iluvivt

iluvivt BSN, RN

Infusion Nursing, Home Health Infusion

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All Content by iluvivt

  1. Reconstituting IM Geodon with 0.9% NaCl

    You must not substitute NS FOR SW if the drug manufacturer states to only use SW.If one ignores the drug manufacturers instructions and uses any old diluent this can cause poor dissolution of the...
  2. Help me make my ED better!!!

    You need to look critically at your ED and start identfying the problems specific to your department .Once you have a good problem list going then start to brainstorm some solutions to each...
  3. CA nurses help !!

    They have absolutely no proof of anything so go get your job! Maybe they were just making a threat and have no intention of reporting you.This is really awful that an RN can't even have a bad
  4. Being fired for a run of bad luck?

    No harm came to any patients and they were just mishaps.I would suggest that you get in the habit of wearing non surgical gloves if there is any risk for exposure to blood or other bodily fluids.Many...
  5. What does "Series Connections" Mean?

    I think it means do not connect tbem end to
  6. When to give Narcan??

    Here is how I look at.....if the patient does not need it and gets it will harm come to the patient....NO....but if the patient needs it and does not get it...most certainly harm may come to
  7. When to give Narcan??

    I would have given it.This patient was somnolent very difficult to arouse and had s RR of 5. Generally speaking of the RR drops below 7,pt is difficult to arouse,the respiration are shallow and of...
  8. Portacaths access

    I was just thinking the same thing Wuzzie.How do we know the problems are not caused by the port placement.I probably would access it but may consider verifying tip placement and assess...
  9. Falsely accused of diversion

    Why is it the policy to leave any medications unattended at the nursing station.Are you admitting the patient and getting a current medication list? It seems that the medication should stay with the...
  10. New critical care nurse

    Just have an answer ready to go for things you do not know such as, "I am not certain but I will find out and get back with you" or "I need to confer with my colleagues and I will let you know "....
  11. Question about priming tubing

    Yes you can run an antibiotic or any IV med on a locked VAD .This is a perfectly acceptable practice and we do it all the time when no IV fluids are ordered. Is it easier to hang a flush bag and run...
  12. To call out sick I need to call 3 different people

    Same for me....3 calls.One to staffing office...one to where you work and one to direct supervisor.Many supervisors allow us to text or leave a message on voice mail. What they are accomplishing is...
  13. Abandonment?

    They are just hoping you will fall for it...guess again.You must accept an assignment first and then leave without telling anyone such as a supervisor.That is the defintion in most
  14. Problem with work environment

    If you are going to be in charge you have to get some strength here and stand by your decisions and not allow yourself to be manipulated.This guy has your number now and knows your Achilles heel.It...
  15. Medication Error

    Oh no you do not need to quit over something this minor and honestly there is no need to feel ashamed.Its obvious you have high standards but you are not allowing yourself to be human.Human beings...
  16. Entering the world of infusion nursing

    First of all you must know that the speciality of infusion involves more than just getting catheters into veins.Granted, that is a big part of it (my favorite part) but you must know all the theory...
  17. abandonment

    Generally speaking, you must accept the assignment and then leave for it to meet the level of abandonment. You did not accept the assigment and informed managment of that fact.Before the facts become...
  18. You could have a pinpoint hole or fracture in any part of the catheter that is externally visible on that lumen.These tend to happen after somone has administered cath=flo and pushed too hard or...
  19. Nursing sadness

    You just slip out the back, Jack Make a new plan, Stan You don't need to be coy, Roy Just get yourself free Hop on the bus, Gus You don't need to discuss much Just drop off the key, Lee And get...
  20. Crackles in lower lobes?

    Any new abnormals need to be reported to the provider along with your assessment.If you follow that rule you will be in good
  21. Med error

    No you will not lose your license.Take that worry off your plate by going to your state's licensing board and check out why nurses actually do lose their licenses.Next get the error into perspective...
  22. Neuro (ALS) question!!! Please help!

    Newly approved drug for these patients in the early stages of the disease, called Radicava.My home health agency is administering it.Not sure if you
  23. This is easy...get the education
  24. too many post-ops?

    Whatever you do, Do NOT complain to any higher ups.This is not an unreasonable workload. You need to be very efficient and learn to prioritize.You are going to have to multitask,it's just the nature...