iluvivt

iluvivt BSN, RN

Infusion Nursing, Home Health Infusion

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All Content by iluvivt

  1. Open up....Spoonfed report

    iluvivt replied to ICURN3020's topic in Patient, Colleague Relations

    Is going to be a bit difficult to backtrack because this nurse has been appeased and has grown accustomed to being spoon fed her patient information. Your coworkers must all be on the same page and I...

  2. Concurrent IVS

    iluvivt replied to Kaltia's topic in Patient Medications

    The trend in IV therpay is leaning toward venous preservation and protection. In this case I would have one IV site and either piggyback into a Y-site below the level of the pump. The bag of IVFs that...

  3. Midline/picc line classes.

    iluvivt replied to june2009's topic in Infusion, Intravenous

    dbl

  4. Midline/picc line classes.

    iluvivt replied to june2009's topic in Infusion, Intravenous

    God bless you both! The term "certification" does not really apply here. You can take a PICC class and get whatever certificate they give you but you will not be able to go then place PICCs. You must...

  5. Concurrent meds/interactions?

    iluvivt replied to shopARC's topic in Infusion, Intravenous

    I am not certain what you mean by opinions versus professional judgments so I will just stick with what is considered an acceptable standard. No it is NOT always better to have as few medications as...

  6. Misconceptions with bilat mastectomies?

    iluvivt replied to fltopp1's topic in General Nursing

    The research indicating it is safe and effective to switch to ND Flush ONLY for PIVs. The current evidenced practice for all types of CVS is still to use low dose heparin. Ironically the example you...

  7. Misconceptions with bilat mastectomies?

    iluvivt replied to fltopp1's topic in General Nursing

    There is not just one answer here. I Make a determination what is the best/safest thing to do based on my assessment of that pt ' particular situation and history. I have placed many PBS in post...

  8. New Grad Home Health Possible or Impending Doom?

    iluvivt replied to Vulpes vulpes's topic in Home Health

    You can always come here for help and advice as well. I have been doing PD in home infusion since the early 90s..been a nurse since 1981. Just do one day at a time..it will be a learning process but...

  9. New Grad Home Health Possible or Impending Doom?

    iluvivt replied to Vulpes vulpes's topic in Home Health

    You do not need to be frightened if you are going to have to give antibiotics by gravity especially if you will be with the patient the entire time. Gravity sets are perfectly safe in home care they...

  10. Do I neeed to take refresher course or NCLEX after a 6 years long break?

    iluvivt replied to rnlopa's topic in General Nursing

    YES...I would suggest that you take a refresher course perhaps at your local community college. I know that is what we have in our community. Preferably look for one with a clinical component. This...

  11. Starting IVs

    iluvivt replied to Scarlettz's topic in Medical-Surgical

    One way I always learn well is to do the research first. First, buy a beginners IV therapy book. If you start out with an advanced one it may turn you off because you would be a bit surprised on how...

  12. Back priming vs back flushing??

    iluvivt replied to amw79's topic in Patient Medications

    Yes MunoRN explained that well and is correct. If you can set your secondary volume on your pump to the exact amount that needs to be delivered so it does not empty the drip chamber or at least get...

  13. Back priming vs back flushing??

    iluvivt replied to amw79's topic in Patient Medications

    As far as hanging a new secondary tubing for different agents...yes you can do this but there are a few cons to doing it this way. First you are having additional breaks into the system...second you...

  14. Back priming vs back flushing??

    iluvivt replied to amw79's topic in Patient Medications

    First you need to understand that any secondary hung MUST be compatible with the primary IVF. The secondaries need not be compatible with each other and this the point of backpriming. So if you are...

  15. If you want to hear God laugh, tell him your plans

    iluvivt replied to gvrn13's topic in General Nursing

    You have every right to have a life and also be gainfully employed. As a matter of fact every day that you get up,put on your scrubs and go to work you are taking care of your children and supporting...

  16. VACC Certification

    iluvivt replied to HMarie13's topic in Infusion, Intravenous

    I took it last year just after they supposedly made it more difficult and added to the total number of questions. I knew I passed without seeing the score because I have taken so many CRNI tests...

  17. Vanco: give or wait for vanco trough?

    iluvivt replied to rn.5245's topic in Patient Medications

    Vancomycin is acidic with a ph of less than 5 so optimally is is best to give via a CVC to get adequate hemodilution. You can however, give it peripherally for a short time using the smallest...

  18. I was written up and put back on orientation

    iluvivt replied to Kalicokats's topic in Patient Safety Issues

    You need to do a couple of things here 1. Read the Nurse Practice Act and find out legalally what you can do and what is considered practicing medicine. I am still surprised how many nurses fail to...

  19. Working two jobs

    iluvivt replied to Nightowl_lpn's topic in General Nursing

    I have had two jobs for a long time now. I work at least 3 10 hour shifts per week on an IV/PICC team but will often pick up another shift there. Then I work a home infusion infusion job and keep a...

  20. Manager Bonuses

    iluvivt replied to Gypsy Moon's topic in Nurse Management

    Nursing comes with the room

  21. PRIORITY for BURN??

    iluvivt replied to johwen93's topic in Nursing Student Assistance

    B is the best answer...you already know it and I know it too but now you need to go and figure out why. Go look up the "inital phase of a burn injury or the ebb phase of a burn injury and the nursing...

  22. Fluid & Electrolyte balance signs/symptoms

    iluvivt replied to pedro.tayama's topic in Nursing Student Assistance

    The BEST Fluid and Electrolyte and Acid Base Balance handbook I have ever used is Fluid And Electrolyte Balance: Nursing Considerations (Fluid and Electrolyte Balance (Metheny)) [ by Norma M. Metheny...

  23. "It's Not That Special --

    iluvivt replied to Ruby Vee's topic in Patient, Colleague Relations

    Yes I agree it is acceptable if you have something to offer. My speciality is Infusion and IV Therapy but you may be suprised by what I know. I often check out Oncology,ED, Home care (do that too!)...

  24. Forgetting to waste meds

    iluvivt replied to NewGirl24's topic in Patient Medications

    Why are are you jeapordizing your source of income because that is exactly what you are doing? There is no valid excuse for not following the waste rules for narcotics. It is your professional...

  25. I'm burned out...what to do...

    iluvivt replied to KC34's topic in Health, Stress Management

    With passion comes excellence so I say go for your dreams! In the meantime find a job to pay the bills that allows you to regenerate on your days OFF and make sure that you have enough days OFF. In...