iluvivt

iluvivt BSN, RN

Infusion Nursing, Home Health Infusion

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All Content by iluvivt

  1. I also agree bringing your literature and/or studies indicating that mortality rates increase as licensed personnel rates go down is not going to change anything. It will most likely label you as an...
  2. Blood transfusion

    The maximum time that blood can be infused over is four hours. You can find this information in the American Association of Blood Banks (AABB) Technical Manuel. Hospital blood protocols use their...
  3. Attention ER nurses and managers

    Take a job in medical/surgical, a a step down unit or cardiac unit in the hospital that you like. Then after getting your foot in the door and building a good reputation apply for open positions in...
  4. Help!!

    What setting are you in? Is this long term care? You need a patient care conference and the MD and any prescribing licensed practitioners need to attend. This way the team can formulate an effective...
  5. Sickle cell crisis labs

    That is ph ...my silly phone changed it for
  6. Sickle cell crisis labs

    It more likely was more to do with your technique in this case. Yes you can draw blood from a midline catheter.Though I generally discourage the practice. This is because it tends to decrease the...
  7. Given a warning

    I do think it way too much to give you a warning for such a petty thing. It would have been way more constructive to you for some suggestions to be offered on how to deal with difficult patints such...
  8. You do not need to push the steroid through a filter first. I would venture to say that most hospitals do not routinely filter routine IV therapies because it does increase the expense of IV therapy....
  9. Lifting huge laundry bags...

    What would your solution to the problem be? Do you really think they are going to hire someone to do that? My guess is a big "no" so try to make the job manageable as the previous poster suggested...
  10. Transportation of presription- narcotic

    Thanks for the update. I knew you would get cleared because you did nothing illegal. You did something compassionate in the line of duty to help another human being! You can be my nurse anytime. I...
  11. Sutter of Calif. does it again...

    Unfortunately, I think Dignity Health is following their example. They have recently robbed our pensions without any warning or bargaining,now the are cutting RNs from many non-mandated ratio areas...
  12. Pump vs. Gravity

    You are
  13. IV just stops

    try a BP cuff upside down and inflate to just below the level of the diastolic...then crimp off the tubing with a kelly clamp so it stays inflated ...plan to release immediately after you have...
  14. Your mom would not want you to waste the beautiful life she gave you! Live in a way that that respects her love for you and the gift that you now have because of her. I would carry with me a piece of...
  15. Math problems

    A quick way to do this especially if you are running out of time during test taking is to calculate the rate needed per hour and this case it is 100 ml per hour. Then depending on the drip factor...
  16. Pump vs. Gravity

    It is the setting that you are in that makes this practice allowable and understandable.. There is no current standard that states that you must use a pump to deliver chemotherapy unless you are...
  17. Tech new to blood draws, needles

    You will have unnecessary exposure to blood or worse yet a direct puncture of a bloody needle if you do not LEARN how to use the equipment BEFORE you perform any venipunture! The fact that you tried...
  18. Two Days

    Look at the new policy closely and you will probably find that it is two occurrences per rolling calendar year. Yes! that is a very strict sick policy. I hate policies like this because they put a...
  19. IV just stops

    Yes...... I was just going to say you need to call the MD and tell him or her that you can no longer can obtain venous access due the poor quality of his veins and you need an implanted venous port...
  20. IV insertion issues

    Yes! that is the one of the most common mistakes I see is that the angle of approach is too steep. In you patient population you need to be going in flush and then if needed adjust your angle. It...
  21. IV just stops

    1. Get the vein as full as possible bfore the venipuncture. Use a medical warm pack. In the elderly or with fragile veins a tight tourniquet is not the best way to go..better to fill the vein up with...
  22. Reviewing Patient EMR After Transfer

    That is not a valid reason to be in the patient's chart just beause you are curious. Now if you forgot to chart something or are doing an audit or are asked to check on something or need some...
  23. Hyaluronidase is a medication that can be used to treat certain extravasations. In treating extravasations you generally want to either "spread and dilute" or "localize and neutralize. The...
  24. What would you do in this situation?

    I have done home infusion for a long long time. The feeling I am getting is that the agency has allowed this behavior to continue and you are not the first nurse to experience this. What you need is...
  25. Ethical question:

    Why are you concerned? Do you believe you are going against her wishes or tricking her? She is obviously unable to make her own medical decisions and is there for a reason..to receive nursing and...