iluvivt

iluvivt BSN, RN

Infusion Nursing, Home Health Infusion

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All Content by iluvivt

  1. Another vent, need to let it out

    Well let me give you a little bit of hope. It can all be done and done well if you stay in control of the situation. I have raised my daughter all by myself and still doing it. It is essential that...
  2. IV Question

    You may not often have pain with an infiltration whereas a phlebitis hurts like
  3. IV Question

    Let me answer your questions first and then I can explain why....YES.... you should have at least stopped the infusion and better yet discontinued it. next because you are describing and infiltration...
  4. Chart checks

    I used to do chart checks on every single chart when I did charge and I usually found some errors. Now we have all computer orders except for chemotherapy and TPN which must be hand written and it has...
  5. Tumor Fevers

    It may be more than one cause. Tumors can produce all kinds of substances for example, many produce procoagulants and pyrogens (cause fever). Also the hypothalmus may be impaired from a tumor or
  6. I do not like the question.. I do think it's written very well. With that said...many abx can cause pseudomembranous colitis..so the loose stools jumps out as troublesome. The dizziness and drowsiness...
  7. IV question!

    That depends upon how the IVF or medication is being administered...is this by gravity or by a volumetric infusion pump? If you are using a pump and the tubing is still threaded into the pump..when...
  8. Getting the needle in the vein...

    Are you using a butterfly type steel needle or just a regular 20 or 18 gauge needle? I have some ideas for you but I would like to know the product you are using so I can be more specific. I suspect...
  9. Help! having second thoughts and feel sad

    Look at this way...YOU have a right to be there and earn a living...and you are providing a service to that comunity and taking care of their ill. Please consider your self an asset. I always consider...
  10. Opinion, WWYD?

    I agree to take this on as a new employee is not what I would do. Obviously, the problem was occurring long before you got there. I would definitely bring it up in a staff meeting and try to get some...
  11. Refusal of Care

    You as the nurse are legally required to honor the competent patient's decisions. A patient must be informed of the possible consequences of their decision and in some situations a patient may be...
  12. If it is that bad start by looking for a new job or a transfer to a different department. Since you are already employed I would start in that facility for a new position. perhaps you just need...
  13. Nurse not assisting with a Code

    In the situation you decribed I would say that indeed she was negligent. Negligence is a breach of duty or injury. What would a reasonable and prudent nurse do in this circumstance or what should they...
  14. Horrified: possible accidental arterial infusion

    I have always been fascinated by medical lawsuits so I tend to read about the cases esp the nursing
  15. Horrified: possible accidental arterial infusion

    You are absolutely right..it is not an ideal world. One time recently we were desperate for a line..so I assessed both arms with the US for a good vein...nothing there..elderly very dry lady....so I...
  16. Ther are many PH balanced cleansers and soap bars that do not disturb the acid ph of your skin and even products that will restore it. Those with Napca in it are really good too. With that aside ,I...
  17. Mandating to work on days off

    That's a horrible system..maybe that is why they are always short handed...RNs leave. Think how potentially diruptive this could be to your life. You make a doctor appt and constantly have to...
  18. Code Blue Announcement

    We overhead page. Really!...Does the patient and family want someone to get in there and help save their lives or do they they want to relieve some family stress. I don't think the patient dying in...
  19. Medication Error how to pick up the pieces.

    No you do not need to throw in the towel..you do however, as stated need to really examine how the error occured and what you need to to do to prevent another one. It sounds like you brought all the...
  20. Glasses Will Make Your Veins

    I agree..all of the tools I have seen so far are no match to a traditional approach of knowing your anatomy well,palpating to assess the quality of the veins,careful site selection to include areas of...
  21. I am sick of overbearing family members and they seem to be getting worse and worse.I even had the father of a 33 yr old women refuse to move himself from the chair that was butted up so tightly to...
  22. Horrified: possible accidental arterial infusion

    Agree ,it's not uncommon to see the artery on top of the vein or to see an extra artery with US. Yes... you can use bedside US as one way to check your placement but you did a good assessment and had...
  23. Ok you need to evaluate the situation....In your estimation.. Did you do anything wrong? Was the daughter out of line and making a mountin out of a mole hill? It sounds like the daughter and father...
  24. Passing the buck.

    How frustrating is this...for now you need to stay focused in on your patients and your practice. You will have to deal with whatever is presented to you at time you take over. You are not responsible...
  25. RN in a job funk...help!

    keep us posted..and yes I tend to be a typical giver. I have learned that I need to be in the equation too. I am much better nurse if I pay attention to what makes me happy and then do it. I have also...