njmcavoy

Hi there, I don't know exactly how much they take out for taxes....it's about the same percentage that gets taken out from me at work. Goes on your tax return at the end of the year just like everything else, so you get it back if you overpaid.

Nothing ever really happens on time with this program (I'm in my 3rd year amendment right now)......but everything comes eventually.. :)

I haven't gotten mine yet either.........

I am starting my third year with the NELRP---Just wanted to offer a little advice. Would be a good idea to put money away to pay your minimum payment for a month or two (or pay your loans ahead---especially when your payments from the NELRP start---you can contact your student loan companies and ask them to apply pay ahead status to your loan). There are gliches here and there in the program. Sometimes the payment doesnt' show up when you expect it (it is normally anywhere between october and January when new people are starting the program) Each year there are computer gliches and such things that put things behind. They always make up the difference--but my recommendation to you so you don't get behind on your payments is to either put some money away, or get your loan company to have your payments pay your account ahead. Will save you a lot of stress in the long run. Organization isn't this program's strong suit. But hey, it's free money!

So you have your IVF's and your pitocin both on the pump?? (and antibiotics if you have them) How do you set it up??

That is exactly how we used to do it....but now the hospital (and the state, like they know what they're talking about) insists that everything (even normal IV fluids) be run on a pump. They're not even happy about us having an anesthesia line, but anesthesia trumped that decision. As for the two separate rates, you do have to tell the pump what you want the two separate rates to be at, so LR at 125, and then your PIT at whatever it's going to go at. Manufacturer still says that there will only be say 6cc/hr worth of pit released ito the line, even if the LR is at 125.......... How frustrating!

some of the other staff agree with her, which stinks. Thank you so much for your input. I'll keep doing some research and checking back here to see if anyone else does their pitocin this way (I find it very bizarre). Thanks for your comments. Off to bed, have to work tonight. :) Take care

No. all we have are triple pumps. they are ENORMOUS. Apprently the company doesn't make double pumps, which I find odd....would be a win all the way around

Ah. thank you. we use KVO-keep vein open. The secondary line has its own program to set. The manufacturer says that you can run two things (even sensitive medications) at the same time at different rates, and they will, in fact, run at their independent rates. The secondary line still only allows a certin amount of pitocin into the line

Their argument is that you are still hooking the pit to the closest port to insertion, because it is going in through the pump tubing. If you need to shut the pit off, you need to shut the whole pump off. I don't agree either...........like I said, I want to use two pumps. they say no. That's why I was wondering if I could find anywhere else that does it this way?? I had always thought that pit was supposed to be on a line all of its own.

that is one thing that I actually never thought about! I'm not sure how much volume is there. I have both a call and an email out to the pump manufacturer to ask them.....because, on the other side of that coin--if you want to shut off your pitocin because of a decel or something, but you still want your IVF's to run, how much do you need to bleed through that line to be ensured that all the pit is gone? BTW: I work in a hospital where we do about 5000 deliveries a year.....EVERYONE gets pitocin. We're excited if they make it through without.

I have a dumb question---what is tko?

That's what I was thinking too. I wanted to run my pitocin on a totally different pump, and hook into the lowest y-site on the line running my IVF's..........they don't want us doing that "not cost effective for all of that tubing----limited availability of pumps" (which I haven't seen to be a problem myself...)

Thanks for your replies. Yes, we have a mainline with no pump tubing at the request of our anesthesia department. that mainline is off, doubleclamped unless we need it. If we go down the hall for a c-section, they still have their fluids, you just unhook the pump tubing from that primary line. SO, you have your mainline that hooks into the 3-way. At the closest available port, you have your pump tubing with your LR at 125. Up at the level of the pump, they want us piggybacking the pitocin into the casette.

Because the thought is that if you increase the rate of your primary IV fluids (for a bolus), it will then bolus the pitocin that is currently in the line..... Also, our pumps will only go to 999ml/hour, and we generally like our boluses to go faster than that..