iluvivt

iluvivt BSN, RN

Infusion Nursing, Home Health Infusion

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All Content by iluvivt

  1. Where does the job end?

    They legally should be paying you for any time spent doing work. Would you be doing those things if you did not have the job...NO ..so it is work. If you come home and do 2 hours of paperwork..they...
  2. accused of bullying....

    First of all how can you defend yourself and tell your side of the story without knowing the facts..that is ridiculous that they will not tell you. They most certainly can tell you they do not want...
  3. The cost of a Ace wrap

    Hospitalized patients are not traditionally charged for nursing services instead of a very few select procedures, In fact they are no charged for a lot of individual services they receive so they...
  4. No! I would not have used a latex catheter. That is like saying ...we know you are allergic to penicillin but we are going to give it to you anyway. I would have called for an ambulance and sent him...
  5. Whats best for me?

    A community college program may be a good place to
  6. Ugh, those "I'm so stupid" moments

    You did fine..you were the one assessing the patient at the time and you made the best decision for the patient. It is also uncomfortable to stay in that position for too long for most people. I am...
  7. Bullies at the work place.. vent

    Wow! this turned out to be an intense discussion. I have been a nurse for 30 years and and IV nurse since 1987. Honestly, if I wrote everything up I found I would spend hours and hours some days...
  8. Bullies at the work place.. vent

    I believe you did the correct thing to fill out an occurrence report. The patient did not get the medications as prescribed and that is a PROBLEM. Of course, there is a difference between a missed...
  9. Verbal er orders...help me understand this

    This makes very suspicious that something happened to the patient or that there was some kind of complaint. It is suspicious for the PA b/c is sounds like they are making you a scapegoat. Did you do...
  10. HAVE EVERYTHING READY BEFORE YOU START 1 Stop all infusions going through ALL lumens of the PICC or CVC for at least one FULL minute 2. Scrub the needless connector for 15 seconds with IPA (alcohol)...
  11. New to the ED

    I really enjoyed this course..check it out...... it is good Substance Abuse – Western Schools ANCC Accredited
  12. Differentiating PICC from CA-DVT

    Yes.... you are correct a color Doppler is usually ordered to look for a UAEDVT (upper arm extremity DVT ) vs a CRT (central). With an US any solid echogenic material in a vein is usually a thrombus...
  13. How to acquire nursing school skills

    I too think NCLEX questions will just frustrate you. When ever you are learning ANYTHING new it it best to start with the basics,the fundamental if you will. You need to build your knowledge base on a...
  14. Also make certain you know your rights in your state. In California an employer cannot fire you while you are disability. They can however give your position to someone else but have to offer you a...
  15. My anger

    Where are you having the problem? it is at the interviews? or is it that you are not getting any calls for interviews? You really need to narrow down exactly what step in the process that needs to be...
  16. The soul crushing part about nursing

    Nurses and doctors truly know the limitations of modern medicine but sadly many others DO NOT. I cannot stress how helpful a multidisciplinary approach in this kind of situation can be and it can...
  17. I am very kind to familly members and I find they are much more cooperative when I need them to step out so I can provide care. Heck I even go find them when I am done so they can come back in. It is...
  18. Cellulitis and edema

    Based upon what information you have provided I suspect she is just having an exacerbation of her symptoms from her previous MRSA infection. It sounds like she went home on IV antibiotics to treat an...
  19. Shift Swap Vent

    That is playing "dirty" expecting you to come in after an approved swap. How can you possiblbly be responsible b/c then you would have to be "On call" until the nurse showed up for her shift and they...
  20. No worries on the compartment syndrome based upon what you have said..the ones I have seen related to IV mishaps have developed fairly rapidly. If they are large and worsening and symptomatic they are...
  21. Yes.... it has become maddening I agree. I have my own policies that I follow now. If I need family to leave or be quite so I can complete nursing care I will politely state what I need to happen. It...
  22. We have a new IV nurse that we have been training and with the sheer volume of IVs we do they all start to run together. I tell our new nurse a few strategies so she does NOT leave the tourniquet on a...
  23. I recognized very early in my career this happens more than it should. I decided that I would NEVER EVER put a tourniquet underneath the sleeve of the gown or whatever garment they have on. I unsnap...
  24. IV Solumedrol Calculation Problem

    Thank you Esme 12 for providing the student with some on-line help. it is always best to know how to solve the problem so you can apply it when really needed in the clinical
  25. Discipline for low pain reassessment scores

    Yes we have 100 percent compliance expectation. You need to think of it as providing good nursing care...you have assessed for pain.....provided an intervention and now you need to reassess and see if...