iluvivt

iluvivt BSN, RN

Infusion Nursing, Home Health Infusion

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All Content by iluvivt

  1. Rapid Response - primary RN

    iluvivt replied to LouisVRN's topic in Patient Safety Issues

    I guess the question would be how can we use our resources wisely while providing the standard of care. To answer this you need to define role of the RRT and know the process of how they are assigned....

  2. So your boss/manager tells you...

    iluvivt replied to mikeb123's topic in General Nursing

    I have a question > I know in Ca there are podiatry companies that go into nursing homes/SNFs and all they do is foot care and cut nails an other stuff as needed. The MD writes an order and then...

  3. 2 glove technique? HUHH?

    iluvivt replied to RN1822's topic in Patient Safety Issues

    Yes I do too when I am placing a PICC with an HIV positive/AIDs pt and Hep A and B.. I use two pair of sterile gloves...my size first then a half size larger so I can still work my fingers well. This...

  4. Saline Flush Guidelines

    iluvivt replied to blissfulnurse's topic in Patient Medications

    I must ask are you having problems with maintaining patentcy of your peripheral IVs? I see my office copy of the current INS standards are missing as I was going to give you their guideline with their...

  5. Double usage of saline flush? (flush and reconstitution of drugs)

    iluvivt replied to pineau's topic in Oncology

    OK I will find it..it was in the ISMP

  6. Patient Care And Customer Service Are Not The Same!

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

    New and recent studies have shown that mortality rates are significantly higher ( as much as 40 percent) in patients who are the most satisfied with their care. I just had to chuckle when I read that...

  7. Why is it always the patient with the worst situation? geez

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

    You would be surprised how much a patient may actually reach out to you with a few kind words . To the guy who walked 30 miles in the heat...I would have said "that sure must have been really...

  8. So irritated...

    iluvivt replied to catladynurse's topic in General Nursing

    It is your responsibility to know what your licensing board will allow you to perform legally and it sounds like you do already however,just b/c you are able to do certain things does not mean that...

  9. Proper cleaning using alcohol wipes

    iluvivt replied to KiyaRN's topic in Patient Medications

    Jul 19 by iluvivt YES absolutely one should scrub (not swipe) catheter hubs (before cap changes)and needleless connectors(NCs) with either alcohol,chlorhexadine gluconate /alcohol combination...

  10. antibiotic administration

    iluvivt replied to tomjones200824's topic in Patient Medications

    If I was in your place I would make a list of all the commonly prescribed antibiotics that you are seeing in your practice and then I would look each one up in Betty Gaharts IV medications book and...

  11. Labeling of pressors/high risk med IV bags

    iluvivt replied to roma4204's topic in Patient Safety Issues

    Yeah me too..but I bet the bag was issued to somone else but maybe not used so they misread it and so slapped a new label over it. That is a guess of course but I have seen that

  12. Assaulted while working

    iluvivt replied to lovelucklaughter76's topic in Home Health

    I think you need to go out on stress disability for a few weeks and that way you will not have to worry about PTO. I think any doctor would do this and if not see a psychiatrist right away and they...

  13. Labeling of pressors/high risk med IV bags

    iluvivt replied to roma4204's topic in Patient Safety Issues

    What most nurses do not realize is that the majority of IV infusions and medications and chemotherapy are mixed by pharmacy techs and then checked by an often busy overworked pharmacist. In many...

  14. Double usage of saline flush? (flush and reconstitution of drugs)

    iluvivt replied to pineau's topic in Oncology

    NS pre-fills should NEVER be used to reconstitute medications. They are marketed ONLY has a flush. The ISMP has put out a warning about the dangers of this practice having to do with the potential for...

  15. Infusaports...

    iluvivt replied to NurseKennedy's topic in Oncology

    First you need to interview the pt if they can. Find out how long the port has been in place....have they always been able to get a blood return....have they had any problems with the port..try to...

  16. Vented tubing for lipids?

    iluvivt replied to KaeliF's topic in General Nursing

    You do not need to use a filter for lipid only infusions unless you have a 3 in 1 preparation. Again these are when the lipids and TPN are mixed in a large bag. These are often used in home care. Yes,...

  17. IVPB antibiotics and saline locks....

    iluvivt replied to PinkNBlue's topic in Patient Medications

    When you have any type of locked VAD and you are administering IV medications intermittently you will use primary intermittent tubing. According to INS these type of tubing should be changed every 24...

  18. Alcohol Saturated Port Caps

    iluvivt replied to Boundin''s topic in Wound, Ostomy, Continence

    I cannot speak to working in your area but I can tell you about the alcohol impregnated cap/needleless connectors (NC) covers . Just take them OFF. A new one (s) can always be reapplied when the...

  19. Vented tubing for lipids?

    iluvivt replied to KaeliF's topic in General Nursing

    thank you IVRUS for the clarification. I reverted back to add on filter I use for Remicade. Yes..... an in line filter would be safer especially for a 3 in 1 home patient who may not make certain...

  20. Shift Work is Taking a Toll

    iluvivt replied to joanna73's topic in General Nursing

    In the meantime you need to be really organized on your long stretches. Try getting all your clothes ready and laid out (and I mean everything)....make sure you car is gassed up..prepare any snacks or...

  21. Nurse mommies! Need advice!

    iluvivt replied to magn1jes's topic in General Nursing

    Parenting is a full time job(plus more)and you are always on call. So now if you take another full time job you will now have 2 full time jobs in addition to being a wife and running a household. I...

  22. Vented tubing for lipids?

    iluvivt replied to KaeliF's topic in General Nursing

    You will always need a vented tubing if you have any IV medication that comes in a glass bottle. Since glass cannot collapse like a plastic IV bag you need an air source (the vent) otherwise a vacuum...

  23. Delaying transfer of pt. to other unit, due to not wanting to send staff home

    iluvivt replied to OnlybyHisgraceRN's topic in General Nursing

    I see it more as a manipulation of the system. I definately WOULD not drag my feet on a transfer to a higher level of care but if it was just a lateral transfer and I had no compelling reason to get...

  24. Nursing and Suspicion of Drug Use

    iluvivt replied to PerrySN's topic in Nursing Career

    Do not worry needlessly as I think that is what you are doing. First of all you do not have a license yet for anyone to take away. Secondly, you did not take the substance to the party or use the...

  25. Penalized for too many interests

    iluvivt replied to lawandaluxnurse's topic in General Nursing

    Keep in mind that those hiring want to get a feel for why individuals job jump. They are going to be putting in an investment to orient and/or train in in some instances and want to get a bang or...