iluvivt

iluvivt BSN, RN

Infusion Nursing, Home Health Infusion

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All Content by iluvivt

  1. Locating Cephalic and Median Vein

    iluvivt replied to triageyoda's topic in Infusion, Intravenous

    You are complying with the no touch technique which is the correct way to do it. If you do need to touch the site slide on a sterile glove to your non-dominate hand and then you can touch it. Traction...

  2. Administered expired medication. Oh no!

    iluvivt replied to Beanyamean's topic in Patient Medications

    Most medications retain their potency and continue to be efficacious for years after the official expiration date. There are some exceptions such as insulin, nitroglycerin, some temperature sensitive...

  3. Do I have to flush before withdrawing a blood from a PICC even a 0.9 Nacl + k running

    iluvivt replied to mspurple's topic in Infusion, Intravenous

    That should be based on assessment and the answer to that may also be based on the type of CVC you are dealing with. Generally if it is a valved catheter with the valves in the external tails such as...

  4. Plagiarism or not?

    iluvivt replied to MSN2's topic in Advanced Practice

    Esme, they should be excluding quotes from the students work in the plagiarism score. Most of the nursing programs and other on line schools have an acceptable score of about 20 percent. Turn it in is...

  5. Employee Health nurse tells me MANY nurses have Hep. C....

    iluvivt replied to nervousnurse's topic in General Nursing

    It is called "standard precautions". The CDC changed the name quite awhile ago and added to the

  6. Abdominal IV

    iluvivt replied to dmurph615's topic in General Nursing

    Sure there are many medications I have given this way especially in homecare. The medication and/or IV fluids still must have that listed as an acceptable route of administration. In addition ,what I...

  7. EBP in the ER

    iluvivt replied to Belle2013's topic in Emergency

    http://www.ins1.org/files/public/07_05_12_Assessment_Position_Paper_BOD_FINAL.pdf Take a look..for sure follow your policy but always a good idea to keep up,make suggestions and know what the standard...

  8. Standing up to my charge nurse prevented a mistake

    iluvivt replied to 002rn05's topic in Patient Safety Issues

    Pts with ESRD generally should have a tunneled or percutaneousely placed CVC via the IJ if a CVC is needed. Sometimes if it does not matter ( ie.comfort care) we get an approval for a PICC .A PIV is...

  9. EBP in the ER

    iluvivt replied to Belle2013's topic in Emergency

    Not necessary to label the site for a more frequent change if you use IPA instead of CHI for skin antisepsis.You also need to consider vein preservation.The recommendations have changed for routine...

  10. EBP in the ER

    iluvivt replied to Belle2013's topic in Emergency

    CHG if used for skin antisepsis for IV insertion site preparation should be allowed to air dry and then isopropyl alcohol (IPA)should not then be used on top of that. The CHG persists on the skin...

  11. Over order or minimalist?

    iluvivt replied to chrisktrauma's topic in Emergency

    I vote for overwork but I'm a little shocked that the 56 year old female with those complaints was not given a cardiac workup. There is tons of information out there now on how women present...

  12. different rules/regs for HH agencies?

    iluvivt replied to ilmbg's topic in Home Health

    Pill Identification - WebMD: Identify Drugs by Picture, Shape, Color or Imprint - Pill Identifier with Pictures I use this site if needed works great. Patients and those helping patients administer...

  13. rapid response on new admit

    iluvivt replied to PaigeRN90's topic in Medical-Surgical

    I would have called MD for an ABG order and requested telemetry. Did she have a cardiac history at all? Was she given any medication that may suppress her respiratory effort? Hindsight is 20/20 but is...

  14. Standing up to my charge nurse prevented a mistake

    iluvivt replied to 002rn05's topic in Patient Safety Issues

    Read what IVRUS wrote.....correct as usual. I was getting dizzy until someone came along and clarified the terminology. Nursing includes weighing the risks versus the benefit in many situations. I...

  15. Abdominal IV

    iluvivt replied to dmurph615's topic in General Nursing

    What is INS' position regarding the placement of peripheral IVs on a patient's torso, i.e. patient's upper chest? Thank you! A: Veins in chest/shoulder areas are considered collateral...

  16. IV insertion problems

    iluvivt replied to nursing_problem's topic in Emergency

    Sure I listen to the patients request for a specific site and if I can accommodate them I will. I will not however, put an IV in a specific location if I have a good reason not to to do so. I do...

  17. Changing dressing on Groshong

    iluvivt replied to cm8816's topic in Infusion, Intravenous

    SOLOs are open ended with a valves in the tails. There are actually 2 valves..one will open with positive pressure or changes..the other will open with negative pressure or changes (such as...

  18. IV insertion problems

    iluvivt replied to nursing_problem's topic in Emergency

    I will post the exact wording from INS but right now I am way to lazy to get off the couch. NEVER let anyone stick you there anymore or the volar wrist as well. I actually assess without a tourniquet...

  19. Heat wave and home hospice nursing...

    iluvivt replied to DLS_PMHNP's topic in Hospice, Palliative

    YES... same here in Sacramento. I wear very cool light weight clothing. I keep some of the pop up wet ones in my car and put them on the back of my neck to cool off. The alcohol hand wipe pops ups...

  20. INR results might get me fired

    iluvivt replied to bevt's topic in Home Health

    That does not make any sense to me. The results are what they are! Perhaps she was trying to say that if the prescribeR thought they were drawn at 1400 as opposed to an am draw they may choose to...

  21. Safe beds for patients

    iluvivt replied to Morainey's topic in General Nursing

    We use them on our rehab unit for brain damaged patients. My only complaint is that once you unzip you have to find a place to to put the unzipped side. I usually just toss it over the top but wish...

  22. IV insertion problems

    iluvivt replied to nursing_problem's topic in Emergency

    There is a faily new reccomendation from INS to no longer use the vein near the wrist (often called the interns vein) from the wrist and up to five inches. They have discovered that on autopsy the...

  23. IV insertion problems

    iluvivt replied to nursing_problem's topic in Emergency

    The truth is that patients can range from having the best kind of veins to the worst and the nurse and licensed practitioners can have the a skill level from weak to outstanding. So yes! I can see...

  24. Double usage of saline flush? (flush and reconstitution of drugs)

    iluvivt replied to pineau's topic in Oncology

    If the Institute for Safe Medical Practice says that it is a NO NO then I believe them. The NS prefills are labeled for use only as a flush and not to reconstitute any medication....

  25. IV insertion problems

    iluvivt replied to nursing_problem's topic in Emergency

    Do not let patients and family rattle you with that line. They often do not think much beyond that demand. Sometimes I want to say "OK then I guess you will not be getting the antibiotics and IV...