iluvivt

iluvivt BSN, RN

Infusion Nursing, Home Health Infusion

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All Content by iluvivt

  1. Getting ready to self report

    I agree STOP working as a nurse NOW before you have much more to regret such as killing or injuring a patient. Think of someone you love,would you want an impaired nurse taking care of them. Next get...
  2. Does this sound too pretty?

    Well I love infusion so this sounds great. Make sure you will have a bit of a say in the available supplies, If you are better with a certain type of IV cannula make certain it is there. Make sure...
  3. Midlines

    It is only a midline if an actual midline catheter is used and if the tip resides in the upper arm at the level of the axilla and below the shoulder joint. You can still use the upper arm veins for...
  4. I'd kill you

    Yes, I agree that I would do something just like that CherylRNBSN and have on many occasions as I agree that is an ideal solution. Based upon what the poster said this sounds like typical engrained...
  5. antibiotic administration

    Here is the current recommendation or best practice. Anything with a ph of less than 5 or greater than 9 is best administered through a central line so Vancomycin with a ph of about 2.2-2.4 is best...
  6. I'd kill you

    If you do not leave there will probably be more coming from her. So next time address it right away b/c if she thinks she can get away with treating you in an unprofessional manner she will keep doing...
  7. My rose colored glasses got knocked off!

    Not every nursing job is as you described but I honestly have to say that the nursing profession has a long long way to go in learning how to create an enviroment that is not so oppresively punative....
  8. Motivating the Nurse in All of Us

    If If you can keep your head when all about you Are losing theirs and blaming it on you; If you can trust yourself when all men doubt you, But...
  9. Well this sloppy and lazy practice is just pure ignorance and you are right in questioning it. I generally will take nurses aside and make it a bit more personal if I think they are just taking and...
  10. Midlines

    When I first starting placing Midlines a long time ago when we first used the Landmark catheter the only way to access the vein was via a traditional palpation method. So from the veins in the ACF or...
  11. "Someone tied a knot in that restraint"

    You would be amazed with the number of health care workers that do not know how to tie a single or double slip knot. If you find it happening a lot always make sure you carry scissors with you in case...
  12. Is this legal?

    Ok lesson learned..this is what I do...I have a fanny pack with all my private stuff including some Tums and aspirin,keys,kleenex a little cash,and a lip gloss. I NEVER take any medication in front of...
  13. Question about tamsulosin post surgery....

    This is most likely about reimbursement . The CMS put into effect new reimbursement guidelines that were effective in Oct of2008. They would no longer pay for catheter associated UTIs . The same...
  14. PICCs have a very low infection rate when inserted and cared for properly. The rates you will find vary by study but the ones I have look at are low .O5 to 1 percent. I believe with prudent nursing...
  15. No blood return from PICC...is it a problem??

    IVRUS....... So busy getting my daughter through her first year of high school...she is doing on- line high school with me as her learning coach. I have retaken the CRNI test again and have been...
  16. Wanting to be a better nurse...

    This process takes time so be kind to yourself an be patient. Reassess your progress at a predetermined schedule ,such as every 4 months and you will see the tremendous progress. You can even set some...
  17. Yes that is a disturbing trend. The Femoral vein is the least desirable of all central vein access points. Infection rates can be as high as 19 percent in this area for the obvious reasons such as...
  18. Well, the "customer" satisfaction survey.....

    Ironically, I just read an article in a Ca union journal that cited a recent study that the patients with the highest satisfaction scores had a 44 percent higher chance of dying. I left it work so I...
  19. No blood return from PICC...is it a problem??

    IVRUS is correct..I was just going to say what was said. If a mechanical issue has been ruled out it is most likely a persistent withdrawal occlusion (can easily instill but no blood return obtained)...
  20. PPE dry intact skin

    Just an FYI....The term is actually standard precautions..it was changed many years ago. Yes... perhaps a little overly cautious...BUT..I cannot tell you how many times I have reached for a patient...
  21. Medication/Pharmacy errors...

    I read a story last year that Walgreens make the most mistakes. I could not remember the percentage but I remember thinking it was a lot. I never trust anything...I check everything and I never ever...
  22. How long until you were pretty good at IV starts?

    If were 95 % luck and 5 % skill than I must be one of the luckiest nurses in the hospital. Its assessment and planning and skill. It is just like any other skill....a beautiful mix of talent and...
  23. Serial blood draws

    Let me see if I can give you some ideas so you can make this more successful. First the problem is not the product you are using and there is no special catheter that will solve your issue. Generally...
  24. I hope you are really taking in all the great advice that you are getting from this nursing community. You are lucky he did not KILL you. He has rage and anger and pathological jealously and will take...