BSN's topic in General Nursing

    Are these two different issues you are going to address or are you going to integrate them in some fashion? It's critical to the success of your paper to narrow down the topic as this is too...

  8. Is it normal to hate my job this much?

    iluvivt replied to pinkdoves's topic in General Nursing

    Perhaps this nurse wants to try being in a vascular access team and did not quite articulate that! Starting peripheral IVs is just one aspect of my job but a critical one. Specialized IV teams have...

  9. OMG, I cannot believe what I did. What I should do now!

    iluvivt replied to SoNan's topic in General Nursing

    Although the risk is extremely low ( OK..almost nonexistant for PICCs) all central lines must be removed in a manner and dressed in such a manner to prevent air embolus.You did not do that either...so...

  10. Random drug testing

    iluvivt replied to Adina bat Reuven's topic in General Nursing

    Where are you practicing? You need to find out exactly what the law is in you state or wherever you are.Many allow you to take any drug that you have a valid and current prescription for You also need...

  11. Mixing Myers Coctail

    iluvivt replied to 3jhill's topic in Patient Safety Issues

    It's not two additives.It is two accesses or punctures into the IV bag. You can also add a sterile needle to a needleless connector,puncture into the add on port and then add into the bag as needed...

  12. Got Written Up, Cant Stop Thinking About It

    iluvivt replied to ThatNurseThough's topic in General Nursing

    Just to be accurate and up to date it is no longer,JCAHO .but rather the Joint Commission (TJC). Excellent

  13. How far can hospital go?

    iluvivt replied to RNTX31's topic in General Nursing

    Our union contract does not allow this and only allows nurses to float to "like"units. The one of many benefits of being unionized. If I was in your shoes I would accept the training if I wanted to...

  14. Blunt Fill Needles for IM injections?

    iluvivt replied to cb57's topic in General Nursing

    Look at standard IM needle...look how thin it is...it's thin for a reason, to minimize tissue trauma while meeting the objective of delivering the medication.It also has a really nice smooth, sharp...

  15. What departments draw the most blood?

    iluvivt replied to KaityKait's topic in General Nursing

    If you love venipuncture like I did then yes,become an IV specialist as suggested. I also love pharmacology especially IV medications and anything given IV.This has been an an excellent compliment to...

  16. Blunt Fill Needles for IM injections?

    iluvivt replied to cb57's topic in General Nursing

    There are two types made.A blunt fill is for drawing up from a vial and the blunt filter is for drawing up from an ampule. They should not be used to administer IM injections. If you were to use the...

  17. PICC NURSE

    iluvivt replied to MforMs's topic in General Nursing

    Yes, you can place a PICC without the use of Ultrasound because you essentially use the Ultrasound to access the vein above the ACF. Once in awhile now I do not need the Ultrasound because I can...

  18. Incident

    iluvivt replied to Lovely's topic in General Nursing

    Often the elderly fail to accept they need help. A 95 year old is likely to have osteoarthritis and other diseases of the aged so I just assume they are apt to get in trouble.While I make certain they...

  19. PICC line dressing changes difficulty

    iluvivt replied to Gyh's topic in General Nursing

    This is incorrect as a general rule.We aim to leave 3 to 8 cm externally visible as it's easier for us to maintain and to add a Securacath (must have at least 3cm to as apply it )....

  20. PICC line dressing changes difficulty

    iluvivt replied to Gyh's topic in General Nursing

    Ok...It is coming out because nurses are pulling it out 1 to 2 cm with each dressing change.The average SVC is 7 cm long so if the original tip placemat was at cavoatrial junction or low SVC a loss...

  21. How to Best Handle A Patient When They Jerk During an Injection?

    iluvivt replied to MagicalGirl's topic in Patient Safety Issues

    Al you can do is prepare them snd assess them before the injection.Ask them if they are good at at holding still because you need them to focus on doing just that.If they say they are a jumper.give...

  22. Immunocompromised Loved One

    iluvivt replied to lillianbenders's topic in General Nursing

    No it's not a realistic expectation. You may find your coworkers will begin to resent you you as well if you happen to find an unusual employer who will even grant this kind of request.Learn and use...

  23. Mistake after mistake after mistake

    iluvivt replied to AMRN445's topic in General Nursing

    You need to change your narrative right away.Instead of "mistakes" you need to call these learning opportunities for professional growth.New nurses do not come out of nursing school ready to hit the...

  24. Do you think I can get my job back?

    iluvivt replied to allyyyjustine's topic in General Nursing

    I agree that she is retaliating and the minute she got some power she could not wait to find any reason to get rid of you! When you mess with someones livelihood that does not deserve to be messed...

  25. IV infiltration

    iluvivt replied to AllyRN's topic in General Nursing

    Yes! I am totally aware that time should not be used as an indicator of risk for peripheral IV Therapy related complications and site change should be based on assessment.That INS white paper came...