iluvivt

iluvivt BSN, RN

Infusion Nursing, Home Health Infusion

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All Content by iluvivt

  1. One more thing that often helps is to expect that you may get little or no blood return in your flashback chamber. Depending on the device you have you can do a few things to give you a few more clues...
  2. Don't forget about the scalp veins. The skin is thick and I usually need a 22 gauge unless I am going for the vein near the middle of the forehead. Sometimes during an emergency it may be difficult...
  3. Patient abandonment?

    As stated each state may have variations on this definition. In California you must accept the assignment first and then sever that relationship without giving reasonable notice to a supervisor or the...
  4. Hanging It Up

    Merry Christmas and may I say the warmest "Thank You" :) for all the patients that you have dedicated yourself to for so many years! As a long time nurse I know the hard work and dedication it
  5. The problem from a legal standpoint is on of cause and effect. Was the cause her job? The hospital needs to have several sleep rooms that night nurses can check into...grab a few hours then safely...
  6. Lipids at night

    It is in the home care setting you will see Lipids and a 3 in 1 mix hung at night In this setting it is usually to give the patient freedom during the day and increase their quality of life. In the...
  7. Our hospital just gutted educational benefits

    Unless you have a union contract they can do what they want and your complaint will really have no effect at all. I would focus on changing how I see the situation and this is something you have...
  8. demerol then code blue

    The promethazine will increase the sedative effect of the Demerol and was given to reduce the n/v associated with the drug. Too bad it was not ordered IM, I would have asked the MD to switch the order...
  9. Let me look some things over again but this is how I have practiced for years: Any secondary you are administering must be compatible with the primary and the secondaries do not have to be compatible...
  10. IV access and scheduled antibiotics

    I think the mom is justified in being a bit upset. I have written about tourniquet safety on this forum many many times. This is so preventable with good care. I never ever start an IV without...
  11. October 2013 Caption Contest: Win $100!

    His next of Kin is listed as Dr.Victor Frankenstein and spouse is listed as " work in
  12. IV access and scheduled antibiotics

    A thrombus in and upper extremity PICC arm is not always an absolute contraindication to leaving the PICC in place I would have to know all the details but many times you can continue to leave the...
  13. I have been backpriming for 33 years. It is not a new concept and it a very acceptable practice. It does lower the risk the infection risk since you are not constantly connecting and disconnecting...
  14. IV access and scheduled antibiotics

    Is this real life or homework because my answer may be different based upon
  15. Central lines

    There are several ways to classify Central lines. First be aware that central lines have a tip that resides in a central vein optimally in the low SVC/cavoatrial junction. So if is is central line it...
  16. Air Vents on IV Tubing

    Yes that is it...you open the vent if you need an air source to displace the IV fluid. If you do need an air source and do not open the vent the IVFs will continue to drip for awhile and then STOP and...
  17. October 2013 Caption Contest: Win $100!

    What does the ACLS algorithm say to do in this type of
  18. October 2013 Caption Contest: Win $100!

    I think we will have to make a run to the morgue to get the part he
  19. October 2013 Caption Contest: Win $100!

    There is some guy named Victor in the waiting room and he really wants to know how he is
  20. Embarrassed to even post this.

    Learn the metric system as well that will help immensely since most calculations will use that
  21. If You Can't Handle the Heat, Get Out of the Kitchen!

    I also think need you need to stop focusing on THE WRITE UP ..let it go and move on. You have the power not to get fired. Only you can make any changes that you need to make and commit to learning and...
  22. If You Can't Handle the Heat, Get Out of the Kitchen!

    GrnTea, You say it like it is!!! I appreciate
  23. After you have made reasonable efforts to do the visit then your obligation ends there. Find out exactly what your policy is so you can comply exactly. Often that will fix the problem for any future...
  24. If You Can't Handle the Heat, Get Out of the Kitchen!

    You seem ambivalent. You apply for non-nursing employment and then want to go to the ICU. Any kind of hospital nursing has it challenges and it is very demanding both physically and mentally so accept...
  25. Administered expired medication. Oh no!

    Hyaluronidase to treat a horrid Calcium Chloride extravasation. The worst part of the story is the patient had a CVC and the nurse chose to use a PIV instead. She was clueless that should this...