iluvivt

iluvivt BSN, RN

Infusion Nursing, Home Health Infusion

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All Content by iluvivt

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

    Unless she was working under an established protocol or standardized procedure that would then need to be initiated in the medical record then NO she should should not have done this on her own. An IV...
  2. Love or hate your IV pumps?

    Just switching from the Braun space pump to Alaris smart pump. The Braun was just OK...very small and not intuitive. The key pad reminded me of the older version CADD pumps which I did not like that...
  3. Not falling for that old trick

    Do not go into work unless you can function normally. If you are ill you cannot do this no-one in their right mind wants to work with an ill coworker Only take an extra shift if you want to do it then...
  4. PICC Maintenance

    PM me with your E mail I have something you will like that you can use for training . It is a teaching guide that I wrote for dressing change procedure,maintenance and troubleshooting. if it is done...
  5. 1. I am assuming you are talking about the solution in the IV bag. No solution should be hanging more than 24hours. There are some that are actually less and these are often fat based drugs and other...
  6. skin test

    There are a few medications that we do perform skin tests on prior to administration or a small test dose that is given IV. These are IV medications that have a high chance of a hypersensitivity...
  7. need help with ekg interpretation

    Yes I agree.. The EKG Made Incredibly Easy book is very entertaining and great and fun for students. Yes! make sure you really understand the normal EKG and what each thing represents and what is...
  8. Stressed

    It is a common misconception that a downstream alarm is is an infiltration detector and it is NOT! Infiltration rarely sets off an alarm. So I agree with nicuguy.You need to use your assessment...
  9. In addition to identifying and taking care of their needs I liked to use distraction techniques. I woud find out if they liked music or movies. We have a mobile cart with movies to play for pts. We...
  10. Have you thought about just getting a report from the clinical leaders or those that are just below you in the chain. Make it clear to the clinical leaders what your goals and expectations are.That...
  11. ICU nurse to Home Health?

    You may be better off keeping a job you love and just decreasing your hours. If you enjoy the fast paced ICU and the camaraderie there you my find home health a bit lonely and slow. I solved that...
  12. Thank you so much! It truly came from the heart and it is how I
  13. I have been a nurse for 32 years. I work on an IV team at a hospital and also PD for a home infusion company. I was 20 yrs old when I graduated. This is what was at kept me in nursing: I am a...
  14. Two suggestions: try not to crush them into a fine powder unless absolutely necessary,next I would just wear a mask to protect myself if I was worried about a certain
  15. Question regarding possible patient abandonment?

    Please there is no need to report this to the BRN. If every nurse reported when a patient was non compliant ,difficult or refuses care and they took action for this there would not be any of us left...
  16. Old nurse, feeling washed up.

    Unfortunately, the older nurse has to be proactive in reporting other coworkers when situations like this arise. I am very suspicious that hospitals just dump the older nurse with little or no...
  17. rant

    It is just called life and trying to staying afloat. What is it that he wants you to be awake for.....does he want the house clean or does he want to spend more time with you? It is really important...
  18. Agree with IVRUS as we usually do. Also do not forget to change whatever needless connector (NC) that you have on the line as well and remember to scrub that connection for at least 15 sec with...
  19. Hypoglycemic emergency protocols

    The clue here is that the person is not in a hospital setting where you have IV access,D50 and Glucagon. So look at the risk verses benefit in this situation so you can do nothing or try something...
  20. Working for competitors at the same time...bad?

    No problem here lots of nurses do it. Be prudent though...do not call in sick at one employer to work for the other...do not bring over policies from one to share with the other unless it is online or...
  21. See if this helps Potassium may no longer be stocked on patient care units, but serious threats still
  22. I would definitely get nursing involved in this. Check your own policy first though to find out exactly what it is and how many meq they will let you deliver on med.surg,tele and ICUs,etc. The next...
  23. Return to trauma after husband's death

    I would see a grief counselor and a psychiatrist and then let those professionals guide me through the process and it is a process. I know it must have been traumatic especially for you since you...
  24. Are Managers against nurses?

    I have done scheduling for 26 years now and unfortunately that is generally not how it works. A much better way to handle it is if you only want to work your scheduled hours or a bit more perhaps is...
  25. So the patient got 15 meq in 22.5 min. What I would want to know as well is what was the patient's K level prior to the infusion. How about the patient's current level of kidney functioning? Were...