iluvivt

iluvivt BSN, RN

Infusion Nursing, Home Health Infusion

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All Content by iluvivt

  1. Does these steps of an IV start sound okay?

    This look like it came out of a nursing procedure book which is OK b/c when you are learning you need all the steps until it get easier.I would change the following things what is the purpose of the...
  2. Does these steps of an IV start sound okay?

    This look like it cam out of a nursing procedure book which is OK b/c when you are learning you need all the steps until it get easier. I would change the following things : 1. what is the purpose of...
  3. Was I wrong to talk back to my supervisor?

    I think you need to apologize. Apparently you have NO idea just how difficult it can be to coordinate home care and how hard the office staff works. Part of that is that sometimes you or the patient...
  4. IV narcotics?

    You need to ask for the NS in a vial to be used as your diluent. Pre filled NS in a syringe SHOULD only be used for catheter flushing per the IFUs of all the manufacturers of these products There has...
  5. what will actually happen?

    You can have these incompatibilities in general 1 Physical ..this is when you could see physical changes such as in a precipitate or turbidity in the solution...and color change..things of that...
  6. I have worked on an IV team for 25 years now and yes it is great you are confidant in your skills , it takes the right combination of skills to be exceptional in this field and one is definitely a...
  7. I have worked on an IV team for 25 years now and yes it is great you are confidant in your skills , it takes the right combination of skills to be exceptional in this field and one is definitely a...
  8. A 2x2 is what I use. On the lidocaine I use it has a protective breakable sleeve wrapped around breaking area that assists the break and prevents any sharp
  9. Med error..advise please

    I know the laws are a bit different everywhere but by getting you to quit it saves them a lot of hassle. You may have been eligible for unemployment and you can no longer sue for wrongful termination....
  10. Two and a half week orientation?

    Agree.....wholeheartedly woefully too SHORT. ..You want to start your first experience with a good solid foundation and 2.5 weeks will not achieve this. I get the feeling the NM is trying to solve...
  11. Small Claims Court?

    Just go in and make the corrections. It benefits you in several ways....you get your check....you correct the charting which you were responsible for in the first place and proper charting protects...
  12. Unacceptable on all counts! I am certain you - have a code of conduct policy...find it..read it......and march yourself down to HR department. Bring a copy of any communication you have had with your...
  13. What am I doing wrong (heparin SQ)

    Yes change the angle in which you enter the skin..make is sharper so you get deeper. The above posters are correct. you are administering it as if you were giving a PPD skin test which is intradermal...
  14. You need to be more specific. so we can help. On every large volume parentral and this includes drips and other intermittents ...you will need to ultimately get to how many mls will you be...
  15. Blood cultures from old CVC

    oops dbl
  16. Blood cultures from old CVC

    The draw you did from the CVC would give some information at least whether or not you were able to a sample from a peripheral stick. A better way would be to get a CVC sample and then get a...
  17. bariatric bed "too big"

    The solution to this problem can be mutifactorial. You could find an ICU room that the bed does fit in. Many hospitals rent some of their equipment on as a needed basis or have contracts with such...
  18. Need to vent.....dont understand why people are so nasty

    I learned to literally despise parents who sent their children to school sick or failed to collect them when they were. My daughter has asthma and suffered from 5th to 8th grade with so many episodes...
  19. That is most likely what your contract states. You need to find out from your HR dept or get a copy of your current contract. Typically it will be a percentage of your base hourly rate and that will...
  20. Agree with IVRUS. I would also go with a BARD product and if you do not need to have frequent CT scans requiring contrast there is really no need to have a power port placed. BARD has a very good...
  21. Y-site versus Piggyback

    Absolutely, you can administer incompatible medications through multi-lumen PICCs and CVCs.There is absolutely NO need to stagger them unless you are doing that for a specific clinical reason. Many...
  22. IV infiltrate :(

    Infiltration and extravasations are a whole other ball of wax on neonates and infants. The statue of limitations can also be longer so document carefully on these and make sure you know your...
  23. Need help with IV skills for old nurse

    Look for a community IV therapy class that you actually get practice sticks on a dummy arm or a live person many of these are linked to LVN certification for this skill That way you will learn the...
  24. Y-site versus Piggyback

    Keep this in mind for all situations : just because you can does not mean you should. I know what you are talking about it b/c that is the terminology that B Gahart uses in her books. Depending on the...
  25. You can lose a significant amount of blood from a good IV site if the cap or tubing should become disconnected at the hub of the catheter. The vein would most likely have to and the looks of the room...