iluvivt

iluvivt BSN, RN

Infusion Nursing, Home Health Infusion

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All Content by iluvivt

  1. blowing veins during IV starts

    iluvivt replied to queenjulie's topic in General Nursing

    Just an FYI and to share and not being confrontational..that is NEVER my desire. A deeper vein is NOT more prone to blowing! They are deeper of course, but that means they are usually larger so a...

  2. blowing veins during IV starts

    iluvivt replied to queenjulie's topic in General Nursing

    Ii is also an art and if you take a little extra time with assessment and filling up the selected vein or vein your success rare will slowly increase.You also need to figure out what you are doing...

  3. Transfusion question

    iluvivt replied to Georgia peach RN's topic in General Nursing

    If the unit was leukoreduced in the Blood Bank than you generally do not need to add a special filter. You can just use your standard Y site tubing with a 170 to 200 micron filter (brand dependent)....

  4. i HATE my job. Does anyone else feel the same?

    iluvivt replied to Jenni811's topic in Patient, Colleague Relations

    Jenni811 your post made me laugh because they are so TRUE...you say like it really is! If you cannot get the heck out of there seriously try playing around with your schedule. Maybe work 2...

  5. Safest + convenient method for blood transfusion

    iluvivt replied to Maddy_Rose's topic in Medical-Surgical

    In your situation it is not a compatibility issue. The reason blood is given by itself is because the risk for bacterial contamination is high. You are after all giving the medication into someones...

  6. Doctor texting order turned into a nightmare

    iluvivt replied to Scotthudson1966's topic in General Nursing

    The Joint Commission stated in 2010 that texting for the MD/LP orders is not an acceptable practice in all healthcare setting. This method provides no ability to verify the identity of the person...

  7. Witnessed unsterile procedure and feeling terrible about it

    iluvivt replied to cblake4293's topic in General Nursing

    I am with GrnTea and leslie on this one. The bladder is sterile and that is not going to change anytime soon. I agree you need to learn to speak up BUT is all about technique so you can maintain the...

  8. Not Cleaning Site?

    iluvivt replied to smiler2010's topic in General Nursing

    There are a few factors to consider here. First the skin is the first line of defense and cleansed or not it has been broken. The good news is that peripherals have a lower rate of infection for a...

  9. Continuous home infusion of Demerol?

    iluvivt replied to FlorenceFrightengale's topic in Patient Medications

    We had a patient for years and years that had a PCA for chronic abdominal pain. She had so many PICCs done we lost count. We tried a few ports but those were worse for her. I hope they used a pump...

  10. IV insertion issues

    iluvivt replied to champagnesupeRNova's topic in NICU, Neonatal

    What brand of catheter are you using? We switched to introcans so now I can take the flashplug entirely off and can get the flashback faster. Many products (cannulas) have a special feature as part...

  11. Difficulty with coworkers

    iluvivt replied to MiriamRn's topic in Emergency

    I need more information. Why is it that they do not like you and try to create problems for you? What does your three year history with them include? Does this happen to anyone else in your department...

  12. Safest + convenient method for blood transfusion

    iluvivt replied to Maddy_Rose's topic in Medical-Surgical

    Yes....blood must be administered by itself. This is done with a typical Y-type blood tubing with an in-line 170 or 180 micron filter. Normal saline is hung on one side of the Y and your desired blood...

  13. Bard Site-Rite Prevue

    iluvivt replied to FlyingScot's topic in Infusion, Intravenous

    Wow! we do not charge for anything..we just show up and get the job done..US or not! .The gel caps are touchy on the Prevue so you sometimes have to put in a little NS to wet them then they work...

  14. I maybe in trouble, HIPPA Violation

    iluvivt replied to ms.amy03's topic in HIPAA Challenges

    Here is the sad part....that patient or patients that you were making a joke of..... is a real human being. That human being,somebody's loved one has entrusted the healthcare workers to HELP them. It...

  15. Writing clinical evals

    iluvivt replied to suni's topic in Nursing Educators, Faculty

    What about some things like: patient teaching skills/effectiveness of their teaching use of therapeutic communication skills critical thinking/prioritization skills/problem solving skills...

  16. Different Piggyback Antibiotics, Same IV Tubing??

    iluvivt replied to Pinky89's topic in Medical-Surgical

    It is the frequent connections and disconnections that is the concern here when you use multiple secondaries or one for each drug.This really increase the opportunity to introduce bacteria into the...

  17. Multi Use Vials

    iluvivt replied to soozabel's topic in Patient Medications

    Also see APIC's guidelines

  18. Different Piggyback Antibiotics, Same IV Tubing??

    iluvivt replied to Pinky89's topic in Medical-Surgical

    http://lmcalaris.squarespace.com/storage/Backpriming-Hadaway%20nursing%20art.pdf Yes an acceptable practice..... see above article! backpriming prevents constant breaks into the system. Read the...

  19. TKO: to keep open

    iluvivt replied to babaloo's topic in Nursing Student Assistance

    Technically you do not need a TKO or KVO rate to keep it patent. If that were true that locked venous access devices would always clot off and that is not the case. A KVO or TKO rate just provides an...

  20. Would you trade a great team for an easier floor?

    iluvivt replied to RNlmk's topic in Medical-Surgical

    A great team is far more important than the workload. The workload gets done much easier because of the good team. You can go to a floor with an easier patient load but because of the lack of teamwork...

  21. Power port question

    iluvivt replied to rn undisclosed name's topic in Oncology

    Yes...... you are absolutely correct and do not expect the Oncologist to know the details of the proper types of non-coring needles to use for power injection and the consequences for not doing it...

  22. Too smart for my own good... :-/

    iluvivt replied to AndrewSRN's topic in Patient, Colleague Relations

    I can easily understand what is happening to you in this situation. I too have had to deal with my passion to keep on learning and share what I know in a productive and often fun way. The manager...

  23. Transportation of presription- narcotic

    iluvivt replied to kaitte's topic in Patient Medications

    I am appalled at the ignorance of law enforcement where you live! I would downright angry as well and I think I would sue once they cleared me and they will clear

  24. Transportation of presription- narcotic

    iluvivt replied to kaitte's topic in Patient Medications

    Wow! I got pulled over recently because the the CHP officer could not see my temporay registration paper on the windshield. I had it of course, and answered his questions about who I was and where I...

  25. I got fired today, how will that affect my chances?

    iluvivt replied to Nurseadam's topic in General Nursing

    Good advice