iluvivt

iluvivt BSN, RN

Infusion Nursing, Home Health Infusion

Member

  • Content

    2,774

  • Visitors

    28,671

  • Followers

    0

  • Likes

    320

All Content by iluvivt

  1. OTC medications for parents?

    iluvivt replied to nursegirl2017's topic in General Nursing

    Maybe she works in a pediatric setting and the parent has a headache.That is what I

  2. mixing pain medications with a flush

    iluvivt replied to painmeds's topic in General Nursing

    If you insist on diluting then please do not even think about using a pre=flll of Normal Saline for FLUSHING to do it.Flushes have an IFU that states they are only to be used for flushing vascular...

  3. Forbidden Extremity Sign and VTE in Arm

    iluvivt replied to lapizius's topic in Patient Safety Issues

    I was going to say this exact thing! What reason would you have NOT to take the nursing actions that you

  4. Documenting Ultrasound Guided PIV's

    iluvivt replied to Brooksy86's topic in General Nursing

    It does need to be documented that it was an USG PIV and the vein should be identified especially if it's one of the larger veins such as the cephalic.The length of the catheter also needs to be...

  5. HIPAA Violation, Fired

    iluvivt replied to kosmopolitan's topic in HIPAA Challenges

    While it was a violation it's not all that egregious.The intent shoud be looked at and you had no intent to get her insurance information and use it or use any information to blackmail the patient...

  6. Being out of ratio. Is it legal in California?

    iluvivt replied to abnormal_saline's topic in General Nursing

    I work on Ca too for many many years.We do not go out of ratio unless it's a true emergency or disaster.We use our float poool and registry. Managers also will help cover for break relief if needed.I...

  7. Non-compatible meds w/double lumen

    iluvivt replied to Ellee's topic in General Nursing

    There are many different catheter configurations on multi lumen CVADs. Most percutaneously placed CVADs used for acute needs have a staggered tip design so the distal,medial and proximal tubing exit...

  8. Boomer Nurse no longer able to do bedside nursing

    iluvivt replied to Cwiema's topic in General Nursing

    Why did they say you were not safe?Were you making too many errors...unable to critically think....what exactly?If you can pinpoint it down for us we can make

  9. resigned

    iluvivt replied to hopern84's topic in General Nursing

    What is wrong with the truth.The working environment was one in which my coworkers did not believe that nursing is a team sport. In order to provide the quality of care my patients deserve I prefer...

  10. Meeting With the Manager

    iluvivt replied to MJ48's topic in General Nursing

    I thinks it's so unfair of managers to ask to meet with you and not give you any clue as to what it is about.I ask now,"May I please inquire as to the purpose of the meeting".I have worried for days...

  11. TPN help

    iluvivt replied to C-anne123's topic in Student Nurse Practitioner

    An entirely new set up is needed with a .22 micron filter and add on filter is needed.The needleless connector (NC) then needs to be scrubbed with IPA for 20 to 15 seconds and flushes until you are...

  12. PICC RN

    iluvivt replied to fangguixiao's topic in Infusion, Intravenous

    How deep are the veins you are trying....greater than 1.5 cms below the skin.Can ypu tell me the exact problem...are you going through them...missing altogether......nicking them....running out of...

  13. Is the inside of the wrist a safe site to start an IV

    iluvivt replied to whereisrebecca's topic in Infusion, Intravenous

    I am so sorry this has happened to you.I think hospitals should always have IV teams for the difficult patients that others can not get.They should have never attempted that many times and should have...

  14. Med Error Advice...

    iluvivt replied to brockclan3's topic in General Nursing

    I restart IVs all over the hospital in every department.If an IV is infusing when I enter the room I always resume it but I always check everything and I mean everything,including the the tubing...

  15. Needlestick Injury From HIV+ Pt

    iluvivt replied to Lmwood0425's topic in Patient Safety Issues

    What really bothers me is that where I work a company comes in and they only change the sharps containers once a week. During the week the nurses are supposed to call housekeeping when the sharps...

  16. New grad sinking fast

    iluvivt replied to Sheika34's topic in First Year After Licensure

    You must remember that nursing school only gives you the foundation and now you must build the house.You will be slowly building your house as you learn little by little how to actually practice the...

  17. Has anyone worked with Dr. Now as a RN or CNA

    iluvivt replied to DesiDani's topic in General Nursing

    I like him too.I think being blunt is what these 600 lb people need.You need to lose weight or you are not going to live much longer.It is the reality of the situation and if they could do it on...

  18. re-used IV needle

    iluvivt replied to LibraNurse27's topic in General Nursing

    Oh...Ok....yes it can because even though it is prepped and you make the poke in the same prepared area the device could have the bacteria from the layers of skin below the surface plus whatever...

  19. re-used IV needle

    iluvivt replied to LibraNurse27's topic in General Nursing

    It can happen because you can not render skin sterile...you can only reduce the resident bacteria count on the area in which you are performing the venipuncture..They have also discovered that...

  20. Is this a reasonable expectation?

    iluvivt replied to MomOfFive2018's topic in General Students

    I work for a big corporation with many hospitals in many states.We hire most new employees as per diem or supplemental and that included new RNs

  21. "I am not a robot!"

    iluvivt replied to Adriane82's topic in Health, Stress Management

    That was from the beautiful heart of a

  22. Could I have my license taken away

    iluvivt replied to mindiianajones's topic in General Nursing

    The reason vaseline gauze or ointment is used when a CVAD is discontinued is to prevent an AE (air embolus).It is not chosen in this case because someone may be allergic to an antibiotic ointment.The...

  23. What's Your Longest Lasting PIV?

    iluvivt replied to bgxyrnf's topic in General Nursing

    Muno is correct and if your institution has not changed their practice they are behind the times and not giving evidenced based IV care.I changed our policy as soon as INS put out their white paper...

  24. Adding a burette to an IV line

    iluvivt replied to medicalnurse2018's topic in General Nursing

    It's best to set it up that way before to avoid the risk of contamination but yes it can de done.Discconnect the primary line spike from the IV bag.Spike the burette or volutrol making certain the...

  25. PICC dressing

    iluvivt replied to jeane1090's topic in General Nursing

    Yes.. If is very important to change the PICC dressing when due and along with that a needleless connector(NC) change and an isopropyl alcohol scrub of 10 to 15 seconds of the catheter hub before you...