iluvivt

iluvivt BSN, RN

Infusion Nursing, Home Health Infusion

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All Content by iluvivt

  1. Do I just care too much?

    iluvivt replied to RMNurse1's topic in First Year After Licensure

    The RN is legally and ethically responsible for the care provided to the patients under your assignment so you have every right to make certain the care meets your high standards. The RN delegates and...

  2. Depressed with my Job

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

    Yes... you have a lot on your plate but remember you can design a life that works for you and you family with planning and a little luck. It will be essential that you DO NOT leave yourself out and...

  3. Order for Port-a-Cath lab draws?

    iluvivt replied to jdsp87's topic in Medical-Surgical

    Yes it is acceptable practice to draw blood for sampling from a venous access port. We get an order to use the port and initiate the port protocol and make sure the flushes and final flush is ordered....

  4. I saw a huge cockroach at my patient's house

    iluvivt replied to 50kn's topic in Private Duty

    They need to have some professionally removed with an exterminator. My company actually paid for one of our pts hotel room while her apt complex had the exterminator get rid of the cockroaches. Is...

  5. That nagging "Did I miss something?" feeling

    iluvivt replied to Cuddleswithpuddles's topic in General Nursing

    I always remember the saying " no one gets out of here alive". We tend to live in a culture that views death as the enemy instead of the natural process it is. It can be fast too, such as in a massive...

  6. Number of saline flush per patient?

    iluvivt replied to pineau's topic in Oncology

  7. Visiting nurse slapped with a parking ticket :-/

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

    Yes a hassle I know. I was in this very little town in central Ca where a lot of migrant farm workers live and had my front tire a bit on a sloped curve in front of the pts house and got a ticket for...

  8. first error, in need of some support

    iluvivt replied to yol0722's topic in Patient Safety Issues

    The concern is one of clotting of the fistula but one BP probably will not cause harm.The patient should be instructed to monitor his fistula and notify his MD should he lose the thrill and the clot...

  9. chloroprep.. good after sponge touches something else?

    iluvivt replied to scrubs83's topic in Operating Room

    I agree with your good decision to get another CHG prep sponge. Would the resident like you to use that product on him if he was on the surgery table. Clearly, a few bucks for a new sterile CHG sponge...

  10. Medication Range Doses-What if Patient Wants Less?

    iluvivt replied to rrrrnnnn579's topic in Patient Safety Issues

    This is simply a matter of law and following the nurse practice act. Unless you have prescribing capabilities or a standardized procedure (if you work in the US and in a decision tree state ) to...

  11. Central line BSI prevention

    iluvivt replied to seamel's topic in PICU, Pediatric

    Please make sure you look at the SHEA-IDSA gudelines for CA-BSIs and look at the CDC guidelines for preventing

  12. BP/needlestick on arm with dialysis CVC

    iluvivt replied to KaeliF's topic in General Nursing

    It is acceptable to take a BP and perform venipunture on the same side arm as permanent (such as a Perm a cath) or temporary (such as a Trialysis or Quinton). We often even have to place a PICC on the...

  13. Feeling broken and there's no way out...

    iluvivt replied to RNRichi's topic in Emergency

    Honestly ,as I was reading your post I was thinking you were doing a good job with that crazy patient. I had one of those ladies today on neuro..long hx of bipolar and meth use..she was...

  14. IV Administration of drugs...KVO vs numerous saline flushes??

    iluvivt replied to LucyLu's topic in Patient Medications

    Yes!.... you can certainly can set up a flush bag of NS and then piggyback your abx and other IV meds but it is NOT manadatory or necessarily better than using any locked VAD. You should take into...

  15. Ever have an addicted patient complain about post-op pain medication?

    iluvivt replied to Munch's topic in Neurological

    Yes happens a lot..I know many a PICC and PIVs I have placed that got used for this purpose. The healthcare worked is often stuck between a rock and a hard place b/c they often need the access for...

  16. Help! My piggyback won't run!

    iluvivt replied to ktliz's topic in Patient Medications

    No worries..my goal is to share and continue to

  17. Help! My piggyback won't run!

    iluvivt replied to ktliz's topic in Patient Medications

    Ktliz you are right ON ! What|I said in my first post is correct...You need to hang the piggyback higher than the primary line,usually about 20 cm higher than the primary at the Y connector above the...

  18. Still Feeling Crummy Months After an "Incident"

    iluvivt replied to devyn renee's topic in General Nursing

    Please STOP worrying and just use the experience as a learning opportunity and get it in perspective. I cannot even count the number of PICCs we have to replace due to them inadvertently getting...

  19. JCAHO, how you annoy me.

    iluvivt replied to brainkandy87's topic in Patient Safety Issues

    Tx you for the correction..drives me crazy when called by their old name.....it' TJC now. I for one am appreciative of the work they do. I have found that very effective policies have been put in...

  20. Help! My piggyback won't run!

    iluvivt replied to ktliz's topic in Patient Medications

    The pump is unable to determine which fluid is infusing b/c it just counts the volume infused. So you set the primary rate and secondary rate and then start for your secondary to begin infusion. BUT...

  21. Sodium and CHF

    iluvivt replied to silverhalide's topic in General Nursing

    Remember that Na+ is the main extracellular cation controlling body water levels. So when Na+ levels are low..they are low in relation to the level of body water. So when body water increases you will...

  22. Problems with Broviacs!

    iluvivt replied to Double-Helix's topic in PICU, Pediatric

    Let me ask you a few questions..........Are you also flushing the lines with either NS or heparin on a schedule and especially after medication or just depending upon your a basal rate to keep the...

  23. Alcohol swabs and iv access ports

    iluvivt replied to luellamae's topic in Patient Medications

    YES absolutely one should scrub (not swipe) catheter hubs (before cap changes)and needleless connectors(NCs) with either alcohol,chlorhexadine gluconate /alchohol combonation or tincture of iodine ....

  24. What have I gotten myself into.....?

    iluvivt replied to lgood905's topic in First Year After Licensure

    Well how long is your orientation and do you have a good preceptor? A good preceptor can makke all the difference in the world and if you have one latch on to that person and appreciate all they do...

  25. New Grad interview, 900 miles away, expensive...HELP

    iluvivt replied to MariahCareyizQUEEN!'s topic in Job Search, Interview, Resume

    I would really try to go to the interview. If you get the job you will be able to recoup any funds