iluvivt

iluvivt BSN, RN

Infusion Nursing, Home Health Infusion

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All Content by iluvivt

  1. Not cut out for home health?

    I would not be so inclined to lose a good job because someone else thinks I am not good or fast enough.It sounds like you are doing just fine and just need to fine tune a bit.Often in nursing...
  2. Not cut out for home health?

    I would not be so inclined to lose a good job because someone else thinks I am not good or fast enough.It sounds like you are doing just fine and just need to fine tune a bit.Often in nursing...
  3. Patient abandonment?

    No it is not.Its either an ignorant manager or one who thinks you are and you are obviously not because you are checking it out.Patient abandonment is defined as accepting an assignment and then...
  4. You COBs Were Right After All

    SO sweet....all true... You can't take good care of anyone else unless you first take care of
  5. Disappointed but trying to move forward

    Did you do or not do what they are claiming you did? Secondly, if you did do what they say you did can it be proved through your charting and or through an investigation.Thirdly, does it rise to such...
  6. Epic Charting

    We recently had charting not show up and the nurse swore she did it.We called our charting hotline and indeed they found it was charted but could not explain why it had showed up. So it can
  7. Blood draws CVC

    Yes...you absolutely can.This does no damage the cells or the device.The negative pressure can cause catheter collapse so if you have a larger lumen size.(ie.as in a trilpe lumen PICC) use that one.A...
  8. A patient spit in my face

    Yes...she should have told you as this puts you at an increased risk for exposure to potentially infectious body fluids.While we all wear PPE...how many of us always have goggles on.I understand as I...
  9. Infusion error and I feel terrible!!

    You need to handle this just like you said you handled other errors...learn whatever lesson you need to and move on! After every IV I hang I start at the top and work my way to the site.I check the...
  10. Unit practice for heparinizing ports

    Are you using computer charting ? If so you should have a central line protocol order set and in that or a separate port order set. In those orders you should have change the non-coring needle every 7...
  11. What's the nicest compliment you've gotten as a nurse?

    One of them was from an awesome IV specialist that is my colleague.She sent me to go start an IV on a patient that she had tried and could not get and when I came back and reported that it was done...
  12. Use of cellphones while at work

    We are allowed to carry them and even have an app that we can use to text providers. I use mine all the time to check spelling for charting,check on compatabilities,looking up a medical word I do not...
  13. Pts refusing to weigh

    I decline to weigh at the doctors office.I used to politely turn around and ask them to get the number and not say it.Without fail they would blurt it out even if I told them 30 seconds before not to...
  14. Benefits over passion?

    Go for the VA....Life in general is a lot easier with money and when you have the basics covered. You also need to start building up your 401 K.. You can also change positions once you are an...
  15. Central line dislodging?

    If it's a significant tug....yes it can cause a secondary malposition especially if it was not deep enough,such as in the upper SVC .It does tend to happen more with pressure changes such as heavy...
  16. Central line dislodging?

    That was was not supposed to be extracellular....it is extravascular....I think my phone changed it...so it's an extravascular tip placement on the proximal lumen.I have see this several times and...
  17. A fresh post op priest with a newly placed penile implant.(unfortunately this did happen to
  18. Valved picc fluids by gravity to slow

    It could be the needleless connector you are
  19. Valved picc fluids by gravity to slow

    What kind of primary tubing are you using? If it the type you dial in a rate I would suggest you switch to a standard primary tubing. Next, do you have a tall IV pole as the height of an IV bag from...
  20. Central line dislodging?

    It absolutely can! You can have what is called a secondary malposition with the tip no longer in an optimal anatomical location which is preferably in the low SVC or at the cavoatrial junction.You...
  21. IV lines

    Could have been in an artery if it backed up all the way into the bag and the bag was at least 3 feet above the level of the
  22. Ultrasound Guided IV's Keep Blowing

    I agree with many of the comments....your cannula is too short so by the time you reach the vein you have only a small amount actually in the vein.You have enough to get an intial flashback but once...
  23. Need advice on ethics

    In this case it would be a violation pf the patient's privacy. Long ago when cameras were a luxury it was common to take a picture of a deceased family member.In fact they would prop them up in a...
  24. Call some nursing agencies in the area that have CNAs on staff or look through the adds in that
  25. Pump recommendations

    Are you looking for an ambulatory