iluvivt

iluvivt BSN, RN

Infusion Nursing, Home Health Infusion

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All Content by iluvivt

  1. What is your ER policy for lunch breaks?

    This is going to take some guts but you can do this! The situation you describe will continue as long as you and the others allow it and you do have the power to change it. First you have to just...
  2. I believe this is material management so they oversee the physical items in a business. This includes all products,inventory,quality control and how needed items get from one place to another. Can you...
  3. color coding staff

    I think its another way to control staff,especially when they pick the styles and brands. I believe that there should be general guidelines but I resent the fact that I can't pick out what makes me...
  4. COB rollcall

    1981 from 3 year diploma program. .straight from high
  5. How do you deal with Munchhausen-type pts?

    Yes! We have several now and eventually their antics are revealed.We have one diabetic that enjoys being ill for the attention and narcotics. They determined that this person takes a large dose of...
  6. PICC LINE REMOVAL

    Arrow Catheters have a blue flex tip . You can leave this as is and not trim prior to insertion or you CAN trim prior to insertion so you can make a custom for for the patient. It is imperative that...
  7. California Ratio Laws & San Diego as Nurse.

    I have lived in California all my life but live in the Central Valley. The ratios make a HUGE difference,for example a step-down unit is 1:3.med surgical is 1:5 and telemetry is 1: 4. These must be...
  8. Nursing Rant: Am I wrong?

    I think the nurse manager did the right thing! She did what was best for the patients and what was best for the patients was for YOU to take the Wing. Nurse managers often are not able to to jump in...
  9. Yes I agree please locate all of your policies and procedures. Are they on line?..if so you may be able to easily access from home and you can read them on your own time. I have written IV policies...
  10. giving D50 for hyperkalemia

    ( quote from above "D50 has always made me nervous. I had an experience of pushing it about 30 years ago, and the patient ended up hemolyzing in the vein, resulting in a compartment...
  11. Night shift charge nurse issue

    Forgive typos. ..can't correct from my
  12. Night shift charge nurse issue

    I need to know what state you are in or where you are practicing.In many states there must be an RN assessment within a certain time frame and if you are the RN overseeing the patient because an LVN...
  13. Am I the only one that's done this?

    I started my own IV when I was hospitalized. They had tried 4 times without success and I said, Please just let me do it". Unfortunately my left arm was pretty abused at that point so I had to start...
  14. Pediatric IV infiltrate

    Yes that is correct that the damage may not be apparent or evident for quite awhile and it can even occur even if it has been treated but of course the chances are reduced. There are certain...
  15. Some places do allow gifts for nurses or other caregivers. At one of my places of employment I can accept gifts if they are under 25 dollars. That is my home care job and they are some of my most...
  16. Anticoagulant Preventing CVC Insert?

    Perhaps you could have worked around your lack of policy. Do you have a policy stating that vesicants should optimally be delivered through a central line? I agree that the benefit outweighs the risk...
  17. port accessing tips.

    Flying Scott and IVRUS you are 100 percent correct in your posts about the Heparin.What is most likely happening is that the patient has changed their position and it was not a true persistent...
  18. Pediatric IV infiltrate

    May I ask what were you infusing? The medication they probably were going to administer is called Hyaluronidase . Several brands are available such as Vitrase and Hylenex, Hyaluronidase is an enzyme...
  19. Pediatric IV infiltrate

    Infiltration is a complication of IV therapy, not a sign of negligence. ...NOT Exactly Sorry I am going to disagree and there are many many lawsuits filed that support this......a nurse can indeed be...
  20. Do they not also have a record of the schedule and what your assignments were for those days? I know it is not as good as your signed nursing note with a patient signature but it adds to the mounting...
  21. Strange CT results

    yep.....dictation error...happens more than you would expect!...Radiology an add an addendum correcting the
  22. Teamwork...Why do we do this to ourselves?

    Absolutely it is wrong and childish to bring patients into discussions of this nature. You are correct that it has no place in healthcare and it can undermine the trust the patients and families have...
  23. California pay rate

    Are you an RN or
  24. Who's Paying????

    It depend on the exact reason for the extra costs. In the example you gave it is usually the insurance or payer. Patients that pull lines often do it because they are confused due to a variety of...
  25. Incident reports/ statments

    Incident reports are meant to be internal documents so problems can be identified and corrected. You should never chart such as,"An incident report was written", in your charting or they indeed may...