iluvivt

iluvivt BSN, RN

Infusion Nursing, Home Health Infusion

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All Content by iluvivt

  1. Major med error

    iluvivt replied to mhospRN's topic in Patient Medications

    Nursing is a profession that when you make a mistake especially a medication error you can cause serious harm and even death. You cannot not let the knowledge of that fact or fear because of it...

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

    iluvivt replied to pineau's topic in Oncology

    http://www.ismp.org/newsletters/nursing/Issues/NurseAdviseERR200702.pdf see page one and

  3. How do you draw up meds for IVP?

    iluvivt replied to FineAgain's topic in Medical-Surgical

    http://www.ismp.org/newsletters/nursing/Issues/NurseAdviseERR200702.pdf Just want to add see page one and three about the use of NS prefills since you asked about best

  4. Changing dressing on Groshong

    iluvivt replied to cm8816's topic in Infusion, Intravenous

    Yes! agree with IVRUS. This is a silicone catheter and should not be clamped because silicone is easier to fracture that other catheter materials currently being used. If a slide clamp or other type...

  5. Patient asking for ativan hours in advance regularly, prn for anxiety.

    iluvivt replied to EarthwormRN's topic in Patient Medications

    If the patient has an anxiety disorder and has been taking the medication for awhile she most certainly can know she needs it at 1900. She may have withdrawal symptoms. A family member of mine could...

  6. Butterflys as Infusion Devices?

    iluvivt replied to jadelpn's topic in Patient Safety Issues

    Well lthere is Kalbitor for Hereditary angioedema but that is a series of 3 SG injections...there is an IV medication of a different name as well. I have also seen many patients with a variety of...

  7. HIPAA Violation?

    iluvivt replied to kankuro's topic in HIPAA Challenges

    Tx so much for fixing the

  8. Opiate Medications and Respect for Patient Needs

    iluvivt replied to tikaani's topic in Patient Medications

    I agree you need to find some MDs that are accustomed to treating chronic pain patients. A pain specialist is the way to go..many you will find are also anesthesiologist or former...

  9. First case - infant with g-tube

    iluvivt replied to notyetnurse's topic in Private Duty

    Do not share your anxiety or nervousness with the client. Remember you want to instill confidence.If there is something you do not know you need to find out before you take action if is is not an...

  10. Afraid to quit job after 2.5 weeks

    iluvivt replied to kjan's topic in General Nursing

    I agree with the recommendation that they you ask that they stick to the orientation as promised However, they did give you one case that they thought you would be able to handle while you are on...

  11. How do you do it? Advice/Tips

    iluvivt replied to EMEddie's topic in General Nursing

    You are going to be very busy the first few hours so you need to very organized and have a good plan. Looking at your time constraints for assessments and charting,this is how I would do it if I had...

  12. Untrue formal complaint filed with state

    iluvivt replied to mixanplay2013's topic in Patient Safety Issues

    Did you document properly? Did any harm come to the patient? If no harm came to the patient your odds have losing your license are extremely low to

  13. How to protect self from needles?

    iluvivt replied to Brian's topic in Nurses Rock

    Was it a safety needle? You always need to make sure you know how the mechanism functions especially if it an active process and not a passive one. If you do not complete the action fully you can...

  14. Had an exposure yesterday

    iluvivt replied to anon456's topic in General Nursing

    I have abnormal tear ducts and must be very very careful not to touch my face at work and I often have to massage the ducts to get them to drain properly. I was starting an IV on a pediatric patient...

  15. Bio Patch with PICC line dressing changes?

    iluvivt replied to nervousnurse's topic in General Nursing

    I still disliked them.If you open up the radial slit and then line the exposed catheter with that slit and then secure it with steri strips one can easy peel the whole thing off.If the slit is not...

  16. HIPAA Violation?

    iluvivt replied to kankuro's topic in HIPAA Challenges

    The link is not

  17. Bio Patch with PICC line dressing changes?

    iluvivt replied to nervousnurse's topic in General Nursing

    Yes! I can see that happening but see how you like the CHG pad that is incorporated into the TSM dressing. I would say education is needed or have a dedicated team to perform all CVC dressing changes....

  18. Bio Patch with PICC line dressing changes?

    iluvivt replied to nervousnurse's topic in General Nursing

    You are correct it that it is not a big deal to see the insertion site. I just meaured one from the radial slit (the portion of the insertion site you will not see) and its 1 cm. You can use your...

  19. HELP! New Grad Advice!

    iluvivt replied to legallybrunette224's topic in CCU, Coronary, Cardiac

    Prepare for the interview. You should read likely questions so you have a good response prepared ahead of time. Everyone is focused on patient satisifaction so make sure you get across to them that...

  20. IVs/blood draws

    iluvivt replied to turnforthenurse's topic in Pediatric

    First,I always discuss the plan of treatment with the parent(s) or legal guardians. I try to do this out of the earshot of the child (if they can understand) because often when they hear the word...

  21. HELP! New Grad Advice!

    iluvivt replied to legallybrunette224's topic in CCU, Coronary, Cardiac

    I just want to say that you need to research and have a plan in place to get your BSN.That will help minimize that advantage that person has over you. I would be willing to overlook that advantage if...

  22. Bio Patch with PICC line dressing changes?

    iluvivt replied to nervousnurse's topic in General Nursing

    It helps to look at the current recommendations and then try and interpret them based on all the evidence you can find. These are from the CDC Guidelines to prevent catheter related blood stream...

  23. Butterflys as Infusion Devices?

    iluvivt replied to jadelpn's topic in Patient Safety Issues

    I think clinicians often mix up the terms as I find many patients do as well. A very common peripheral IV device is a Catheter over Needle (CON) device. There are several products and products lines...

  24. Dr Oz's show on antidepressants...your thoughts?

    iluvivt replied to Marshall1's topic in Health, Stress Management

    I just did 30 CEUS on Depression and was surprised with some new things I learned. In order to be diagnosed with a major depressive episode one must have experienced a period of at least two weeks of...

  25. Frustrated

    iluvivt replied to setlo's topic in General Nursing

    I would also suggest finding a nurse mentor who can help you transition into your new role. Nursing can be very stressful and I still think that after 32 years working full time plus in the...