iluvivt

iluvivt BSN, RN

Infusion Nursing, Home Health Infusion

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All Content by iluvivt

  1. Is management breaking the law

    Well maybe the staff is wearing them because they are too busy doing unnessary crap like begging for
  2. Lost job over HIPAA violation

    I think its absolutely awful of them to fire you for this. They could have just given you a verbal or written warning because really what harm came to the patient.You know what is going to happen to...
  3. My First Enema, PANICKING?

    There are several positions that work but what probably happened is that you did not have enough of the tip in and you probably did not get enough of the solution up into rectum and bowel. I like the...
  4. Question of legality

    I would not be getting my infusions there ever! What do they have available should you have a hypersensitivity reaction including a severe one requiring IV Diphenhydramine and some Epinephrine or is...
  5. Does the resource need to be for the patients and also does it need to be teaching material? I ask because most teaching material provided to patients may need to run through the nursing policy...
  6. Platelet Administration

    If this Y type set up has a standard blood filter (can't be a micro aggregate filter) it can be done this way,
  7. Platelet Administration

    I need to know is there a standard IV filter on the set that the platelets run through before they are pulled into the syringe? If no they are not following INS
  8. IV Fluids Infiltrated w/o pain?

    No, not necessarily and if the patient does have discomfort or pain it may not be the FIRST sign as you stated. If there is discomfort it may only be at the beginning of the infiltration or...
  9. Any facilities actually using an AccuVein? Any thoughts?

    I have been on an IV team almost me entire career so I am a pro at vascular access and Ultraound use so I have no use for them.However,if a tool will help a nurse start a good IV I am all for it.The...
  10. I’m being investigated by the BON!

    Not going to sugarcoat this = these are very serious allegations.A few things missing here! Where are the "missing narcotics"? Four months of lack of charting narcotics properly is a long time! Did...
  11. Should I feel guilty?

    Guilt is an emotion felt when you have done something wrong or immoral .When you inform your employer you are not available for an extra shift or shift change on short notice you have done nothing...
  12. HIPAA breach

    It's kind of odd you had to come up with all the things you have posted.It seems like of they are making an accusation and/or investigating than the burden should be on them to prove it! If you did...
  13. Phlebitis management. Was this handled correctly?

    The PIV should have been taken out immediately.If the catheter is still in the vein, yes, it may flush but the vein was clearly inflamed and red and that will not improve until you get the mechanical...
  14. Seasoned Nurses - This one is for you

    I love all the new technologies in IV Therapy.The use of Tip Confirmation Sytems to verify tip PICC placement lessens treatment delays and saves nursing time and money.Also the use of Ultrasound to...
  15. "Yesterday, December 7, 1941..."

    Thank you....A day that will live in infamy.Many Amercans have as their grave the USS Arizona and many lost their lives during that sneak attack that forced us into
  16. I would not resign.HIPAA violations are reported to the Department of Health and Human Services' Office for Civil Rights (OCR) .Your facilities compliance officer will determine if if it is a...
  17. Ports actually have the lowest infection rate of all CVADs.They, of course, are still subject to infection especially if the patient is immunocompromied. If it is a single lumen port and medications...
  18. When is life ever always smooth sailing ahead....NEVER! Failing one class by one point does not make you a failure.What makes you a failure is giving up on something you want to do because it got a...
  19. Accused of not giving dilaudid

    If you have not had a patient/and/or family complain you have not been a nurse long enough.You will have to provide nursing care to all types and you can not control the...
  20. PICC Nurse in 2 months?

    Yes I will get a list of things you should review.Many will include central line guidelines and current recommendations for thrombosis and other complications.Often they are not all in one place and...
  21. PICC Nurse in 2 months?

    Start the training and then you will see all that is involved...but you need to go for it.Research shows it takes anywhere from 20 to 50 PICC insertions to feel comfortable and be competent.Learning...
  22. Forgot to restart my patients fluids

    It is a medication error.It is an ordered IVF at a prescribed rate and was not reinitiated after the IVP medication. You should have looked at your IV set up and added a T extension type tubing or...
  23. Forgot to restart my patients fluids

    It is a medication error.It is an ordered IVF at a prescribed rate and was not reinitiated after the IVP medication. You should have looked at your IV set up and added a T extension type tubing or...
  24. Sexual harrassment or just an old creep?

    He is enjoying your company and companionship and be may be looking for more and for sure more of the same. You are going to have to take him aside and tell him as not only will it solve your problem...
  25. Pressure sensitive IVpumps

    The nurse is the infiltration detector.You already have the solution and that is more frequent and accurate assesment.As Muno already,stated an infusion pumps have downstream occlusion sensor...