iluvivt

iluvivt BSN, RN

Infusion Nursing, Home Health Infusion

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All Content by iluvivt

  1. Feeling incompetent in nursing school

    Quit worrying and use your energy to keep learning. You do not graduate and then suddenly you are a great nurse.You do, however ,want to be a safe one and that entails knowing your strengths and...
  2. I was just going to suggest the posterior approach as well as I have done this on contracted patients.Roll them to their side and try to pull up the knees so patient is in a curled type pf...
  3. PEG Tube Splash

    Please always carry a pair of goggles in your pocket so you can slip them on when needed. Allheart nursing has a good cheap
  4. PICC line question

    I was not upset in any way....just explaining my level of experience so others can feel confident in the information I share.Yes you are correct there are no reported cases of AE upon PICC removal....
  5. I Must Be Missing Something

    Get the heck outta of dodge...it's not you....its the witch supervisor. I love both my home health infusion nurse job and my IV team job! You are a treasure with all your experience and if this...
  6. PICC hands on training- CA,suggestions?

    You may NOT like what I have to say but if you did not have the go ahead to place PICCs in the ED from your managment team then it is not surprising they are giving you a hard time.Placing a PICC...
  7. Weird time-clock rules at work

    It's not that difficult once you get used to it.I actually love it because if I am running late I know I have 7 extra mins as long as I clock in my 0937 I will not be considered late or lose any pay....
  8. Yes...I know what it for but you are correct that many do not know what that is
  9. PICC line question

    Of course I know what a PICC line is as I have been placing them and caring for them since 1989.Institutions can choose whatever policies they want but I will always advice the absolute best...
  10. The roller clamp should never be located on any part of tbe tubing where it can inadvertently rolled up or down.If it is near the site this can happen with patient movement or sleep position Best to...
  11. Infusion question

    YES IVRUS is correct.Just make sure you keep the end of the primary tubing sterile and make sure rhe needleless connector had a port protector on it or you scrub it with
  12. changing a IJ central line for a PICC

    Of course you can have 2 CVADs in one patient and I have seen it quite a bit.We even have placed 2 PICCs on a few patients but usually can get by with just one triple if they have a lot of IV...
  13. Favorite Huber Needle

    I don't think there is any thing wrong with just asking other experienced nurses opinions.as you at least have a starting point.I have worked with so many diffetrnt brands I do have a definite...
  14. Favorite Huber Needle

    What are you using now that you dislike? There are several ways to handle the choices here.You will always need to have a non=coring needle that is power injectable capable.You can use power...
  15. Wearing gloves with HIV positive patients

    Yes...that nurse was not correct .I do not wear gloves unless I will come into contact with the various bodily fluids and non=intact skin.I have to feel the quality of a vein before I cannulate it and...
  16. PICC line question

    You need to remove tbe dressing with non=sterile gloves then once all dressing material is off you need to complete the remainder of the procedure using aseptic technique.This would entail removing...
  17. I need an experts opinions please !!

    Being cruel to another human being is always a big deal and in some situations can be discrimination.Idealy, you should have nipped this in the bud when it first started happening by confronting the...
  18. Newbie

    While patient care takes priority over charting you must find a way to do both well.Do not underestimate the value in charting! Not only is this a legal representation of the care you provided to the...
  19. Portacath access

    No gown is necessary unless the pt happens to be in isolation.PPE is used to protect the healthcare worker.In this case the use of sterile gloves and mask is to prevent infection.As a side benefit you...
  20. How to handle condescending doctor

    I agree that the nurse should have kept her mouth shut! The patient and the family was being given some life altering news and the doctor was being sensitive to this fact and the nurse was not.Had I...
  21. Nursing student Hipaa violation

    GREAT response by KKL33!.Can you put your finger on any information that tbe school gave you regarding HIPAA and the professional conduct expected of you in clinical settings.If not how can they...
  22. Changing the PPV on PICC Line

    IVRUS.I love reading your posts. I can tell you have passion for your speciailty.I will pm you later as I need your opinion as you have the expertise I
  23. Changing the PPV on PICC Line

    IVRUS... There simply is not enough evidence for me to advocate for a needleless connector (NC) change with every blood draw (does not include cultures). In the hospital setting blood draws are...
  24. Changing the PPV on PICC Line

    IVRUS... There simply is not enough evidence for me to advocate for a needleless connector (NC) change with every blood draw (does not include cultures). In the hospital setting blood draws are...
  25. Changing the PPV on PICC Line

    A few things...Not all institutions change the needlless connectors(NC) after blood draws so you need to actually look at your policy. There are antiseptic NCs on the market and clear NCs that you can...