iluvivt

iluvivt BSN, RN

Infusion Nursing, Home Health Infusion

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All Content by iluvivt

  1. IM lorazepam help

    iluvivt replied to anna000's topic in Addictions

    The fact remains....they had a seizure related to bc alcohol withdrawal Evidence is strongly in favor of the use of benzodiazepines to treat alcohol withdrawal states. They unequivocally reduce the...

  2. Central Line Placement and Masks

    iluvivt replied to applesxoranges's topic in Emergency

    Maximal Barrier Precautions Defined Best practice is use of maximal barrier precautions which means strict compliance with hand hygiene and wearing a cap, mask, sterile gown, and sterile gloves and...

  3. withholding medications ethical dilemma

    iluvivt replied to WILLTHEMURSE's topic in General Nursing

    Grat response from Loving Life123.Well, It's either an addiction or a dependence.Not all patients with chronic pain syndromes are addicts or addicted. You do, however,get dependent on it and if you...

  4. New Grad wanting a Specialty Switch

    iluvivt replied to RN123abc123's topic in General Nursing

    The fact that you see your role change from LVN to RN as only now being able to handle IVs is very telling.You are leaving out huge parts of your role as an RN and it clarifies what the problem is.I...

  5. When to insert PICC/Central Lines?

    iluvivt replied to LibraNurse27's topic in General Nursing

    CDC has a recommendation,and I stress recommendation, that any patient requiring IV therapy for more than 6 days needs some type of central access.You must look at everything in each case and that...

  6. What do you do with families who think badly of you?

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

    This reminds me of the quintessential little old lady screaming ..HELP me...HELP...me and visitors coming up to the nurses station to report it.I always found this odd as if we would all ignore pleas...

  7. New nurse advice please!

    iluvivt replied to KB4848's topic in General Nursing

    Oh yes....I know...if you remember that as the nurse you are conducting the orchestra and making sure everything is getting done,whether or not you are actually performing said test,procedure or IV...

  8. Needed: Tips to access a port a cath painlessly

    iluvivt replied to eyzsogreen's topic in General Nursing

    I rarely use any topical anesthetic because to be honest rarely do my patients conplaim of that much pain.I just dart them in fast at a 90 degree angle unless I have the rare side port entry or a...

  9. Dependent loops?

    iluvivt replied to MunoRN's topic in General Nursing

    This is a very interesting topic and I am looking forward to the responses.Have you looked into using a wick system such as PureWick.We just started using it and I am waiting to see how easy it is to...

  10. Preventing PICC line migration during dressing change

    iluvivt replied to Gree Nie's topic in General Nursing

    If you have a lot externally visible...more than a few cms,most transparent dressings will stick to the PICC line,especially polyurethane, and that makes it difficult to get it off and often it gets...

  11. Needed: Tips to access a port a cath painlessly

    iluvivt replied to eyzsogreen's topic in General Nursing

    All good suggestions above.Make sure you are applying enough Emla or equivalent and it needs to stay on a least one hour prior to the puncture.More importantly is how you perform the access. You...

  12. Should I work tomorrow?

    iluvivt replied to amyn87's topic in General Nursing

    This is simple. Do what is best for your patients and you...that is do not work until you are better and feeling and functioning

  13. Wrong medication

    iluvivt replied to Ataphorn's topic in Patient Medications

    I would have reported it to pharmacy and let them handle it.How can you except the next nurse to verify the pill.I would not administer any pill that had been tampered

  14. What do you think will happen if we actually achieve truly safe staffing ratios?

    iluvivt replied to Purple_roses's topic in General Nursing

    I can tell you that how we do in California where I work at a very large corporation and it is great.It took the hospital a bit of time to figure out how to maintain the ratios at all times when RNs...

  15. Vaccine med error

    iluvivt replied to LactivistRN's topic in Patient Medications

    Once a mother refuses perhaps an electronic barrier needs to be in place then when you would have scanned the armband it would have not let you administer it.I would come up with a better system and...

  16. Midlife Crisis

    iluvivt replied to SpookyRN764's topic in Health, Stress Management

    First thing you need to do is get rid of your abusive husband.He is an emotional and financial drain...Adios.Next, I would list all the problems I wanted to solve or improve and then make a plan.You...

  17. So confused about IVPB

    iluvivt replied to AbigailJo's topic in Patient Medications

    Order this handbook Betty Gaharts 2019 Intravenous medications.It is easy to look any IV drug up and it gives a rate of administration for every IV drug plus tons of other info.I have used it for 40...

  18. Forced resignation?

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

    You need to resign and then take a very hard look at what the problem was... then tell us so we can advice you.There are some awesome nurses here who can help you. You may have picked a unit that is...

  19. So TIRED OF IT

    iluvivt replied to ThePrincessBride's topic in General Nursing

    I do both hospital and IV home care...You are seeing the patient population that is cooperative,willing to participate in their care or their loved ones care and those that are grateful.Those demading...

  20. 2 full-time jobs?

    iluvivt replied to anna225's topic in General Nursing

    No judgement here....Yes you can do it...is it hard? YES...I do speak from experience.Sometimes it works out full time as I have one FT job and one per diem job with my own pt load.My home care...

  21. Blood specimen from iv sites.

    iluvivt replied to omotee's topic in General Nursing

    Several years ago INS came out with a white paper, backed by evidence ,stating there is no need for routine PIV site changes and site changes should be based on assessment.So if the IV site is...

  22. Nurses help me

    iluvivt replied to milo65's topic in Nurses Recovery

    In the future keep these things very private in the workplace..I'm so sorry this is happening to you. If this had happened to me once I realized what I had done I would have then kept that information...

  23. The blurred line, patients, social media, and safety

    iluvivt replied to Maggie Ann's topic in HIPAA Challenges

    If you were concerned why didn't you go directly to the aide or LVN and tell her the error she is making judgement and why.Why go to HR at all of it can be made better with one on one.Though frowned...

  24. Hipaa violation

    iluvivt replied to nurse2097482's topic in HIPAA Challenges

    This is not good .Immediately change your practice no matter what others decide to do.Never ever use anyones else log in or let them use yours and always log out when you are done.Never leave your...

  25. HIPAA Violation, Fired

    iluvivt replied to kosmopolitan's topic in HIPAA Challenges

    Yes I have read it but I am not talking about the law but rather how the violation of said law should be dealt with by an organization. It is my belief that the intent of the individual should be...