iluvivt

iluvivt BSN, RN

Infusion Nursing, Home Health Infusion

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All Content by iluvivt

  1. Don't tell the manager about your second job

    iluvivt replied to perfexion's topic in General Nursing

    I have two jobs and while I do not make it a pain for either employer it is my right to do so. I could care less what they think. I pay my

  2. therapeutic phlebotomy

    iluvivt replied to Tsatalstrana's topic in General Nursing

    You may not have a choice of the needle size that you use because many of the doner kits/therapeutic phlebotomy transfer kits or blood doner kits have a large gauge needle (12 or 14 ) that you cannot...

  3. Low Morale

    iluvivt replied to Trauma16RN's topic in Emergency

    They have done lots of studies on workers and in work places in general, You would think that employees would want more money as their number one thing to make them happier....but....NO....that is not...

  4. Have any of you ever been stuck by a needle and not felt it?

    iluvivt replied to ka2rn's topic in Patient Safety Issues

    Just take care of yourself. .that is what is

  5. Help with IV regulating infusion flow rate by gravity drip

    iluvivt replied to MThomas92's topic in Patient Medications

    It can challenging to look at a clock and count the drip rate. I used to use a good watch with an easily seen second hand. I would take the watch off and hold it alongside the drip chamber. You can...

  6. Chemotherapy/blood transfusion via PICC

    iluvivt replied to Lonestar RN's topic in Oncology

    Yes you may. It is one tube but it is split down the middle all the way to the distal end so that both infusions will exit in the SVC with a very high blood flow rate providing excellent hemodilution....

  7. Any tips for "spasmy" veins? Also, PIVs on chemo pts?

    iluvivt replied to RunBabyRN's topic in Infusion, Intravenous

    You are more likely puncturing the vein as you pull the cannula out then actually being in the vein especially if this is happening to you a lot. Yes....you can be in a vein and not have a blood...

  8. I feel like I'm backsliding

    iluvivt replied to Swellz's topic in Health, Stress Management

    Yes I agree. Your sadness misery and distress are spilling over into every area of your life and you need professional help ASAP. You may actually need to be off work for awhile until you stabilize...

  9. IV Infusion/ question

    iluvivt replied to stervets's topic in Patient Medications

    lower volume antibiotics and other IV meds can often be given by syringe pump to eliminate this problem as I stated. Yes, you can hang a small flush bag of NS after the abx if you are setting it up...

  10. Having such a hard time moving forward

    iluvivt replied to HeartRN13's topic in Patient, Colleague Relations

    It is really difficult to concentrate on your patients and provide high quality care if you are constantly dodging bullets. Why do you think you are being picked on or alienated? I am not quitter by...

  11. Out of nowhere threatened to be fired?

    iluvivt replied to Toby1225's topic in Patient, Colleague Relations

    Are you getting your work done and if so did you point that out. That is really the the true test here. Are you doing your work and meeting the standards of care and asking for help as you learn or if...

  12. advice for mistakes made at work

    iluvivt replied to hopefulmurse14's topic in General Nursing

    You can't control some people. Now you know not to trust people with this type of history. Perhaps you could have talked her into counting them for her and perhaps not. She probably would have popped...

  13. Have any of you ever been stuck by a needle and not felt it?

    iluvivt replied to ka2rn's topic in Patient Safety Issues

    No you would have felt it! They are sharp and hurt! Make sure you have all your supplies before you go in an please make sure you have the correct size gloves that fit really well. Make a place to set...

  14. Pain assessments - gabapentin?????

    iluvivt replied to martymoose's topic in Patient Medications

    I can see just doing it as part of an overall pain assessment but Gabapentin's ability to control pain depends on a certain level of the medication being present over time. It is not prescribed as a...

  15. IV Infusion/ question

    iluvivt replied to stervets's topic in Patient Medications

    That is nuts! First of all low volume antibiotics can be set up on a syringe pumps that use micro bore tubing, which you are well aware has usually under 1 ml as a priming volume. If you are setting...

  16. Changing the "flush" bag q24h

    iluvivt replied to PentelRSVP's topic in Nursing Student Assistance

    Yes you got it! The longer the IV fluids hang and are in use the greater the chance of the proliferation of bacteria and then the greater the risk of infection if any contamination should occur. As...

  17. This Blows Every Other ED Visit Out of the Water

    iluvivt replied to MedicalPartisan's topic in Emergency

    I have had several patients injecting various substances into themselves. A recent patient injected bleach into her abdomen. This one is rather bizarre though. We also have a frequent flyer that...

  18. OB ultrasound...foley or no?

    iluvivt replied to Kalipso's topic in Emergency

    I would say that it depends on how quickly you need to get that US done. If the results are needed really urgently then the patient needs the Foley. I say hang the IVF or if the patient can just...

  19. advice ..I'm freaking out

    iluvivt replied to fms2004's topic in Patient Medications

    Did you read the blood transfusion protocol they have in place before you hung the blood and do you understand why that may be their policy? The goal for you is to learn from your mistakes so you can...

  20. Remaining cordial with coworkers you dislike

    iluvivt replied to richardgecko's topic in Patient, Colleague Relations

    You need to practice getting your emotions not to show when dealing with coworkers you do not like. Just keep a razor sharp focus on your goal. So for example if you need to give report to this...

  21. Fake call outs irritate me

    iluvivt replied to Emergent's topic in Patient, Colleague Relations

    I never call out sick unless I really am. I accepted a position and believe it is my obligation to show up to work. If you need a day off then you need to plan it and not use your ability to call in...

  22. Terminated for Violation - HELP!

    iluvivt replied to NewerNurseHelp's topic in Patient, Colleague Relations

    Problem is that this may not be a HIPPA violation AT ALL. This sounds like an incidental exposure of information. If the clinic or hospital has put reason able safeguards in place and the environment...

  23. More Examples of posting on Facebook and getting fired

    iluvivt replied to RNIBCLC's topic in General Nursing

    She should have been fired.What an evil statement she posted. Let's hope she learned more than just one lesson from

  24. is alteplase EVER contraindicated for central line occlusions?

    iluvivt replied to holdensjane1's topic in General Nursing

    Yes absolutely Cath-flo can be used for a fibrin sheath or tail That is exactly they type of occlusion that can be fixed. There are a few contraindications of Cath-flo such as allergy and know...

  25. How to assess central lines?

    iluvivt replied to holdensjane1's topic in General Nursing

    A tape and gauze dressing needs to be changed every 48 hours. It is not so much so that you can visualize the site as some have indicated rather it is keep the rate of infection low. There are no...