iluvivt

iluvivt BSN, RN

Infusion Nursing, Home Health Infusion

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All Content by iluvivt

  1. blood transfusion

    When a blood product is being administered it should remain a dedicated line , The rational is because the risk for bacterial contamination is much greater. So the best way to give the Lasix in...
  2. Getting patient information before shift

    From what I understand they do not want you to log into a patient's chart BEFORE you clock in. That is because you are not officially on the clock and as we all know the computer leaves a trail....
  3. Useless Hospital Committees

    I understand what you are saying but an organization simply does not run that way! It also takes time to solve the bigger problems.I personally have spent very productive time on committees but they...
  4. leaving in iv needle

    It is still possible to use a scalp vein needle for a short term infusion but much safer to use a standard catheter over the needle device, It is also possible on some devices to access the...
  5. Complication with accessing a porta cath

    I need to know a few things and I can then give you a few suggestions. So far it sounds like you are just having an issue with accessing the septal chamber of the port with the non-coring needle. You...
  6. Ordering antibiotics!?!

    The patient needs to be on antibiotics so the infection does not advance into urosepsis if he is not at that point already. The only thing I can think f is that maybe he wanted to wait until he saw...
  7. IV PUMP

    Just make an estimate about how much is left in the bag and set that volume as the VTBI (volume to be infused) . So if it looks like there is about 500 cc left put in 450-480 so it will give you a...
  8. This has happened before so it was not too shocking. When I was a young teenager an anesthesiologist in Sacramento Ca was forcing himself on women..let's say "being serviced" by his sedated patients....
  9. pain control after port placement

    I have to say that many do not order anything unless the patient asks for it or if they are an outpatient as may are. They usually order some Norco or Vicodin when they do. The site and tunnel can be...
  10. Association for Vascular Access: Home..... I always forget they got rid of the national association the N and A and now call themselves just AVA...you can tell I have been around for awhile!
  11. My first PICC!

    That is great! Those ladies with the loose skin can be tricky to access the vein even with guided US. I use silk tape and use it to pull up the loose skin and then I also pull up the skin under the...
  12. Should I resign or wait for termination?

    First of all as a new grad is a really difficult place to start out. We never hire any new grads into ICU,although I know it is done all the time. The one crucial thing I can tell from your post is...
  13. Giving perscription drug and not documenting it.

    Can she give it to herself or have a friend do it. I often have pts that want to change their premed dosage and I just have them self administer and chart that as such. If they take it as ordered than...
  14. Pain control via PRN narcotics

    Pain Treatment Guidelines - Descriptions This may provide some help but that is NOT a complete order. It legally needs to have a frequency otherwise you are practicing medicine. Once you have a...
  15. Susy 67..If you like it now I predict that you will continue to like it and grow in the specialty. There is so much to learn and yes it changes rapidly. As you learn..... continue to challenge...
  16. Signing out medications for my manager.

    NO...DO NOT DO IT. When you sign out that medication you are responsible for it and I definitively would not be signing out any narcotics for any other nurse. How do you know that he is not taking...
  17. Advice on a captivating research topic

    'adverse drug events during medication administration in the hospital " This is not clear and if used needs to be narrowed down and be made more specific. Have you thought about doing something that...
  18. Unreasonable of my HH care company ?

    When patients are admitted to home health nursing services they are usually give a packet of information. Included in this should be several statements and directions on what to do during natural...
  19. I'm scared I shouldn't be..

    That could be stress and insecurity directing your thought processes and actions. You need to train yourself to stay focused on the task at hand and not let you brain wander to the next then the next...
  20. Emergency Hypertension 210/120 mmHg

    Labetalol,Phenoxybenzamine,Hyzaar.
  21. Got Fired today

    That is real overkill in my opinion. They should have just reviewed with you the proper time guidelines an any other things that they they thought you may need improvement on. You could make an action...
  22. Question about neutropenic lab values

    maybe low parameter...but definitely low...I will use that sometimes for low platelets but usually write low
  23. Was I wrong to talk back to my supervisor?

    Why can't they send you the lab report by encrypted e mail so it it protects
  24. PPD Measurement Tape

    Old trick...get a paper tape measure (they have an mm side) trim at the 1 mm mark..tape it flat onto a tongue blade.cut the bottom end to fit the end of the tongue blade. use the clear packing tape...
  25. A huge part of learning is that the environment has to be a conducive one! How can trying to squeeze a 45 min class in the middle of a busy work day be a good environment to do so. There are so many...