iluvivt

iluvivt BSN, RN

Infusion Nursing, Home Health Infusion

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All Content by iluvivt

  1. Port and TPN use

    No, the home care patients should not be instructed to assess for a blood return. They should, however, report if the flush becomes sluggish. Most patients and/or caregivers get used to the feeling of...
  2. Are non-healthcare references useful?

    I think you want healthcare referrals it's best to stick with healthcare
  3. HELP-Cover letter :)

    It's too wordy and not concise enough, You want to immediately grab the attention of the reader so they then want to look at your resume, Get the certifications,it does no matter where you acquire...
  4. Ok what I was trying to say was to sandwich the negative between two positives. I have become a stronger and much better caregiver (nurse) because of some poor choices I have made recently ,then the...
  5. The one thing that sticks out is that you say you had a positive drug screen and then say you you quit drinking. I would be wondering if you had two related problems, one with ETOH and one with...
  6. What you may fail to understand in this situation is that it is not about you or your bid for a position. You as a nurse have a ethical duty to report the facts. You can do it in such a manner so it...
  7. Want to be a NP

    You sound defeated and once you are at that point you have no chance! So if you want a chance Do NOT give up! Take the GRE after and only after you can do well on it ,then reapply. If you would like...
  8. Tips for Being a Good Patient

    No one can ever promise you will be completely pain free.We do however, do our best and can and will call the provider if the current pain medication order is not effective enough for you.Keep in mind...
  9. I am happy to help if you would like to lean more....I can point out some good resources. ...I love this stuff...might be boring to some but not to
  10. Was there an actual blood culture done that was positive or did the provider take it out because the wbc ct was going up and the pt had a fever? It is considered a BSI associated with a central line...
  11. Sharpie on Tegaderm

    There was actually a study done on this and I just read it...let me see if I can find it and I will repost the
  12. That is going to depend upon when and how and the organism was introduced into the system. In general when you have a CRBSI from insertion to approximately ten days post insertion it is usually...
  13. New Job/ Need advice and thoughts!

    Please post this in general nursing and you will get a lot of good advice! Please do not get yourself so worked up that you can't learn. You need to tell yourself that you WILL be able to do this and...
  14. PICC lines

    Ii is true there is no definite max dwell time. I must state through if is is a silicone PICC it is a good idea to change it.The silicone gets fairly frail I took one out that had been in for four...
  15. IVs in the breast

    I know the difference between the standard of care (SOC) in a nursing situation and a legal standard. The SOC is the nursing intervention that would be performed by a prudent nurse in a similar...
  16. Tips for Being a Good Patient

    Patients do have responsibilities and you very kind for asking . 1. Please tell us all your medical history and current medical problems or concerns and have a list of all medications you are...
  17. I think it is bitterly unfair that they fired you without even doing an investigation! What controlled substance can you take without signing out for it in some fashion? Did you recently take Motrin...
  18. New RN in crisis

    Please hang in there,there is another and better way to live and please listen to these good folks as they give great
  19. Catheterization, Proper Sterile Technique..

    Yes, she is wrong as you cannot sterilize skin, only reduce the microbial
  20. Please do not get bogged down in the path of other nurses or workers, There will ALWAYS be someone who will be unhappy and misery loves company. If I listened to others I would never be working where...
  21. Port and TPN use

    The prescription for the TPN usually dictates the flush. Many are 3 in1 preparations of just plain TPN and are infused anywhere from 8 to 16 hours. Most can be safely administered over 12h hrs giving...
  22. Question: Drawing Blood from Portacath

    It is really a risk versus benefit question and should be a patient specific decision. You can draw most labs from a CVAD of any kind if your technique is good but avoid coagulation studies from...
  23. Home Health UPMC

    The place to start is with not working for free at all. Do not take cases that you know will take 13 hours and then just charge for 8. I am working 2 cases (very long infusions) that will take me...
  24. IV starts in arm with a DVT

    It also depends upon the type of clot..occlusive versus non-occlusive. We do not perform dopplers or other tests on every patient with a central line. Many have clots that we are never made aware of...
  25. Is sure is easier for the abusers to pick on you and talk behind your back than for them to take responsibility for abusing the system! I probably would ask management to tell each one of them that if...