iluvivt

iluvivt BSN, RN

Infusion Nursing, Home Health Infusion

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All Content by iluvivt

  1. Getting report- need advice for dealing with "Frantic Nurse."

    iluvivt replied to dandk1997RN's topic in Patient, Colleague Relations

    I think a lot like Grn Tea lately because I was just going to say make a report sheet for her to fill out..just what you need to know. Once she gets the hang of it it may help with all report. If she...

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

    iluvivt replied to Nurseadam's topic in General Nursing

    There is no federal law stating they can only give dates of employment and just those kinds of facts. Some states may have more specific laws but you need to check. I do not think you will have a...

  3. I screwed up

    iluvivt replied to SionainnRN's topic in Emergency

    Oops! it happens and I bet you will be more careful next time so lesson learned. If the patient already had a very clear cut source of infection you did not lose out on too much information. If they...

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

    iluvivt replied to Nurseadam's topic in General Nursing

    I am sorry as I thought they would give you a chance as well. It is not like they caught you doing it more than once and it was in a car. Most former employers do not reveal too much IF they are...

  5. hipaa violation???

    iluvivt replied to sleepdeprivation's topic in HIPAA Challenges

    GrnTea is correct if they are not locked down then it is a violation. You have the answer already though because you have seen family members and visitors viewing the information and that information...

  6. Hipaa?

    iluvivt replied to RN79's topic in Emergency

    That seems a bit too much!. PHI is on a need to know basis and any employee of a healthcare facility needs to know the information to perform their duties then they need it. If their job duties entail...

  7. IV infusions

    iluvivt replied to jennz4real's topic in Patient Medications

    Doubt why? There is no doubt that there is a best practice way to do this! It does require an understanding of physics,pharmacology and nursing. I do not like to guess or take chances when I am...

  8. Pain Medication addicts

    iluvivt replied to rgvnurse85's topic in Patient Medications

    Sure all the time. Are you thinking this is abnormal or something? I watched the clock post op as well as I was in so much agony I could barely wait to get my Dilaudid. Can you image being in so much...

  9. Scenario Help

    iluvivt replied to 2bnursek2006's topic in Nursing Student Assistance

    He had an MVA so I agree and think it is an intraabdominal injury. I am thinking spleen or liver area. The liver is protected fairly well tucked under the rib cage but anything can still tear or get...

  10. I must make a confession

    iluvivt replied to abbaking's topic in General Nursing

    Do you feel better now? I have been a nurse for a long long time and you would not believe all the stuff we used to do that would be frowned upon on nowadays. As far as food goes we always got extra...

  11. I'm getting terminated from my first nursing job

    iluvivt replied to Nurseadam's topic in First Year After Licensure

    Some lively comments here. I tend to be a bit more understanding in situations like this and though while it may have not been the best decison I can understand it because I am human. I am certain...

  12. IV infusions

    iluvivt replied to jennz4real's topic in Patient Medications

    The best practice is to to have a dedicated lumen of line for your drips but that is not always possible so if you have to do the next best thing until the situation changes. If you had one good PIV...

  13. How to chart location of fingers?

    iluvivt replied to agldragonRN's topic in General Nursing

    The thumb has 2 phalanges and the fingers have 3. They are all considered digits. So the thumb is considered a finger for the most part. We have 10 fingers and not 8 fingers and 2 thumbs. To get...

  14. Kind of a rant, sorry!

    iluvivt replied to MECO28's topic in Patient, Colleague Relations

    You can always go up the chain of command and have the hospitalist called in or send them to the ED for evaluation. If they need to be admitted they will get assigned the hospitalist. This happens...

  15. Do I sound like a terrible nursing assistant??

    iluvivt replied to blondy85's topic in General Nursing

    I would be kissing your feet if you were my assistant. You are only one person and can only do so much. So do your best and let the rest go for there will be another

  16. Got into a car accident after working a night shift

    iluvivt replied to BSNbeauty's topic in General Nursing

    In the meantime always chew gum and play something annoying to you on the radio( nothing soothing) or roll down the window and let the air hit your face. You have to find what works for you for now....

  17. How to deal with rolling veins?

    iluvivt replied to nurs1ng's topic in General Nursing

    Yes I know exactly what you are talking about and there are a couple of things you can try. Please keep in mind that the traction that you may need to apply can vary based upon the location of the...

  18. IV removal etiquette?

    iluvivt replied to pa715's topic in General Nursing

    All good suggestions but the fact that you may be having a problem tells me that you may not be pulling the tape off well BEFORE you attempt cannula removal. I carefully peel off each side until all...

  19. How is this not HIPAA?????

    iluvivt replied to martymoose's topic in HIPAA Challenges

    Yes that is correct! I try to keep the visitors out of the room though because even if the pt has allowed family and friends to know about their PHI,the other patient has

  20. Help! I am in a spiral to termination!

    iluvivt replied to Rogueangel1212's topic in Patient, Colleague Relations

    It is crucial to acknowledge any mistakes you have made when you are counseled by your director and/or manger . Then you make a plan for improvement and follow up with the manager. This not only...

  21. Difficulty removing PICC line

    iluvivt replied to aging1's topic in Infusion, Intravenous

    You could have tried a few things in this situation. I would like to know which vein it was accessed from and if it was on the right or left side and did the patient have any history of chest...

  22. oxygen sTaturations

    iluvivt replied to Creamsoda's topic in General Nursing

    It bugs me when I hear nurses say " antecubical" it is the antecubital fossa. I have a quite a few patients say they are on a Hefrin

  23. bolus w/o order....yes or no?

    iluvivt replied to sarahbeth2006's topic in General Nursing

    Yes I know I gave a textbook answer as I believe that is necessary. So many nurses I work with do no know their own nurse practice act and how to protect themselves legally.Moreover, I see many that...

  24. bolus w/o order....yes or no?

    iluvivt replied to sarahbeth2006's topic in General Nursing

    He is missing the point! It has nothing to do with whether the patient can handle the fluid or not it has to do with the fact that it is illegal. If anything should happen to the patient or if the...

  25. Fluids during Endoscopy

    iluvivt replied to cardinal14's topic in Gastroenterology

    BOTH (civilian) depends on the patient. The most important thing is to have a patent and good VAD , PIV or CVC and have the IVFs ready and available to spike and prime if needed for a hypotensive...