iluvivt

iluvivt BSN, RN

Infusion Nursing, Home Health Infusion

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All Content by iluvivt

  1. Might be a violation, maybe.

    Who heard it.....I still cannot determine
  2. Under staffing Cna

    Realize you are only one person and do what you can. Always take your breaks and let the nurses pick up the slack while you are on break. Do your best always and those nurse will have your back. You...
  3. Air in IV lines/syringes

    IVP antibiotics are given more frequently in home care . I have give IVP Rochepin many times for home care patients. A good option if they are sensitive because of its daily dosing and its ease of...
  4. Should I have stayed?

    I agree nothing you did was wrong or unethical. In fact you went above and beyond. I am certain that you have no written policy that states once you call a rapid response or even a code you must stay...
  5. Air in IV lines/syringes

    Significant air embolism: A possibility even with collapsible intravenous fluid containers when used with rapid infuser
  6. My first arrest

    In this situation and with your current credentials the best thing you can do once the nurses arrive and have taken over is to be a bystander and do not impede their efforts. I would stay close by in...
  7. Discovery of Falsified Documentation

    You let that family manipulate and use you for whatever their agenda is! How do you know for 100 percent sure that there was not a visit that day? MDs can make very short visits and patients are often...
  8. unbelievable...

    Yes you are correct. Some of the effects of hydrocodone come from the fact that a fraction of it is changed to hydromorphone in the liver. How much apparently depends other medications you may be...
  9. Med Error?

    I do not see a medication error here. If you gave a dose labeled for prn use instead of a dose labeled for a scheduled dose and all things are equal there is no mistake unless the scheduled dose...
  10. Metallic taste/nausea with saline flushes

    The pre-filled Normal Saline can cause a metallic taste much more so than if you draw it up from a vial of NS per my experience. I would immediately stop using the pre-fills of NS on this patient and...
  11. How many miles do you drive?

    I do IV home health so I cover a wide territory. Today I drove 152 miles to see one patient for a long infusion. Tomorrow it is 140 miles I will drive but Sirius radio keeps me
  12. Help! I need group ideas!

    You can get a lot of good ideas at web sites for teachers. They have great ides for projects and
  13. Might be a violation, maybe.

    There is not enough information to tell for 100 percent sure! However, based on what is known it seems like incidental exposure to me. HIPAA Privacy Rules are not intended to prohibit the medical and...
  14. Initiating Intravenous Access

    Oh yeck yes...and that is why I do it as a speciality.I will not leave until I get an IV in and if it's difficult more time is spent looking and feeling and using a variety of tricks I know and some I...
  15. Student needing advice

    Here is the beauty about nursing, you are not STUCK doing geriatrics. I think that you need to start thinking about what other types of nursing you would enjoy. What would those be..so many options...
  16. Report me???

    Oh yes I have. I just worked 14 days in a row between my 2 jobs.It was doable because my hospital job is 10.5 hours per shift and my home health job varies from 5 to 8 hours per shift.It helps me a...
  17. Might be a violation, maybe.

    They were in the hospital hallway and not in the cafeteria or a more public location. You do not mention if hospital staff were the only ones that could overhear this banter....if so I see nothing...
  18. HELP.Giving magnesium sulfate T.I.M

    If there was a small amount of blood oozing out from the puncture site when you pulled the needle out you need not worry, just dab it away and apply a band-aid. If you pulled back blood into the...
  19. Pt hits/kicks you

    Just taking the elderly out of their familiar environment and then changing a few of their medications especially pain medications and sedatives can cause periods of confusion,agitation and a host of...
  20. Every IV tubing I have ever seen has a expiration date and I check them on every home care patient I have and yes sometimes they are difficult to find. I also check all our supplies for out dates...
  21. A version of what jadelpn said... I usually say something like: 1) The most important thing right now is you and what you are dealing with so lets back to that! 2. My main focus is you and...
  22. I am NOT offended in the least. After you have assessed and addressed any and all problems,whether they be pain,anxiety electrolyte imbalances or organic brain syndrome you then accept and cope with...
  23. Difficult Orientee

    What was the short end of the stick she supposedly got at this other sister hospital? Yikes.... it is probably too soon to tell but she does not sound like she is cut out for this dynamic...
  24. You are NOT allergic to...

    As a nurse you are stuck between rock and a hard place. After questioning the patient about the reaction that occurs when said agent is used and they insist it is an allergy you must list it! You can...
  25. You are NOT allergic to...

    Thank you Katie MI, How did you know all that,wow! I too cannot have shellfish,orange dye or soda or use any products with iodine. I also cannot drink red wine but I think that may be a different...