iluvivt

iluvivt BSN, RN

Infusion Nursing, Home Health Infusion

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All Content by iluvivt

  1. IV question

    iluvivt replied to Animal3's topic in Patient Medications

    Maybe I was not clear..once a seconday is attached..it can stay in play however long your policy says it can. My point is that once the nurse starts disconnecting it and reconnecting it it should be...

  2. Right or wrong? Need some advice

    iluvivt replied to Miknsha's topic in Patient Medications

    Absolutely, GIVE the med..for all the reasons already

  3. Horrified: possible accidental arterial infusion

    iluvivt replied to Southgoing Zax's topic in Patient Medications

    IVRUS is correct in that tissue damage from a vesicant may not be apparent for several weeks. An extravastion and infiltration are not terms that can be used interchangebly. It does sound like you had...

  4. Nurses reusing vacutainer hubs, tourniquets & blood-soiled trolleys for blood draws

    iluvivt replied to AtheistRN's topic in Patient Safety Issues

    The current standard of care is that the vacutainers and tourniquets are one time use items (1 per pt) then discard. Any number of bodily fluids and bacteria transfer can be on these items. The cart...

  5. Central line placement left IJ

    iluvivt replied to Jennkae's topic in MICU, SICU

    Oh yes it can happen from any number of approaches. We got a patient from another ED recently and just happened to find that the right subclavain placed a few hours ago was actually in the...

  6. IV question

    iluvivt replied to Animal3's topic in Patient Medications

    The only good reason I can think of setting it up that way is b/c you ran out of secondary tubing. Yes...you will lose some of the medication in the extra tubing as well,which may or may not be...

  7. RN in a job funk...help!

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

    First of all you need to keep a paycheck coming in while you are working on another plan or you will add lack of funds to your stress list. My feeling from you was that you were happy with hospice...

  8. What do you think? Cause I know it's not right..

    iluvivt replied to rksgray13's topic in Home Health

    What is bothering you the most? let me ask you this rksgray....are you able to turn down a SOC in the middle of the day if you have a full day planned out..or are you expected to do it? That is why I...

  9. Femoral CVLs- do you change the site?

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

    There is no recommendation in the 2011 guidelines form the CDC stating that femeral lines must be removed in 24 hours..not even in adults. What they do say is to avoid using the femeral veins with...

  10. Glass ampules, filter needles. Is this a real or theoretical risk?

    iluvivt replied to aging1's topic in Infusion, Intravenous

    Yes it is a real risk esp if the particles accumulate ...all of those particles usually end up in your lungs. On Autopsy if they go looking they can be found in the lungs esp if the patient has had...

  11. antibiotic administration

    iluvivt replied to tomjones200824's topic in Patient Medications

    There are many IV medications that are inherently irritating and no matter how much you dilate them will not make them less so. The use of the ph of the antibiotic, or any medication for that matter...

  12. Drug screen for new job

    iluvivt replied to RURN2O11's topic in General Nursing

    There are a lot of annoying regulations and rules in this profession. You have to do what you gotta do...just do what they say and do not wate any more energy on it..it is just the way it

  13. IV question

    iluvivt replied to Animal3's topic in Patient Medications

    Think of it this way...above the level of the pump..secondary tubing should be used. If you want to access the system at a Y site that is below the level of the pump you need to use primary tubing. If...

  14. Cathflow

    iluvivt replied to ritrit's topic in Infusion, Intravenous

    Yes..off label but you need to ask yourself "what harm will come to the patient if left in the catheter overnight". Label it properly and I would much rather do this then let someone work with the...

  15. PICC dressing chage after placement

    iluvivt replied to xoNurseRNxo's topic in Infusion, Intravenous

    There is NO current recommendation or best practice guideline that states that a PICC dressing must be changed 24 hours after insertion or the next day. There are various policies but if the following...

  16. IV help

    iluvivt replied to CherrySyrup BSN RN CPN's topic in Patient Medications

    As a novice I would start out with IV therapy made incredibly easy . Then I would advance to Sharon Weinstin's Intravenous Therapy Practice and Principles. I would also get the manual on any pump you...

  17. IV help

    iluvivt replied to CherrySyrup BSN RN CPN's topic in Patient Medications

    Piggybacking is just one way to give a multitude of medications. It allows for the primary IVF to take over after the partial-fill,mini bag or piggyback or secondary whatever name you like is...

  18. Fired: Now what?

    iluvivt replied to patty377's topic in Nursing Career

    That is weird to send pharamcy around with you since you are the one actually administering the medication with an RN license. For some reason they were out to get you so made a case b/c those were...

  19. While out on sick leave, found out I am being "replaced"

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

    yes that is correct..they DO NOT have to hold your position for you. Their concern is to staff appopriately so the patient need can be met. They only have to provide you a job with like hours when you...

  20. Very stressed (2.5 years into it) - please help

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

    Icanhealyou.how do you deal with the pettiness and attitude when you are giving report? You need some effective skills to take care of the problem at its lowest level. Then depending upon how that...

  21. saftey concerns burnout depression, etc. help me

    iluvivt replied to error's topic in Infusion, Intravenous

    So what problem are you concerned about the most? You are giving IV medications with a high probability of hypersensitivity reaction and side effects. A lot of times these can be managed with solid...

  22. Cathflow

    iluvivt replied to ritrit's topic in Infusion, Intravenous

    Yes you can leave it in overnight without any problem and you will not damage the catheter material. What will damage the catheter or cause a fracture is the incorrect administration usually by...

  23. What happens in the real world if:

    iluvivt replied to freezin's topic in Nursing Student Assistance

    This will help you to apply this to other situations. The patient had a change in his condition and any change in condition needs to be reported to the appropriate MD on the case. There has been many...

  24. Doubt about a question

    iluvivt replied to thaysberger's topic in Nursing Student Assistance

    This question will help you in the future to answer other nursing questions. You can only work with the information provided in the question. There is no information provided that tells you the...

  25. Anxiety...is there a job out there for me?

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

    Somehow you have to get to the point where you realize and accept that you can only do what you can do each shift. This is not to say do not get the work completed but keep it all in perspective. You...