iluvivt

iluvivt BSN, RN

Infusion Nursing, Home Health Infusion

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All Content by iluvivt

  1. Mitomycin extravasation question

    The rational NOT to use the hand is that because there is not a lot of tissue there if an infiltration or extravasation should occur there is greater potential for tissue,nerve and tendon damage. The...
  2. IMO you should not submit this letter in any form!. I am not sure what state you live in but you need to get the facts on why the management is doing this. The odds are they want to follow the labor...
  3. IV site rotation

    I have a lot to say and you need to check your policies but I cannot do it now.Briguy I have several things I need you to look at and check into so you can advocate for the best patient care. I will...
  4. IV site rotation

    INS Position Paper Recommendations for Frequency of Assessment of the Short Peripheral Catheter Site I thought is was easier to just post the link since the position statement is so long. I changed...
  5. Angios vs. butterfly intima catheters?

    Sure I can help with this. There are some differences but I actually love both the intima,nexiva, (catheter over needle butterfly type devices) and the introcan and insyte. You will notice that the...
  6. I need help with a pharmacology paper

    Your category is awfully broad and that is why you are having problems, Why would LPNs benefit? It is much easier to write a paper when you have narrowed it down to a very specific topic and you have...
  7. need opinions about my reaction in front of a professor

    I would just apologize to the professor and the other student that witnessed it. Has this been a problem for you in the past when you are stressed and then you act out in a physical manner? If so this...
  8. Background checks- what we all need to know:

    How far back to they usually go? I know our HR dept only goes back 7 yrs...... what about if you have misdemeanor from a military court but still had an honorable discharge? This question came up for...
  9. I say B....I would go right to that limb and start looking for pulses and doing an assessment then I would get official vital signs. Remember that you will be able to see, feel and touch the patient...
  10. Protecting a Port for Sports

    Patent US20110023218 - PORTACATH PROTECTION DEVICE - Google Patents Not sure if this is on the
  11. Best way to go from non bedside nursing to bedside nursing

    You need to find a nursing refresher course. Many colleges have nice refresher programs and they have clinical components as
  12. Incident Reports...aarrggghhh!!!

    Have you thought about approaching your manager with a list of the 4-5 top problems or issues that you see and an action plan for each problem? Yes, it is a lot of work but I have been very successful...
  13. No problem and I hope that helps and good luck on your test! I come to this site to help syudents and nurse if I
  14. Do not forget to: Perform hand hygiene and don PPE as your first step 4. Scrub the site for 15 secs if you do not have an alcohol impregnated port protector on the needleless connector (NC). Note the...
  15. Running PRBC concurrently with NS?!

    First. you did not do anything that will harm the patient but use the opportunity to learn something or add to what you know. There are slight variations in policy from institution to institution but...
  16. Incident Reports...aarrggghhh!!!

    It sounds like you are very prudent in selecting what you are going to use the system for. I agree you are using the system properly. I would tell my co-workers that they need to change how they view...
  17. What would you do?

    That would depend upon why it is ordered. Technically and legally they are 2 separate orders so if I decided to hold the Tylenol I would document a good reason. Can the patient tolerate up to the 4...
  18. Removal of a Temp Catheter

    Please do not take out that catheter with the patient sitting in the chair and you must have the proper material to do this or you should not do it all, You can use some bacitracin or A and D ointment...
  19. blowing veins during IV starts

    Forgive me then I must have misread it! Yes some can be but it also heavily depends on the quality of the vein, its size and many other patient factors. The elderly can be particularly vulnerable to...
  20. http://isgweb.aorn.org/isgweb/downloads/cea08131-1320.pdf here is one from 2008 if you have not found
  21. Charting Picc lines

    Since a PICC is a central line you want to assess and comment on more that just the how the site looks. If you are doing a short note you can say something like right arm dual lumen PICC with D5W...
  22. blowing veins during IV starts

    You can also use a sterile end cover or the side of it(the ones used to cover the sterile end of IV tubing) to make an indent or mark on the skin so you can use a no touch technique for your...
  23. blowing veins during IV starts

    all good advice...yes.... feel that vein. Yo do have to go after some veins that are not always the most desirable..... it is just a fact. Actaully that is all I ever do now it the difficult starts....
  24. Removal of a Temp Catheter

    Gather the following supplies: suture removal kit (if it is sutured in ),some ointment or some Vaseline gauze,chlorhexadine wand or swabs,several 2 x 2s, non sterile gloves,sterile gloves, occlusive...
  25. I have encountered this many times and it could have been a few things going on here. First, the odds are you are not going to change the situation. That is what that family has set up and that is...