Iv Nurse Quotes

O sleep, O gentle sleep, Nature's soft nurse, how have I frightened thee. That thou no more will weigh my eyelids down, And steep my senses in forgetfulness?

An oncology ward is a battlefield, and there are definite hierarchies of command. The patients, they're the ones doing the tour of duty. The doctors breeze in and out like conquering heroes, but they need to read your child's chart to remember where they've left off from the previous visit. It is the nurses who are the seasoned sergeants -- the ones who are there when your baby is shaking with such a high fever she needs to be bathed in ice, the ones who can teach you how to flush a central venous catheter, or suggest which patient floor might still have Popsicles left to be stolen, or tell you which dry cleaners know how to remove the stains of blood and chemotherapies from clothing. The nurses know the name of your daughter's stuffed walrus and show her how to make tissue paper flowers to twine around her IV stand. The doctors may be mapping out the war games, but it is the nurses who make the conflict bearable.

What was she thinking?” muttered Alexander, closing his eyes and imagining his Tania. “She was determined. It was like some kind of a personal crusade with her,” Ina said. “She gave the doctor a liter of blood for you—” “Where did she get it from?” “Herself, of course.” Ina smiled. “Lucky for you, Major, our Nurse Metanova is a universal donor.” Of course she is, thought Alexander, keeping his eyes tightly shut. Ina continued. “The doctor told her she couldn’t give any more, and she said a liter wasn’t enough, and he said, ‘Yes, but you don’t have more to give,’ and she said, ‘I’ll make more,’ and he said, ‘No,’ and she said, ‘Yes,’ and in four hours, she gave him another half-liter of blood.” Alexander lay on his stomach and listened intently while Ina wrapped fresh gauze on his wound. He was barely breathing. “The doctor told her, ‘Tania, you’re wasting your time. Look at his burn. It’s going to get infected.’ There wasn’t enough penicillin to give to you, especially since your blood count was so low.” Alexander heard Ina chuckle in disbelief. “So I’m making my rounds late that night, and who do I find next to your bed? Tatiana. She’s sitting with a syringe in her arm, hooked up to a catheter, and I watch her, and I swear to God, you won’t believe it when I tell you, Major, but I see that the catheter is attached to the entry drip in your IV.” Ina’s eyes bulged. “I watch her draining blood from the radial artery in her arm into your IV. I ran in and said, ‘Are you crazy? Are you out of your mind? You’re siphoning blood from yourself into him?’ She said to me in her calm, I-won’t-stand-for-any-argument voice, ‘Ina, if I don’t, he will die.’ I yelled at her. I said, ‘There are thirty soldiers in the critical wing who need sutures and bandages and their wounds cleaned. Why don’t you take care of them and let God take care of the dead?’ And she said, ‘He’s not dead. He is still alive, and while he is alive, he is mine.’ Can you believe it, Major? But that’s what she said. ‘Oh, for God’s sake,’ I said to her. ‘Fine, die yourself. I don’t care.’ But the next morning I went to complain to Dr. Sayers that she wasn’t following procedure, told him what she had done, and he ran to yell at her.” Ina lowered her voice to a sibilant, incredulous whisper. “We found her unconscious on the floor by your bed. She was in a dead faint, but you had taken a turn for the better. All your vital signs were up. And Tatiana got up from the floor, white as death itself, and said to the doctor coldly, ‘Maybe now you can give him the penicillin he needs?’ I could see the doctor was stunned. But he did. Gave you penicillin and more plasma and extra morphine. Then he operated on you, to get bits of the shell fragment out of you, and saved your kidney. And stitched you. And all that time she never left his side, or yours. He told her your bandages needed to be changed every three hours to help with drainage, to prevent infection. We had only two nurses in the terminal wing, me and her. I had to take care of all the other patients, while all she did was take care of you. For fifteen days and nights she unwrapped you and cleaned you and changed your dressings. Every three hours. She was a ghost by the end. But you made it. That’s when we moved you to critical care. I said to her, ‘Tania, this man ought to marry you for what you did for him,’ and she said, ‘You think so?’ ” Ina tutted again. Paused. “Are you all right, Major? Why are you crying?

On April 2, the nurses started my first round of five intravenous immunoglobulin (IVIG) infusions. The clear IV bags hung on a metal pole above my head, their liquid trickling down into my vein. Each of those ordinary-looking bags contained the healthy antibodies of over a thousand blood donors and cost upwards of $20,000 per infusion. One thousand tourniquets, one thousand nurses, one thousand veins, one thousand blood-sugar regulating cookies, all just to help one patient.

Here is the best true story on giving I know, and it was told by Jack Kornfield of the Spirit Rock Meditation Center in Woodacre. An eight-year-old boy had a younger sister who was dying of leukemia, and he was told that without a blood transfusion she would die. His parents explained to him that his blood was probably compatible with hers, and if so, he could be the blood donor. They asked him if they could test his blood. He said sure. So they did and it was a good match. Then they asked if he would give his sister a pint of blood, that it could be her only chance of living. He said he would have to think about it overnight. The next day he went to his parents and said he was willing to donate the blood. So they took him to the hospital where he was put on a gurney beside his six-year-old sister. Both of them were hooked up to IVs. A nurse withdrew a pint of blood from the boy, which was then put in the girl’s IV. The boy lay on his gurney in silence while the blood dripped into his sister, until the doctor came over to see how he was doing. Then the boy opened his eyes and asked, “How soon until I start to die?

How many thousands of stories like yours have been told and forgotten how many stories of lovingly durable nurses of hospital sheets of IV tubes dripping saline and morphine How many stories of drugs that would haul you along in their wake for a while but finally let you sink

Kent Myers was an asshole. We had the unfortunate pleasure of sitting across from each other at our chemotherapy appointments. Or as Kent liked to call it, ‘Fuck this bullshit in the fucking ass.’ He had a way with words. He always gave the nurses a hard time, calling them dumbasses when they missed his veins for the IVs. He called one nurse Susie, even though his name was Steven. He called me the annoyingly positive cancer girl who quoted dead people.

The nurses know the name of your daughter’s stuffed walrus and show her how to make tissue paper flowers to twine around her IV stand. The doctors may be mapping out the war games, but it is the nurses who make the conflict bearable.

And when they are out in public, "we are secretly looking at people's arms to determine where we would start an IV," an Arizona nurse said. "Sometimes if I'm out with a group of nurses, we're like, 'Wow, look at those veins. I could hit those from across the room.

For example, in intravenous (IV) solutions and kits for use in hospitals, procedures for attaching solutions to patients differ among competitive products and the hardware for hanging the IV bottles are not compatible. Here switching encounters great resistance from nurses responsible for administering the treatment and requires new investments in hardware.

In a town in Liberia, a young woman named Fatu Kekula, who was a nursing student, ended up caring for four of her family members at home when there was no room for them in a hospital—her parents, her sister, and a cousin. She didn’t have any protective gear, so she created a bio-hazmat suit out of plastic garbage bags. She tied garbage bags over her feet and legs, put on rubber boots over the bags, and then put more bags over her boots. She put on a raincoat, a surgical mask, and multiple rubber gloves, and she covered her head with pantyhose and a garbage bag. Dressed this way, Fatu Kekula set up IV lines for her family members, giving them saline solution to keep them from becoming dehydrated. Her parents and sister survived; her cousin died. And she herself remained uninfected. Local medical workers called Fatu Kekula’s measures the Trash Bag Method. All you needed were garbage bags, a raincoat, and no small amount of love and courage. Medical workers taught the Trash Bag Method, or variants of it, to people who couldn’t get to hospitals

IV.The wounded surgeon plies the steelThat questions the distempered part;Beneath the bleeding hands we feelThe sharp compassion of the healer's artResolving the enigma of the fever chart.Our only health is the diseaseIf we obey the dying nurseWhose constant care is not to pleaseBut to remind of our, and Adam's curse,And that, to be restored, our sickness must grow worse.The whole earth is our hospitalEndowed by the ruined millionaire,Wherein, if we do well, we shallDie of the absolute paternal careThat will not leave us, but prevents us everywhere.The chill ascends from feet to knees,The fever sings in mental wires.If to be warmed, then I must freezeAnd quake in frigid purgatorial firesOf which the flame is roses, and the smoke is briars.The dripping blood our only drink,The bloody flesh our only food:In spite of which we like to thinkThat we are sound, substantial flesh and bloodAgain, in spite of that, we call this Friday good.

Hey cupcake!” he says, like he just had a great idea. “I’m so glad you’re here.” “Me too,” I say. “I thought you were ready to kick me to the curb.” I was. But when I found out he was hurt, it nearly gutted me. “Would if I could,” I say. “Do you think you could fall in love with me, cupcake?” he blurts out. I’m startled. I know he’s medicated, so I shouldn’t put any stock into his words, but I can’t help it. “You should get some rest,” I say. Tap. Tap. “So, that would be a no.” He whistles. Then he scrunches up his face when it makes his head hurt. “I’m in trouble,” he whispers quietly. “What?” He squeezes my hand. “I’m pretty sure I’m in love with you, cupcake,” he says. “I just wish you could love me back.” “You’ve had a lot of pain meds,” I say. Suddenly, he grabs the neck of my shirt and jerks me so that I fall over his chest. His lips are right next to mine. “Listen to me,” he says. “Okay,” I whisper. “I don’t have much going for me, but I know what love feels like.” “How?” “It just is, cupcake. You don’t get to pick who you fall in love with. And God knows, if my head could pick, it wouldn’t be you.” I push back to get off his chest, because I’m offended. But he holds me tight. “You’re not easy to love, because you can’t love me back. But you might one day. I’ll wait. But you got to start taking my calls.” He cups the back of my head and brings my face toward his. A cough from the doorway startles us apart. I stand up and pull my shirt down where he rucked it up. “Visiting hours are over,” a nurse says. “She’s not a visitor,” he says. She comes and inserts a needle into his IV, and his eyes close. He doesn’t open them when he says, “She’s going to marry me one day. She just doesn’t know it yet.” His head falls to the side and he starts to softly snore. His hand goes slack around mine. I pull back, my heart skipping like mad. “They say some of the most ridiculous things when they’re medicated.” The nurse shakes her head. “He probably won’t remember any of this tomorrow.” Pete

In the early hours of the morning she turned her swollen face toward Mike and opened her eyes—or tried to. One was partially shut because of the swelling. He scooted closer. “Brie,” he whispered. “It’s me, Brie. I’m here.” She put her hands over her face and cried out. “No! No!” He took gentle hold of her wrists. “Brie! It’s me. It’s Mike. It’s okay.” But he couldn’t pull her hands away from her face. “Please,” she whimpered pitifully. “I don’t want you to see this….” “Honey, I saw you already,” he said. “I’ve been sitting here for hours. Let it go,” he said. “It’s okay.” She let him slowly pull her hands away from her battered face. “Why? Why are you here? You shouldn’t be here!” “Jack wanted me to help him understand what was happening with the investigation. But I wanted to be here. Brie, I wanted to be here for you.” He brushed her brow gently. “You’re going to be okay.” “He… He got my gun….” “The police know, honey. You didn’t do anything wrong.” “He’s so dangerous. I tried to get him—that’s why he did this. I was going to put him away for life.” Mike’s jaw pulsed, but he kept his voice soft. “It’s okay, Brie. It’s over now.” “Did they find him?” she asked. “Did they pick him up?” Oh, how he wished she wouldn’t ask that. “Not yet.” “Do you know why he didn’t kill me?” she asked, a tear running out of her swollen eye and down over the bridge of her purple nose. He tenderly wiped it away. “He said he didn’t want me to die. He wanted me to try to get him again, and watch him walk again. He wore a condom.” “Aw, honey…” “I’m going to get him, Mike.” “Please… Don’t think about that now. I’ll get the nurse. Get you another sedative.” He put the light on and the nurse came immediately. “Brie needs something to help her go back to sleep.” “Sure,” the nurse said. “I’m just going to wake up again,” she said. “And I’m just going to think the same things.” “Try to rest,” he said, leaning over to kiss her brow. “I’ll be right here. And there’s an officer outside your door. You’re completely safe.” “Mike,” she whispered. She held his hand for a long moment. “Did Jack ask you to come?” “No,” he said, gently touching her brow. “But when I found out what happened, I had to come,” he whispered. “I had to.” After having a sedative administered into the IV, she gently closed her eyes again. Her hand slipped out of his and he sat back in his chair. Then, his elbows on his knees and his face buried in his hands, he silently wept. *

Twas the night before Christmas and in SICU All the patients were stirring, the nurses were, too. Some Levophed hung from an IMED with care In hopes that a blood pressure soon would be there. One patient was resting all snug in his bed While visions—from Versed—danced in his head. I, in my scrubs, with flowsheet in hand, Had just settled down to chart the care plan. Then from room 17 there arose such a clatter We sprang from the station to see what was the matter. Away to the bedside we flew like a flash, Saved the man from falling, with restraints from the stash. “Do you know where you are?” one nurse asked while tying; “Of course! I’m in France in a jail, and I’m dying!” Then what to my wondering eyes should appear? But a heart rate of 50, the alarm in my ear. The patient’s face paled, his skin became slick And he said in a moment, “I’m going to be sick!” Someone found the Inapsine and injected a port, Then ran for a basin, as if it were sport. His heart rhythm quieted back to a sinus, We soothed him and calmed him with old-fashioned kindness. And then in a twinkling we hear from room 11 First a plea for assistance, then a swearing to heaven. As I drew in my breath and was turning around, Through the unit I hurried to respond to the sound. “This one’s having chest pain,” the nurse said and then She gave her some nitro, then morphine and when She showed not relief from IV analgesia Her breathing was failing: time to call anesthesia. “Page Dr. Wilson, or May, or Banoub! Get Dr. Epperson! She ought to be tubed!” While the unit clerk paged them, the monitor showed V-tach and low pressure with no pulse: “Call a code!” More rapid than eagles, the code team they came. The leader took charge and he called drugs by name: “Now epi! Now lido! Some bicarb and mag! You shock and you chart it! You push med! You bag!” And so to the crash cart, the nurses we flew With a handful of meds, and some dopamine, too! From the head of the bed, the doc gave his call: “Resume CPR!” So we worked one and all. Then Doc said no more, but went straight to his work, Intubated the patient, then turned with a jerk. While placing his fingers aside of her nose, And giving a nod, hooked the vent to the hose. The team placed an art-line and a right triple-lumen. And when they were through, she scarcely looked human: When the patient was stable, the doc gave a whistle. A progress note added as he wrote his epistle. But I heard him exclaim ere he strode out of sight, “Merry Christmas to all! But no more codes for tonight!” Jamie L. Beeley Submitted by Nell Britton

So strange to me as a new nurse, these now come easily. TLHC is a triple lumen Hickman catheter, a permanent IV line that protrudes from the upper chest. A PICC—peripherally inserted central catheter—is a different type of permanent IV line that gets inserted in the patient’s upper arm. Temporary IVs I notate as “per,” because they go into a peripheral vein: the kind you can see when you look at your own arm or hand.

Nitroglycerin directly induces vasodilation by relaxing the smooth muscle within the vein forcing it to expand. Rub a very small amount into the skin and let it sit for a few minutes. Research has shown a very small amount of nitroglycerin paste (smaller than a pea) rubbed on the skin will not have any significant systemic effect, even in a hypotensive patient.

Opt for chlorhexidine gluconate (CHG) over a simple alcohol wipe if you have the choice. CHG wipes have 70% alcohol just like a standard alcohol wipe but they are also infused with 2% chlorhexidine gluconate.

The remaining lymph nodes may become damaged if the IV were to get infected or by the meds/fluids running through it. This could result in permanent lymphedema in the affected extremity. Note that this is most common with mastectomies but also applies to any procedure where lymph nodes were removed. If no lymph nodes were removed then it is OK to use the arm even with a mastectomy.

Hospital” turned out to represent a punctuated tedium, the recurrence of blood pressure and temperature checks, the placement and emptying of bedpans and painful switching of IV lines from the crook of one elbow to the other, and the switching of nurses as day and night were destroyed and replaced with tripartite shifts.

They stopped in front of a doorway. Myron looked inside. Win’s mother lay in bed. Exhaustion emanated from her. Her head was back on the pillow as though it were too heavy to lift. An IV bag was attached to her arm. She looked at Myron and mustered a gentle smile. Myron smiled back. With his peripheral vision, he saw Victoria signal to the nurse. The nurse stood and moved past him. Myron stepped inside. The door closed behind him. Myron

IV is the quickest hangover cure on the planet. Trust me. If you ever feel like you’re dying from a hangover, contact a nurse you know. A medic. An EMT. Anyone who can hook you up with some intravenous cleansing. You feel like a new man. A new man ready to haul around drunks all night.

Yesterday one of the nurses had missed her vein when she had been switching her IV, sending blood spurting from Mom’s arm, and Mom hadn’t even flinched.

The sharp smell of disinfectant, the tug on his IV as the nurse drew vial after vial of blood. The constant paging of doctors overhead and the occasional code blue followed by the squeaking of tennis shoes as the nurses and doctors ran to save lives.

She’s all smiles. It glows like a light inside her. Fuck me, this is the most beautiful she’s ever looked. I want a picture of her sitting just like this—hair a mess, IVs in her hands, tired circles under her eyes, nursing my kid. She looks like an earth goddess, all power and calm and love.

Defining the Task in Knowledge Work In knowledge work, the how only comes after the what has been answered. In manual work the task is always given. Wherever there still are domestic servants, the owner of the house tells them what to do. The machine or the assembly line programs the factory worker. But, in knowledge work, what to do becomes the first and decisive question. For knowledge workers are not programmed by the machine. They largely are in control of their own tasks and must be in control of their own tasks. For they, and only they, own and control the most expensive of the means of production—their education—and their most important tool—their knowledge. They do use other tools, of course, whether the nurse’s IV or the engineer’s computer. But their knowledge decides how these tools are being used and for what. They know what steps are most important and what methods need to be used to complete the tasks; and it is their knowledge that tells them what chores are unnecessary and should be eliminated. Work on knowledge-worker productivity therefore begins with asking the knowledge workers themselves: What is your task? What should it be? What should you be expected to contribute? and What hampers you in doing your task and should be eliminated? The how only comes after the what has been answered. ACTION POINT: Define your task as a knowledge worker by asking yourself: “What do I get paid for?” and “What should I get paid for?

There is something about a good nurse. Having a nursing license and job doesn’t make you a good nurse. Working for 30 years doesn’t make you a good nurse. It’s not about being good at starting IV’s or being best friends with all of the physicians. It’s not about having a commanding presence or knowing all of the answers to the 900 questions you get asked each shift. While all of these things are important, it’s not all there is. Being a good nurse is so much less defined and measurable than that. It isn’t measured in letters after your name, certifications, professional affiliations, or by climbing the clinical ladder. It’s something you feel when you see a good nurse care for their patients. It’s that security you see in their patient’s eyes when they walk in the room to provide care. It’s that sense of safety and security felt by the patient’s family that is so reassuring, they can finally head home for a shower and some sleep, knowing their loved one is being well cared for. Good nurses breathe instinct. They breathe discernment. Good nurses can pick out seemingly insignificant things about a patient, interpret an intricate clinical picture, somehow predict a poor outcome, and bring it to the provider’s attention, literally saving someone’s life. Did you read that? Save someone’s life. I have seen the lives of patients spared because of something that their nurse, their good nurse, first noticed. And then there’s that heart knowledge good nurses have that blows me away even more. They are those nurses who always know the right thing to say. They know how to calm an apprehensive and scared mother enough to let them take care of her son. They know how to re-explain the worst news a husband is ever going to hear because it didn’t quite make sense when the doctor said it 15 minutes ago. And they know how to comfort him when they see it click in his mind that his wife is forever gone.

Dave then described what it was like to get the drug, which echoed many of Nash’s warnings. The total process, he said, took seven to eight hours. After the nurses settled him comfortably into a lounge chair and attached an IV, they conducted a battery of blood tests to make sure his numbers were good. Then they ran a liter of saline solution into his body, diluting his blood so that the kidneys would be able to flush the drug through quickly. The saline drip took an hour, followed by a fifteen-minute infusion of Benadryl, to tamp down any allergic reaction he might have to the amphotericin. Meanwhile, the nurses hung an evil-looking opaque brown bag, which contained the liposomal amphotericin. When all is ready, Dave said, they turn a valve that starts the amphotericin. The liquid is expected to spend three or four hours creeping out of the bag and into the patient’s arm. “So what happened when you got the drug?” I asked. “I watched that limoncello-colored solution come down through the tubes and go into me,” Dave said. “And within seconds—seconds!—of it entering my veins, I felt a big pressure on my chest and a pain in my back. I felt this profound tightness in my chest, with really difficult breathing, and my head felt like it was in flames.

A 72 kg male diagnosed with bacterial meningitis has an order for gentamicin 5 mg/kg/day IV in divided doses every 8 hours. How many mg will you administer for each dose?

Valerie checked Brandon’s temperature. “You know, I told that girl myself she’s nuts. You know what she said to me?” I arched an eyebrow. “What?” “She said, ‘Just because a man gives you the best sex of your life doesn’t mean you need to date his ass.’ Lawd, I just about died,” she snickered. I snorted. Yup, that sounded like Kristen. Well, at least I’d done something right. Valerie chuckled to herself while she checked Brandon’s pulse. “He’s coming out tomorrow. I bet you’re all getting pretty excited.” I rubbed the back of my neck. “This has been a really tough few weeks.” “He’s gonna do great.” She changed out the bag on his IV drip. Then she pulled out a small light from her breast pocket, clicked it on, and opened his right eye. “You know, a lot of the nurses are gonna miss the steady stream of cute firemen coming through he—” She paused. She opened his other eye and shone the light into his pupil. She cleared her throat as she clicked the light off and slipped it back in her pocket. “We sure are going to miss you guys.” She picked up his chart. She didn’t look at me. Her tone changed. Her body changed. I’d done that change myself on the scene of a call. Something is wrong. “What is it?” She didn’t answer me. I pulled out my cell phone and turned on the flashlight. I leaned over Brandon and opened his eye while Valerie watched me wordlessly. My breath caught in my throat. “No. No!  ” I looked at the other eye, and my hands started to shake. I stumbled back from the bed and knocked into my chair, dropping my cell phone to the floor with a clatter. Valerie looked at me, and we exchanged a moment of understanding. His pupils were blown. They were large black marbles in his eyes.

O sleep! O gentle sleep! Nature’s soft nurse, how have I frighted thee, That thou no more wilt weigh my eyelids down And steep my senses in forgetfulness? —SHAKESPEARE, Henry IV, Part II